Clean Toilets Research Articles

Examining the Effectiveness of the Wash Programme on Public Health in Public Schools in Kisumu East Sub-county, Kenya

As a result of poor hygiene in schools, public health and the status of public schools are adversely affected. There have been limited programs addressing sanitation issues in Kisumu East schools. This study therefore aimed at evaluating the effectiveness of the WASH program and teachers' contributions to improving the quality of latrines in Kisumu East and investigating the environmental factors that have had an impact on the quality of latrines. A total of 20 schools participated in the study interviews, of which 16 schools were involved in the WASH program, and 4 were not involved in the WASH program, with a target population of 384 students and 40 teachers. A descriptive research design was used to guide the investigation. The data was processed and analyzed using the Statistical Package for Social Sciences Version 25.0 software package, and data was presented in the form of means and variance. Tables were also used to display the data. Students and teachers in non-WASH schools agreed that the latrines were filthy. For instance, 62.5 percent of teachers and 62.3 percent of students from schools implementing the WASH program reported that latrines were dirty. Still, only 37.7 percent of teachers and 37.5 percent of students reported that they were very dirty. The study found an association between teachers' contributions and cleanliness, with a correlation coefficient (r) of -3.18 and a significance level of (p0.05). There was also a correlation between the implementation of WASH and the number of cases of diarrheal disease among students, with a significance value of 0.001*. It was concluded that the WASH program had a significant impact on the state of public health in public schools. Therefore, the study recommends that more effort should be put into addressing the challenges facing toilet cleanliness and hygiene practices.

Teachers’ perceptions of children’s access to toilets in urban ECDE institutions, and the psychosocial consequences

ABSTRACT Access to clean and functional toilet is quintessential in meeting children's physiological and psychosocial needs in a learning environment. However, little is known on experiences of children's access to quality toilets while in preschool institutions within urban settings of sub-Saharan Africa countries. This paper draws from a study that explored experiences of vulnerable children in early childhood development education (ECDE) institutions in underserved and informal urban settings of Kenya and South Africa. 11 urban ECDE centres were purposively selected and 17 teachers were recruited as key informants. Data was collected using an adapted infrastructural checklist, observation and conversational interviews. Findings indicated that a majority of toilets in ECDE centres were inadequate, inappropriate, poorly maintained, or had structural weaknesses which affected children's experiences of access and use of the facilities. Scheduled toilet visits as a control measure and toilet avoidance potentially exposed them to psychosocial and health risks. Insights into children's toilet facilities, managing their access in institutions located within informal and low resourced areas, and investment policies that target preschool children’ sanitary facilities are given. Suggestions are made for interventions for children's positive toilet experiences in poor urban areas.

Effects of Menstrual Health and Hygiene on School Absenteeism and Drop-Out among Adolescent Girls in Rural Gambia.

Poor knowledge and management of menstruation impacts girls’ school attendance and academic performance. This paper aims to explore how menstrual hygiene management practices and related factors influence school absenteeism and drop-out among primary and secondary school girls in rural Gambia. Mixed-method studies were conducted among students and key informants from 19 schools from July 2015–December 2017. Focus group discussions, in-depth interviews, cross-sectional surveys, menstrual diaries, and school water, sanitation and hygiene (WASH) facility observations were used. Key findings from the interviews were that menstrual pain, cultural beliefs, fear of peers knowing menstrual status, and poor school WASH facilities led to school absenteeism, however, they had no impact on school drop-out. Of the 561 girls surveyed, 27% reported missing at least one school day per month due to menses. Missing school during the most recent menstrual period was strongly associated with menstrual pain (extreme pain adjusted odds ratio (AOR) = 16.8 (95% CI: 7.29–38.74)), as was having at least one symptom suggestive of urinary tract infection (AOR = 1.71 (95% CI: 1.16–2.52)) or reproductive tract infection (AOR = 1.99 (95% CI: 1.34–2.94)). Clean toilets (AOR = 0.44 (95% CI: 0.26–75)), being happy using school latrines while menstruating (AOR = 0.59 (95% CI: 0.37–0.93)), and soap availability (AOR = 0.46 (95% CI: 0.3–0.73)) were associated with reduced odds of school absenteeism. This study suggests menstrual pain, school WASH facilities, urogenital infections, and cultural beliefs affected school attendance among menstruating girls in rural Gambia.

ANALISIS KEPENTINGAN - KINERJA ATRIBUT DESTINASI WISATA PANTAI MUTUN DI PROVINSI LAMPUNG

Mutun Beach is one of the many tourist destinations in Lampung Province. In order for this tourist destination to be able to compete with other tourist destinations, Mutun Beach needs to show the performance of its tourism attributes. The main objective of this study was to analyze the tourism attributes that need to be maintained and improved their performance in Mutun Beach. This research was conducted for four weeks in August and September 2020. Samples were taken in stages from the Mutun Beach’s visitors. Each week, interviews were conducted three to four times, namely on one working day and two days on weekends. Prior to the interview, the samples were randomly selected. The number of samples was 40 respondents. The main data collected were the importance and performance scores of the 17 tourism attributes. Data were analyzed using Importance Performance Analysis (IPA). The results showed that of the 17 attributes studied, there were 11 attributes had to be maintained, namely the number of parking lots, lodgings, communication skills of officers, ability of officers to provide information, courtesy and friendliness of officers, service speed of officers, willingness of officers to help tourists, security and convenience of traveling, as well as the officer’s understanding and sensitivity to the needs of tourists. The results showed that there are four attributes that need to be improved, namely cleanliness of toilets, trash bins, worship facilities and cleanliness of beach areas.Key words: attributes, importance, performance.

School Sanitation-Related Psychosocial Stressors among Nigerian Students.

Psychosocial stressors are indicative of challenges associated with the social and environmental conditions an individual is subjected to. In a bid to clearly understand the present gaps in school sanitation, this cross-sectional study aimed to identify the sanitation-related psychosocial stressors experienced by students in a Nigerian peri-urban community and their associated impacts. A three-stage sampling technique was used to select 400 students from 10 schools. The students to toilet ratio were 1,521:0 and 1,510:0 for the public-school boys and girls, respectively, and 74:1 and 70:1 for the private-school boys and girls, respectively. Furthermore, public-school students had a significantly higher average stress level (P < 0.001, η2p = 0.071) and a significantly higher proportion of students experiencing school absenteeism (P < 0.001; odds ratio [OR] = 4.8; 95% confidence interval [CI] = 2.7-8.2), missed classes (P < 0.001; OR = 5.8; CI = 2.8-12.0), long urine/fecal retention time (P < 0.001; OR = 2.9; CI = 1.8-4.7), open defecation practice (P < 0.001; OR = 4.2; CI = 2.5-7.1), and open defecation-related anxiety (P < 0.001; OR = 3.6; CI = 2.0-6.5). Moreover, the inability to practice menstrual hygiene management was significantly associated with student-reported monthly school absence among girls (P < 0.001; OR = 4.5; CI = 2.2-9.4). Overall, over 50% of the respondents had reportedly been subjected to at least 14 of the 17 stressors outlined. The most prevalent stressors identified were concerns about disease contraction, toilet cleanliness, toilet phobia, privacy, and assault/injury during open defecation/urination. In conclusion, results show that the absence of functional sanitation facilities purportedly has a grievous effect on the mental, physical, social, and academic well-being of the students. This was clearly seen among public-school students. Subsequent sanitation interventions need to be targeted at ameliorating identified stressors.

Experience and adaptability of menstrual cup as a menstrual hygiene management method among its users in Kerala

Background: Inadequate menstrual management has long been a major health issue. A growing number of women are turning to menstrual cups as a viable and secure choice. Because it is not an absorbent like tampons, the risk of infection and other severe health problems is rare or absent. Current study is conducted to assess the perceived benefits and difficulties faced by those who use menstrual cup as a method of menstrual hygiene management (MHM) technique.Methods: A cross sectional study was undertaken among 211 women who had used menstrual cup for at least six consecutive cycles. Participants were selected using snowball sampling and data was collected by an online questionnaire.Results: Mean age of participants was 32.16 years and majority got information regarding cup from friends or online sources. Experience of insertion and removal became significantly easier after the third time use onwards. Majority of the health problems and economic difficulty for purchasing MHM products significantly got reduced after starting the use of cup. Few reported allergy and irritation 6 (3%), rashes 2 (1%), dryness 5 (2.5%) and infection 4 (2%). Difficulty in availability of clean water 15 (7.2%), access to clean toilet 3 (1.4%), need for privacy 8 (3.8%) and difficulty in sterilization while travelling 44 (21.2%) were other reported challenges. Improvement in attendance 78 (38.4%), work participation 115 (55.8%), economic benefit 190 (91.3%), health benefits 143 (70.4%) and social activity158 (76.7%) were reported by participants after starting cup use.Conclusions: Menstrual cup is a safe and comfortable alternative. Health concerns are significantly less compared to other MHM products. More awareness campaigns and better availability of cup should be there in the community.

Village health, sanitation, and nutrition committee: Do the village level functionaries aware of their roles?

ABSTRACTBackground:National Health Mission intended to achieve decentralization and community participation through creating and supporting Village Health Sanitation and Nutrition Committees (VHSNCs). The services offered through VHSNC include maternal and child health, family planning, sanitation, communicable diseases and health promotion, and nutrition. The study was carried out to assess awareness on the implementation of the functioning of VHSNC implementation among village-level functionaries in the Dehradun district.Methods:A community-based cross-sectional study was conducted in the Doiwala and Raipur blocks of Dehradun district from June 2019 to July 2019. Members of VHSNC with at least 3 months of membership were included in the study. A pretested semi-structured questionnaire was used to collect sociodemographic variables and questions about their awareness and responsibilities in implementing VHSNC. Data were collected by personal interviews using Epi-Collect and analyzed by SPSS 23.Result:Out of 69 members, 64 (92.4%) had formal education until high school. Only around 50% of members knew about the essential documents related to the VHSNC. Sixty-five members (98.48%) believed that the committee had the primary role in health-related services in the village, 54 (81.82%) members also marked providing safe drinking water as a function, 48 (72.73%) were in favor of access to clean public toilet and sanitation facilities while some others added role in Public Distribution System.Conclusion:Around half of the members were partially or completely aware of the functioning of VHSNCs. Providing them with further awareness is required.

The Role of Learning in Nurturing Knowledge, Attitude, and Practice of Toilet Hygiene Among Youth in Malaysian University

In Malaysia, the cleanliness of public toilets continues to be a challenge. A dirty toilet could become a site that spreads diseases and hurts the image of the country as a whole. Even though campaigns promoting good toilet hygiene practices have been ongoing since 1997, not much has been achieved from these campaigns. A good toilet hygiene practice requires knowledge and the right attitude among users. Therefore, early education is required to shape the public’s perception and influence their practice of toilet hygiene. Hence, this study selected the Knowledge Attitude and Practice (KAP) theory to measure the factors influencing university students’ toilet hygiene practices. Moreover, the education factor was added to the model to see how the teaching and learning process affects the knowledge and attitude of youth. This study used the partial least squares (PLS) method and structural equation modelling (SEM) software to examine the selected factors. The results show that respondents level knowledge (87%), attitude (88%), practice (81%) and education (79%) on toilet hygiene are high. Moreover, education, knowledge, and attitude have a significant influence on the practice of toilet hygiene. This study has extended the KAP theory by adding education as a factor that influences youth’s knowledge and positive attitude towards toilet hygiene. The findings are useful for policymakers, higher education institutions, and public relations (PR) practitioners in their effort to improve campaign strategies to generate attitudal and behavioural change towards hygiene and cleanliness issues. Limitations and suggestions for future research are also included in this paper.

Analisis Kualitas Pelayanan P.T. Kereta Api Indonesia terhadap Tingkat Kepuasan Pengguna Jasa pada Stasiun Cepu

PT. KAI is a State-Owned Enterprise that provides rail transportation services. The purpose of this study is to provide recommendations for improvement of the main priority level of service user satisfaction to service providers PT. KAI towards improving services at Cepu Station which refers to the Minimum Service Standards (SPM) at stations contained in PM 63 of 2019 concerning Minimum Service Standards for Transportation of People by Train. This study uses a quantitative descriptive research type. The target of this research is to know the value of CSI, IPA and the calculation of the PGCV Index which is useful for assisting the IPA method in attribute improvement. The results of this study obtained a CSI value of 74%, namely with the predicate of being satisfied, the results of the IPA which became a priority to improve the quality of quadrant I and quadrant III and with the PGCV method the priority of improving service quality attributes that must be immediately repaired was in quadrant I there were 2 attributes namely station cleanliness, toilet cleanliness and comfort.Keywords: service quality, satisfaction level, Customer Satisfaction Index, Importance Performance Analysis, Potential Gain in Customer Value

Period poverty: menstrual health hygiene issues among adolescent and young Venezuelan migrant women at the northwestern border of Brazil

BackgroundAdolescent and young women (10–24 years old) are habitually a neglected group in humanitarian settings. Menstrual hygiene management (MHM) is an unmet aspect of sexual and reproductive health (SRH) and an additional challenge if lack of hygiene products, inadequate access to safe, clean, and private toilets identified as period poverty. Our objective was to provide an overview of the main MHM issues affecting Venezuelan migrant adolescents and young women in the north-western border of Venezuela-Brazil.MethodA cross-sectional study was conducted, early in 2021, with the use of a self-responded questionnaire, in Spanish, adapted from the Menstrual Practice Needs Scale (MPNS-36). All identified adolescents and young women aged between 12 and 24 years old were invited to participate (convenience sample-167 women). Women with complete questionnaires and who menstruate were included. Information on access to and quality of hygiene kits and toilets were retrieved, and a descriptive analysis performed, with an evaluation of frequencies for categorical variables (n, %) and mean (± SD-standard deviation) for continuous variables. In addition to the open-ended questions, we included one open question about their personal experience with menstruation.ResultsAccording to official reports, at the moment of the interviews, there were 1.603 Venezuelans living on the streets in Boa Vista. A total of 167 young women were invited, and 142 further included, mean age was 17.7 years, almost half of the participants who menstruate (46.4%) did not receive any hygiene kits, 61% were not able to wash their hands whenever they wanted, and the majority (75.9%) did not feel safe to use the toilets. Further, menstruation was often described with negative words.ConclusionsMigrant Venezuelan adolescents and young women have their MHM needs overlooked, with evident period poverty, and require urgent attention. It is necessary to assure appropriate menstrual materials, education, and sanitation facilities, working in partnership among governmental and non-governmental organizations to guarantee menstrual dignity to these young women.

Levels, Trends and Determinants of Infant Mortality in Nigeria: An Analysis using the Logistic Regression Model

This paper presents a statistical analysis of the levels, trends and determinants of infant mortality in Nigeria using the logistic regression model. Infant mortality data for each of the five years preceding the 2003, 2008, 2013 and 2018 Nigeria Demographic Health Survey (NDHS) was retrieved and used for the analysis. Findings from the study revealed that infant mortality rates decline have stagnated in the five year period prior to the 2018 survey with an Annual Rate of Reduction (ARR) of 0% relative to an initial ARR of 5.7% between 2003 and 2008. The ARR of 2.039% over the 15 year period spanning 2003 to 2018 suggests that the rate of infant mortality reduction is slow. This study also showed that maternal characteristics such as age and educational levels as well as cultural practises like use of clean water and toilet facilities were statistically significant determinants of infant mortality in Nigeria with P-values &lt; 0.05 across each of the survey years.

TREATMENT PLANT FOR DOMESTIC EFFLUENT DISCHARGE – (HOUSING AREA)

People in developing nations, like INDIA, INDONESIA, MALAYSIA, BANGLADESH, SRILANKA, AFRICA, THAILAND and Developing Countries etc., face a great deal of issues as far as sewage the executives. This is on the grounds that sanitation arrangement is horribly insufficient. A great many people don’t approach clean toilets, and a lot of fecal waste are released to the earth without satisfactory treatment. In perspective on this, an investigation was done with the point of surveying information, practices, observations, and encounters of family unit on sanitation and sewage the executives in Chennai. The aim of this project is to treat the waste water and reuse the waste water for domestic purpose such as flushing and gardening with minimum cost. The family unit overview results demonstrate that the sewage system stays immature, and there is no reasonable vision to improve the framework created in the family unit isn’t re- utilized, it is for the most part discharged outside. In the tempest water seepage framework legitimately. Sewage treatment from the treatment plants is depleted into surface water bodies, for example, waterways and the sea.

IPA 분석을 통한 전통시장 축제 개선 방안 연구: 전국우수시장박람회 중심

Purpose - The purpose of this study is to identify the importance and achievement of visitors on the quality of service at the ''2019 National Excellent Market Fair'', find out the difference, and derive measures to improve the quality of service at the traditional market fair. Design, data, and methodology -IP analysis was conducted on visitors to develop service quality improvement measures for the festival. The data survey used a total of 316 response questionnaires for visitors who participated in the ''2019 National Excellent Market Fair'' as statistical data for analysis. Result - According to the analysis, the "2019 National Excellent Market Fair" has high satisfaction with "accessibility to the venue," "service of information agents," "rich food," "equipped with pamphlets," "clean toilets," and "composition of various programs," which visitors consider important. In the future, it is necessary to improve the "rich parking facilities" when holding the fair. Conclusions - Visitors to traditional market fairs were found to value the quality of service related to congestion before visiting. The quality of service items of "accessibility of the venue of the event", "parking facilities" and "information services" shall be continuously improved.

Analisis faktor lingkungan terhadap kejadian kecacingan pada murid Sekolah Dasar di Kelurahan Seberang Tembilahan Kabupaten Indragiri Hilir

This study aims to analyze the influence of physical environmental factors (clean water facilities, latrine conditions, SPAL conditions, type of house floor, household waste management), economic factors (family income) and social environmental factors (nail hygiene, use of footwear, washing habits hands with soap, bowel habits) against helminthiasis in elementary school students in Seberang Tembilahan Village, Indragiri Hilir Regency. The research location was conducted in Seberang Tembilahan Sub-District, Indragiri Hilir Regency in January to February 2020. The study used a survey method. The analytical method used is univariate analysis, bivariate analysis with Chi Square (Fisher) and multivariate analysis with logistic regression. The results of the study of 72 elementary school students in 4 elementary schools who were examined by laboratory feces, found positive results of worm infestation of 23.61% or 17 students. The final results of the model test showed that although the clean water facilities and toilet conditions were not significant, the two variables influenced each other, it was possible that there was an interaction between the two variables in influencing the incidence of helminthiasis in elementary school students. The variable that most affected the incidence of helminthiasis in elementary school students was the latrine condition with adjusted OR of 4.01 so that respondents whose conditions did not meet the requirements were 4.01 times more likely to experience helminthiasis compared to conditions that were eligible after being controlled by other variables. Simultaneously the two variables (clean water facilities and latrine conditions) can explain the variation of helminthiasis in elementary students by 9.9%.

Prevalence, Knowledge, Attitude and Preventive Practices Regarding Intestinal and Urinary Parasites among Primary School Children in a Rural Community in Ebonyi State, Nigeria

Background: In developing countries, school age children continue to bear the greatest burden of intestinal parasites and schistosomiasis. This study determined the prevalence, knowledge, attitude and practice of preventive measures of intestinal and urinary parasitic infections among primary school children in Ebonyi, Nigeria&#x0D; Methods: This cross-sectional study was carried out among 120 pupils in two primary schools in Igbeagu community in Ebonyi State, Nigeria. The pupils were purposively selected based on willingness to participate. Data were collected using questionnaires and stool and urine analyses. IBM-SPSS software version 20 was used for data analysis. Chi square test was done at 5% level of significance and 95% confidence interval. Descriptive and inferential analyses were performed.&#x0D; Results: Mean age of respondents was 11.33±2.46, with majority between 6-13 years (102, 85.0%). There were 66 (55.0%) females and 104 (86.7%) respondents had good knowledge about intestinal parasites. Drinking contaminated water (104, 86.7%), using clean toilets (102, 85.9%) and diarrhea (105, 87.5%), were the most identified ways of transmission, prevention and symptomatology respectively. Overall, 117 (97.5%) had good attitude towards prevention and control of intestinal and urinary parasites. Respondents had good preventive practices against intestinal and urinary parasites with majority washing their hands with soap after defecation (100, 83.3%), and before eating (101, 84.2%).&#x0D; Conclusion: This study reported high levels of knowledge, good attitude and preventive practices against intestinal and urinary parasites. No parasites were found. We recommend that caregivers be targeted for behaviour change interventions as this will augment the positive results already being reported.

WITHDRAWN: Swachh shithouse

Cleanliness is not the word that comes to our mind when we think of a community toilet. Everyone in India has the right to get dignified sanitation. But women in many parts of our Indian country struggle to find clean public toilets. A very big challenge in sanitation is building and maintaining clean toilets in villages because of limited resources. Unclean toilets are the major root cause for many contagious diseases which are hazardous for human life and so, toilets in public places have always been a major focus of concern. This paper addresses this problem by proposing a cost-effective model to promote our country’s “Swachh Bharat” project for a clean and hygiene toilet.

Analysis of the effect of price and quality of service on customer satisfaction RedDoorz Hotel Jakarta

Service quality is one of the most important factors in running a business, because good service quality will increase customer satisfaction and the development of a business. The minimum facilities that are always available at RedDoorz are clean linen, free WiFi, Mineral water, AC, clean toilet, towels, water heater, and 24/7 service. After permanently improving the quality of lodging to meet the main standards of RedDoorz lodging products, RedDoorz is responsible for assisting online and offline room sales. RedDoorz conducts large-scale sales by deploying all corporate sales programs. In a cooperative relationship, RedDoorz guarantees transparency and clear contracts with all innkeepers. The finding is an assessment of whether the tested hypothesis is accepted or rejected. The decision taken is accepted, that actually according to the research above, Service Quality and Price do not affect Visitor Satisfaction with a percentage value that tends to be small in its role using validity tests and simple regression along with classical assumption tests.

Eksistensi Pasar Tradisional Beringharjo terhadap Perkembangan Pariwisata Yogyakarta

&#x0D; &#x0D; &#x0D; The study aims to the growing tourism sector in Yogyakarta, Beringharjo Traditional Market does not want to be outdone to become a shopping tourist destination for tourists who come to Yogyakarta. With the many modern markets, the Beringharjo Traditional Market still exists among tourists. This study aims to find out how the existence of the Beringharjo Traditional Market according to the perceptions of traders and tourists and the manager's role. This study uses primary and secondary data sources. The type of data used is qualitative and quantitative data. Methods of collecting data through observation, interviews, documentation, and literature studies. Determination of informants in this study using purposive sampling technique. The data analysis used is descriptive qualitative. The results of this study indicate that the existing conditions are described by the 4A concept in the form of attractions include shopping and culinary tours, accesibility includes The Transjogja public transportation, the aminities include parking area, market radios, videotrone market areas, market security voices, loading and unloading facilities, clean toilets, trash cans, escalators connecting upstairs, prayer rooms, health clinics, relaxing lactation facilities, electronic retribution systems, cooperative services and banking, and child care, ancillary at Beringharjo Traditional market managed by the Industry and trade officetourist arrivals in the Beringharjo Traditional Market are increasing from year to year so that the income earned by traders is also increasing. The facilities provided by the manager are also getting better including garbage bins, toilets, CCTV, and other&#x0D; Keywords : The Existence, Beringharjo Traditional Market, Yogyakarta&#x0D; &#x0D; &#x0D;

SATISFACTION LEVEL OF PASSENGERS, SERVICE &amp; FACILITY OF KMP DHARMA BAHARI SUMEKAR III BY IPA AND CSI METHODS

Transport intends to ease the movement from one place to another. KMP Dharma Bahari Sumekar III belongs to one of transport facilities operated at Kalianget Port in Sumenep.This research aimed at investigating the satisfaction level of passengers taking KMP Dharma Bahari Sumekar III by implementing the methods of Importance Performance Analysis (IPA) and Customer Satisfaction Index (CSI). The research result indicated several essential attributes i.e. Quadrant II (toilet cleanliness in KMP Dharma Bahari Sumekar III and facility convenience for passengers in KMP Dharma Bahari Sumekar III and Quadrant II (safety in KMP Dharma Bahari Sumekar III, cleanliness in KMP Dharma Bahari III, the ability of officer in KMP Dharma Bahari Sumekar III to respond fast the emergent problems and be responsible on the safety and cozines of passengers). Meanwhile, the result of CSI method obtained 71,47%.

P435 The impact of perianal fistula in Crohn’s disease on quality of life: results of a patient survey conducted in Europe

Abstract Background Perianal fistulas (PAF) in Crohn’s disease (CD) may impair social performance, sexual function, life activities and overall patients’ quality of life (QoL). Patient experience is important in the treatment decision making and in providing adequate support. Despite the clinical relevance, few studies have addressed the patient perspective on the impact of PAF and complex PAF (CPAF) in CD on QoL. Methods A questionnaire assessing the impact of PAF on QoL was developed by patient representatives and medical experts addressing diagnosis, symptoms and QoL including close relationships, social life, sexual activity and working life. CD patients with and without PAF were invited to participate. The self-selective anonymous survey was available in 11 languages and accessible on the European Federation of Crohn’s &amp; Ulcerative Colitis Associations’ (EFCCA) website and national inflammatory bowel disease patient association websites from 15 July to 31 December 2019. Results Of 820 respondents with CD (67.2% women; mean age 40.8 years), 532 (64.9%) reported PAF in CD of which 272 (51.1%) reported CPAF. PAF/CPAF patients had experienced and were currently experiencing more anal pain and perianal leaking than CD patients (Figure). On a 10-point scale, PAF/CPAF patients reported a greater impact on overall QoL (6.91 vs 6.18, p&amp;lt;0.001), relationships with family and friends (5.54 vs 4.78, p&amp;lt;0.001), relationship with partner (5.24 vs 4.11, p&amp;lt;0.001), social life (5.65 vs 4.97, p=0.001) and working life (5.54 vs 5.12, p=0.02) than CD patients. PAF/CPAF patients reported feeling more unhygienic, uncomfortable, and guilty about their condition toward family and friends than CD patients. They also found it more difficult to talk with family and close friends about their condition. PAF/CPAF patients avoided having sex, ended relationships, had arguments with partner, felt inadequate to partner, avoided dating and had their partner refuse having sex more often than CD patients. Furthermore, these patients were unable to play sports, carried a personal hygiene kit, were aware of access to clean toilets, and had changed profession/career due to their condition more often (Figure). Conclusion From the patients’ perspective, PAF/CPAF in CD severely impacts patients’ overall QoL, social and sexual relationships and work life. These results are important to consider when tailoring treatment strategy and patient services in a multidisciplinary way to address individual patient needs.