School-based Sanitation Research Articles

Scenario-based life-cycle cost assessment to support sustainable investment in rural communal sanitation facilities: application to a school-based sanitation facility

Abstract Despite decades of investment in widening access to improved sanitation, much of the world still lacks access to functional sanitation facilities. Through much of the Global South, toilets are inoperable and often abandoned. Failure to understand and account for the whole-life cost of sanitation infrastructure, as well as the interplay between context-specific socio-economic determinants, is one explanation for this reduction in the service life of shared sanitation infrastructure. This issue is especially salient in school-based and communal facilities in middle- to low-income countries. Drawing on a case study of a sanitation facility in a government school in rural south India, we explore the relationship between user value, community-based capacity, and external support in determining the costs of operating and maintaining sanitation facilities over their lifetime. We develop a scenario-based life-cycle cost assessment methodology to examine the relational impact of these determinants on the ‘real’ cost of shared sanitation infrastructure. The analysis concludes that investment and interventions that stimulate demand and enhance the capacity of a community are the most cost-effective options for ensuring the sustainability of sanitation facilities in our case study site. We then reflect on the applicability and limitations of these findings for a wider range of communal sanitation facilities.

Anal cleansing practices and faecal contamination: a preliminary investigation of behaviours and conditions in schools in rural Nyanza Province, Kenya

To learn how children in rural schools in Nyando District, Kenya clean themselves after defecation. Six focus group discussions were held with boys and girls ages 12-15 in three rural schools in mid-2009. Parents were interviewed in one setting. In early 2010, a survey of head teachers was conducted in 114 schools in Nyanza Province, Kenya, to assess the provision of anal cleansing materials and handwashing water and soap in schools. Anal cleansing behaviour is linked with access to materials, age, social pressure, perceived personal risk of illness and emotional factors. Materials used for anal cleansing include schoolbook paper, leaves, grasses, stones, corncobs and one's own hands. Students have knowledge gaps in terms of personal hygiene. They were forthcoming with information on their anal cleansing practices. Almost no schools budgeted for or provided anal cleansing materials regularly. Anal cleansing is a necessary human activity. However, because of social taboos, there are few articles on the topic. School health plans overlook it as well. Researchers need to determine if and how current practices could harm child health to inform policy.