ArticleInternational journal of hygiene and environmental health2020
Impact of an intervention to improve pit latrine emptying practices in low income urban neighborhoods of Maputo, Mozambique.
Article in International journal of hygiene and environmental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 43 citations in OpenAlex.
- Assessing sustained uptake of latrine and child feces management interventions: Extended follow-up of a cluster-randomized controlled trial in rural Bangladesh 1-3.5 years after intervention initiation.International journal of hygiene and environmental health · 2023Trial
- Environmental pathogen surveillance in cities without universal piped wastewater infrastructure.PLOS global public health · 2026Article
- Enteric pathogens in soil adjacent to public waste bins in Maputo, Mozambique offers potential for environmental surveillance.PLOS global public health · 2026Article
- Environmental and socio-economic determinants of fecal sludge emptying in Sub-Saharan Africa: A cross-sectional mixed-methods study in Abidjan, Côte d'Ivoire.Environmental science and pollution research international · 2024Article
- Spatial-Temporal Patterns in the Enteric Pathogen Contamination of Soil in the Public Environments of Low- and Middle-Income Neighborhoods in Nairobi, Kenya.International journal of environmental research and public health · 2024Article
- Determinants of Willingness to Pay for Fecal Sludge Management Services and Knowledge Gaps: A Scoping Review.Environmental science & technology · 2024Article
- Cross-subsidies are a viable option to fund formal pit latrine emptying services: Evidence from Kigali, Rwanda.PloS one · 2024Article
- Sanitation in urban areas may limit the spread of antimicrobial resistance via flies.PloS one · 2024Article
- Biocides with Controlled Degradation for Environmentally Friendly and Cost-Effective Fecal Sludge Management.Biology · 2022Article
- PersistentEnvironmental science & technology · 2022Article
- Poor awareness and attitudes to sanitation servicing can impede China's Rural Toilet Revolution: Evidence from Western China.The Science of the total environment · 2021Article
- Impact of an Urban Sanitation Intervention on Enteric Pathogen Detection in Soils.Environmental science & technology · 2021Article
- Using path analysis to test theory of change: a quantitative process evaluation of the MapSan trial.BMC public health · 2021Article
- The role of emptying services in provision of safely managed sanitation: A classification and quantification of the needs of LMICs.Journal of environmental management · 2021Article
- Impact of sampling depth on pathogen detection in pit latrines.PLoS neglected tropical diseases · 2021Article
- Quantitative Microbial Risk Assessment of Pediatric Infections Attributable to Ingestion of Fecally Contaminated Domestic Soils in Low-Income Urban Maputo, Mozambique.Environmental science & technology · 2021Article
- Water and health seminar and special issue highlight ideas that will change the field.International journal of hygiene and environmental health · 2020Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Safe fecal sludge management (FSM) - the hygienic emptying, transport, and treatment for reuse or disposal of fecal sludge - is an essential part of safely managed sanitation, especially in towns and cities in low- and middle-income countries with limited sewer coverage. The need for safe and affordable FSM services has become more acute as cities grow and densify. Hygienic pit-emptying uses equipment that limits direct human exposure with fecal sludge and hygienic transport conveys fecal sludge offsite for treatment. We evaluated whether a program of on-site sanitation infrastructure upgrades and FSM capacity development in urban Maputo, Mozambique resulted in more hygienic pit-emptying and safe transportation of fecal sludge. We compared reported emptying practices among multi-household compounds receiving sanitation upgrades with control compounds, both from the Maputo Sanitation (MapSan) trial at 24-36 months after the intervention. Intervention compounds (comprising 1-40 households, median = 3) received a subsidized pour-flush latrine to septic tank system that replaced an existing shared latrine; control compounds continued using existing shared latrines. We surveyed compound residents and analyzed available municipal data on FSM in the city. Due to the recent construction of the intervention, emptying was more frequent in control compounds: 5.6% (15/270) of intervention compounds and 30% (74/247) of controls had emptied their on-site sanitation system in the previous year. Among those compounds which had emptied a sanitation facility in the previous year, intervention compounds were 3.8 (95% CI: 1.4, 10) times more likely to have to done so hygienically. Results suggest that the construction of subsidized pour-flush sanitation systems increased hygienic emptying of fecal sludge in this setting. Further gains in hygienic emptying in urban Maputo may be limited by affordability and physical accessibility.
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Registered trials
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