ArticleInternational journal of environmental research and public health2020
Understanding the Barriers and Opportunities for Effective Management of Shared Sanitation in Low-Income Settlements-The Case of Kumasi, Ghana.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Pooled it
- Nurturing care group approach for improving animal faeces management in Ghana.Scientific reports · 2025Article
- A comparative assessment of WASH adherence among public and private school students in a rural district in Nigeria.BMC public health · 2025Article
- Shared sanitation facilities and risk of respiratory virus transmission in resource-poor settings: A COVID-19 modeling case study.Risk analysis : an official publication of the Society for Risk Analysis · 2025Article
- Navigating Taxpayers Attitude: Exploring Support for Urban Sanitation Surcharge in Kumasi.Environmental health insights · 2024Article
- Assessing Changes in Bacterial Load and Antibiotic Resistance in the Legon Sewage Treatment Plant between 2018 and 2023 in Accra, Ghana.Tropical medicine and infectious disease · 2023Article
- Shared but Clean Household Toilets: What Makes This Possible? Evidence from Ghana and Kenya.International journal of environmental research and public health · 2022Article
- Pit latrines may be a potential risk in rural China and low-income countries when dealing with COVID-19.The Science of the total environment · 2021Article
- Article
- Barriers and opportunities for cleanliness of shared sanitation facilities in low-income settlements in Kenya.BMC public health · 2020Article
- Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Improved sanitation for all is a daunting task for low-income countries, and shared toilets often provide an alternative to private household sanitation for most urban residents. This study sought to provide better understanding of the existing barriers and opportunities for improved management of shared sanitation. The study used focus group discussions and in-depth interviews with 70 users (landlords and tenants) of shared sanitation in Kumasi, Ghana to assess barriers and opportunities of "high-quality" shared sanitation. The commonly used toilet facilities were dry toilets-Kumasi Ventilated Improved Pit latrine and Ventilated Improved Pit latrines; and flush systems-water closet and pour flush connected to septic tanks. Between 2 and 21 households, or 4 and 84 people, shared one facility. Participants' description of "high-quality" (Ideal) shared sanitation was centred on cleanliness, user behaviour, smell, and user crowding. They also identified challenges of shared sanitation as overcrowded users, poor user behaviours, conflicts among users, and high cost associated with frequent desludging. However, opportunities for improvement included users' preference for shared toilets due to enjoyed benefits, existing facility management practices, and mutual understanding among users (tenants and landlords). Interventions and policy guidelines to influence behaviour change of shared sanitation users are proposed and are intended to be delivered by local government and users.
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Registered trials
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