Evidence map›Paper›PMID 41426663›Full record

ArticleFrontiers in public health2025

Container-based sanitation in Nairobi's Mukuru: roles, power, challenges and strategies.

Ivy Chumo, Caroline Karani, Joy Riungu, Lilian Mukiri Kirimi

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ivy ChumoAfrican Population and Health Research Center, Nairobi, Kenya.
Caroline Karani *Meru University of Science and Technology, Meru, Kenya.
Joy Riungu *Meru University of Science and Technology, Meru, Kenya.
Lilian Mukiri Kirimi *Meru University of Science and Technology, Meru, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid urbanization in the developing world has exacerbated the crisis of poor sanitation within sprawling informal settlements. Container-Based Sanitation (CBS) has emerged as a promising, alternative solution designed to fill these critical infrastructural deficits where conventional sewage systems are absent. Despite its apparent potential, there is a recognized gap in the contextual understanding of CBS implementation, particularly concerning the influence of local social and political dynamics, which ultimately hinders effective scale and sustainable programming. This qualitative study aimed to explore the intricate factors surrounding the implementation of CBS in an urban slum, specifically investigating the technology's operational roles, the influence of existing power structures, the key challenges encountered, and viable strategies for enhancing its adoption within an informal settlement in Nairobi, Kenya. Data collection utilized in-depth interviews (IDIs) with 25 key participants, including residents, local community leaders, and relevant government officials working in the Mukuru Kwa Reuben informal settlement. A purposive sampling method guided participant selection, and the collected qualitative data was rigorously analyzed using a framework analysis approach. The study's findings indicate that CBS was perceived positively as a cost-effective and safe solution for improving household sanitation. However, its widespread scalability was significantly limited by a series of entrenched contextual challenges. The challenges stemmed from a inadequate governance, power structures and coordination of governance and coordination, including inaccurate data and failed consultation, which limited project success. Financially, the sector was underfunded and deprioritized, leading to an inequitable, high-cost user-fee model that burdened residents. A consistent lack of community involvement undermined the long-term sustainability and adoption of the interventions. The research concludes that scaling CBS successfully requires transcending purely technical considerations. The findings will contribute to policy-making in Nairobi's Special Planning Area framework and broader debates on urban sanitation financing. Future implementation strategies should focus on establishing collaborative governance models and integrating local leadership to navigate and mitigate existing power dynamics, thereby addressing the systemic, contextual barriers required for achieving sustainable and equitable sanitation coverage.

Indexed as

Poverty AreasSanitationFemaleHumansInterviews as TopicKenyaMaleQualitative Researchcommunity participationcontainer based sanitationequitygovernancepower dynamicspublic health policyurban sanitation

Identifiers

PMID41426663
PMCPMC12713572

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.