ArticleThe American journal of tropical medicine and hygiene2020
Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya.
Article in The American journal of tropical medicine and hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 39 citations in OpenAlex.
- Improved Child Feces Management Mediates Reductions in Childhood Diarrhea from an On-Site Sanitation Intervention: Causal Mediation Analysis of a Cluster-Randomized Trial in Rural Bangladesh.Journal of epidemiology and global health · 2024Trial
- 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
- Effectiveness of an integrated agriculture, nutrition-specific, and nutrition-sensitive program on child growth in Western Kenya: a cluster-randomized controlled trial.The American journal of clinical nutrition · 2022Trial
- Impact of a demand-side integrated WASH and nutrition community-based care group intervention on behavioural change: a randomised controlled trial in western Kenya.BMJ global health · 2020Trial
- Prevalence and associated factors of acute diarrhea among under-five children in community-led total sanitation and hygiene implemented and non-implemented kebeles in Chiro Woreda, Eastern Ethiopia.Journal of health, population, and nutrition · 2026Article
- Examining awareness, implementation, and challenges of sustainable development goal 6 in rural Osun State, Nigeria.Scientific reports · 2026Article
- Behavioral patterns in latrine use and handwashing in rural western Kenya: Age, time of day, and the role of perceived safety.PloS one · 2026Article
- A multi-pathogen behavioral exposure model for young children playing in public spaces in developing communities.PLoS neglected tropical diseases · 2024Article
- Individual and community level factors of safe child feces disposal among youngest children in East Africa: a multilevel modeling analysis using recent national demography and health survey data.Archives of public health = Archives belges de sante publique · 2024Article
- Perspective: Connecting the dots between domestic livestock ownership and child linear growth in low- and middle-income countries.Maternal & child nutrition · 2024Article
- Article
- Dietary habits and physical activity patterns in relation to nutritional status among school-aged children in Pakistan: A cross-sectional study.AIMS public health · 2023Article
- Behavior model of community-based sanitation management in coastal areas: confirmatory factor analysis.Heliyon · 2022Article
- Determinants of food preparation and hygiene practices among caregivers of children under two in Western Kenya: a formative research study.BMC public health · 2022Article
- Application of the Capabilities, Opportunities, Motivations, and Behavior (COM-B) Change Model to Formative Research for Child Nutrition in Western Kenya.Current developments in nutrition · 2022Article
- Article
- Towards transformative WASH: an integrated case study exploring environmental, sociocultural, economic and institutional risk factors contributing to infant enteric infections in rural tribal India.BMC public health · 2021Article
- Formative research for the development of baby water, sanitation, and hygiene interventions for young children in the Democratic Republic of the Congo (REDUCE program).BMC public health · 2021Article
- Barriers and opportunities for cleanliness of shared sanitation facilities in low-income settlements in Kenya.BMC public health · 2020Article
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 2 countries.
Funding
Abstract
Exposure to fecal pathogens contributes to childhood diarrhea and stunting, causing harmful short- and long-term impacts to health. Understanding pathways of child fecal exposure and nutritional deficiencies is critical to informing interventions to reduce stunting. Our aim was to explore determinants of latrine use, disposal of child feces, and perceptions and provisions of a safe and clean child play environment among families with children under two (CU2) years to inform the design of a behavior change intervention to address water, sanitation, and hygiene (WASH), and nutrition behaviors. In 2016, we conducted a mixed-methods formative research in western Kenya. We conducted 29 key informant interviews with community leaders, health workers, and project staff; 18 focus group discussions with caregivers of CU2 years; and 24 semi-structured household observations of feeding, hygiene, and sanitation behaviors. We used the capability, opportunity, motivation, and behavior model as our theoretical framework to map caregiver behavioral determinants. Latrine use barriers were lack of latrines, affordability of lasting materials, and social acceptability of unobserved open defecation. Barriers to safe disposal of child feces were lack of latrines, time associated with safe disposal practices, beliefs that infant feces were not harmful, and not knowing where children had defecated. Primary barriers of clean play environments were associated with creating and maintaining play spaces, and shared human and animal compounds. The immediate cost to practicing behaviors was perceived as greater than the long-term potential benefits. Intervention design must address these barriers and emphasize facilitators to enable optimal WASH behaviors in this context.
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Registered trials
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