Sanitation, water, and hygiene in Ethekwini Municipality, Durban, South Africa : a baseline cross-sectional study.

UKZN ResearchSpace

Show simple item record

dc.contributor.advisor Knight, Stephen.
dc.contributor.advisor Stenstrom, Thor Axel.
dc.creator Lutchminarayan, Renuka Devi.
dc.date.accessioned 2011-01-31T12:25:59Z
dc.date.available 2011-01-31T12:25:59Z
dc.date.created 2007
dc.date.issued 2007
dc.identifier.uri http://hdl.handle.net/10413/2390
dc.description Thesis (MMed.)-University of KwaZulu-Natal, Durban, 2007. en_US
dc.description.abstract Introduction: Inadequate water supply and sanitation adversely affects the health and socio-economic development of communities. Since 2003, more than 40 000 households in peri-urban and rural areas within eThekwini Municipality, South Africa, have been provided with urine diversion toilets, safe water and hygiene education. eThekwini Municipality have requested that these interventions be evaluated to monitor their effect on health outcomes. Aim: The aim of the study is to describe the baseline situation in respect of sanitation, safe water and hygiene behaviour in Intervention Areas in eThekwini Municipality and compare these to Control Areas. Methods: An observational analytic cross sectional study design was undertaken. A multi-stage sampling procedure was followed and six study areas were randomly selected. Three Intervention Areas (urine diversion toilets) were matched with three Control Areas (no urine diversion toilets). A total of 1337 households, comprising of 7219 individuals, were included in the study. A Household Questionnaire a and an Observational Protocolb was administered by fieldworkers. Data was entered onto a custom designed EpiData database, processed and analysed using SPSS version 13. Results: The baseline characteristics revealed that Intervention and Control areas were very similar other than the provision of urine diversion toilets, safe water and hygiene education in the Intervention area. The Intervention area scored higher than the Control area (2.31 vs. 1.64) with regard to having a cleaner toilet, with no flies, no smells, having hand-washing facilities and soap provided close to the toilet. Some of the collected data from questionnaire responses were not consistent with the fieldworkers observations. It was reported that 642 households in the Control and 621 in the Intervention areas washed their hands with soap, whilst only 396 households in the Control and 309 in the Intervention areas were observed to have washed their hands with soap. Conclusion: Households in the Control area are at a greater risk of developing diarrhoeal and other related diseases. The provision of safe water, urine diversion toilets and hygiene education in the Intervention area has proved to be successful. Recommendations: eThekwini municipality must expand the package of services c to the Control areas. Sustainable hygiene education programmes must continue to be implemented and be evaluated over time. Plate 1: Inside view of the UD Toilet Plate 2: Ground tank providing 200 litres free water Plate 3: Hygiene education material Plate 4: External rear view of the UD toilet en_US
dc.language.iso en en_US
dc.subject Sanitation--KwaZulu-Natal--Durban. en_US
dc.subject Water-supply. en_US
dc.subject Environmental health. en_US
dc.subject Environmental health. en_US
dc.subject Theses--Public health medicine. en_US
dc.title Sanitation, water, and hygiene in Ethekwini Municipality, Durban, South Africa : a baseline cross-sectional study. en_US
dc.type Thesis en_US

Files in this item

This item appears in the following Collection(s)

Show simple item record

Search UKZN ResearchSpace


Advanced Search

Browse

My Account