ArticleGlobal health action2026
Residents' perspectives on a community health worker-delivered household air pollution prevention programme pilot in Eldoret, Kenya: a qualitative evaluation.
Article in Global health action, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHousehold air pollution (HAP), from the use of polluting fuels for cooking, heating, and lighting, poses significant health and environmental risks, particularly in low-resource settings. The Community Household Air Pollution Prevention Programme (CHAP-PP) integrated a 'household air pollution, health, and prevention' module into Kenyan national Community Health Worker training, involving household-based education, awareness-raising, and discussions around air pollution, health, and clean energy.
objectivesThis evaluation examined residents' perspectives on the programme, considering impacts on energy use and HAP exposures in the context of wider experiences and providing recommendations for improvement.
methodsThis qualitative descriptive study used semi-structured interviews and one focus group discussion with purposively selected household representatives, analysed using reflexive thematic analysis.
resultsResidents welcomed the programme, reporting enhanced knowledge around HAP-related risks, harm mitigation practices (e.g. improved ventilation), and clean fuels. The latter enabled clean fuel adoption for some, but residual challenges remained. Using the COM-B (Capability-Opportunity-Motivation-Behaviour) model we considered how the programme influenced communities' clean fuel uptake. Participants proposed solutions to financial barriers precluding clean fuel use including subsidies, value-added tax removal, and 'pay-as-you-go' schemes for liquefied petroleum gas, some of which have since been implemented.
conclusionsThe CHAP-PP programme was felt to be successful, increasing HAP awareness and supporting harm mitigation and transitions to cleaner cooking. Findings have informed module rollout nationally and contributed to Kenya's HAP prevention strategy. Ongoing efforts aim to improve affordability and scale clean cooking solutions, with future evaluations planned to assess long-term impacts on energy use and health outcomes.\.
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