This study aimed to find out the physical and environmental factors influencing accessibility to sanitation and hygiene services among PLWD in Kitui County, Kenya. The study employed a cross sectional survey method. Disability status varied, with 44.2% having physical/mobility disabilities, 34.4% with visual disabilities, and 21.4% with hearing disabilities. In terms of physical and environmental factors, 95.6% had access to latrines, Improved pit latrines were the most common (52.3%). 93.3% reported sufficient space inside latrines, challenges included slippery floors (28.2%) and limited privacy (23%). Inferential statistics, employing logistic regression, identified significant associations. The logistic regression analysis elucidated significant factors influencing hygiene and sanitation accessibility among people with disabilities in Kitui County, Kenya. Socio-economic variables, including occupation (B = -0.212, p = 0.032), income (B = -1.068, p = 0.184), and education level (B = 0.457, p < 0.001), exhibited notable associations. Physical and environmental factors, such as latrine design for people with disabilities (B = -0.566, p = 0.077), played a crucial role. This study identified substantial challenges hindering people with disabilities (PLWD) from accessing adequate sanitation and hygiene, revealing critical issues related to physical and environmental barriers.
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