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Long-term impact of a community-led sanitation campaign in India, 2005-2016.

Publication ,  Journal Article
Orgill-Meyer, J; Pattanayak, SK; Chindarkar, N; Dickinson, KL; Panda, U; Rai, S; Sahoo, B; Singha, A; Jeuland, M
Published in: Bulletin of the World Health Organization
August 2019

To evaluate the long-term impact of a community-led total sanitation campaign in rural India.Local organizations in Odisha state, India worked with researchers to evaluate a community-led total sanitation campaign, which aimed to increase the demand for household latrines by raising awareness of the social costs of poor sanitation. The intervention ran from February to March 2006 in 20 randomly-selected villages and 20 control villages. Within sampled villages, we surveyed a random subset of households (around 28 households per village) at baseline in 2005 and over the subsequent 10-year period. We analysed changes in latrine ownership, latrine functionality and open defecation among approximately 1000 households. We estimated linear probability models that examined differences between households in intervention and control villages in 2006, 2010 and 2016.In 2010, 4 years after the intervention, ownership of latrines was significantly higher (29.3 percentage points; 95% confidence interval, CI: 17.5 to 41.2) and open defecation was significantly lower (-6.8 percentage points; 95% CI: -13.1 to -1.0) among households in intervention villages, relative to controls. In 2016, intervention households continued to have higher rates of ever owning a latrine (26.3 percentage points; 95% CI: 20.9 to 31.8). However, latrine functionality and open defecation were no longer different across groups, due to both acquisition of latrines by control households and abandonment and deterioration of latrines in intervention homes.Future research should investigate how to maintain and rehabilitate latrines and how to sustain long-term behaviour change.

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Published In

Bulletin of the World Health Organization

DOI

EISSN

1564-0604

ISSN

0042-9686

Publication Date

August 2019

Volume

97

Issue

8

Start / End Page

523 / 533A

Related Subject Headings

  • Tropical Medicine
  • Toilet Facilities
  • Sanitation
  • Rural Population
  • Residence Characteristics
  • Poverty
  • India
  • Humans
  • Health Promotion
  • Health Knowledge, Attitudes, Practice
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Orgill-Meyer, J., Pattanayak, S. K., Chindarkar, N., Dickinson, K. L., Panda, U., Rai, S., … Jeuland, M. (2019). Long-term impact of a community-led sanitation campaign in India, 2005-2016. Bulletin of the World Health Organization, 97(8), 523-533A. https://doi.org/10.2471/blt.18.221572
Orgill-Meyer, Jennifer, Subhrendu K. Pattanayak, Namrata Chindarkar, Katherine L. Dickinson, Upendra Panda, Shailesh Rai, Barendra Sahoo, Ashok Singha, and Marc Jeuland. “Long-term impact of a community-led sanitation campaign in India, 2005-2016.Bulletin of the World Health Organization 97, no. 8 (August 2019): 523-533A. https://doi.org/10.2471/blt.18.221572.
Orgill-Meyer J, Pattanayak SK, Chindarkar N, Dickinson KL, Panda U, Rai S, et al. Long-term impact of a community-led sanitation campaign in India, 2005-2016. Bulletin of the World Health Organization. 2019 Aug;97(8):523-533A.
Orgill-Meyer, Jennifer, et al. “Long-term impact of a community-led sanitation campaign in India, 2005-2016.Bulletin of the World Health Organization, vol. 97, no. 8, Aug. 2019, pp. 523-533A. Epmc, doi:10.2471/blt.18.221572.
Orgill-Meyer J, Pattanayak SK, Chindarkar N, Dickinson KL, Panda U, Rai S, Sahoo B, Singha A, Jeuland M. Long-term impact of a community-led sanitation campaign in India, 2005-2016. Bulletin of the World Health Organization. 2019 Aug;97(8):523-533A.

Published In

Bulletin of the World Health Organization

DOI

EISSN

1564-0604

ISSN

0042-9686

Publication Date

August 2019

Volume

97

Issue

8

Start / End Page

523 / 533A

Related Subject Headings

  • Tropical Medicine
  • Toilet Facilities
  • Sanitation
  • Rural Population
  • Residence Characteristics
  • Poverty
  • India
  • Humans
  • Health Promotion
  • Health Knowledge, Attitudes, Practice