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Cited by 30Child Nutrition and Water AccessGender Studies and Social IssuesGender, Labor, and Family Dynamics

Understanding women’s decision making power and its link to improved household sanitation: The case of Kenya.

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Hirai, Mitsuaki, Graham, Jay P., Sandberg, John·2016·Journal of Water Sanitation and Hygiene for Development
DOI 10.2166/washdev.2016.128
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Abstract

Women experience many motivational drivers for improving sanitation, but it is unclear how women's role in household decision making affects whether a household opts for better sanitation. We analyzed the Kenya Demographic and Health Survey 2008/2009 with a representative sample of 4,556 married and cohabiting women to examine the association between women's decision making power in relation to that of partners and the type of sanitation facilities used by household members. The independent effects of respondents’ education, employment status, and socioeconomic status on the type of sanitation facilities were also explored. The direct measurement of women's ability to influence sanitation practice was not available. To address this problem, this study used proxy measures of women's decision making power in the household. The results of this study revealed that women's decision making power for major household purchases was positively associated with households having better sanitation (p < 0.05). The findings suggest that increased gender equity could potentially have spillover effects that result in more households opting to improve their sanitation conditions.

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Crossref · 10.2166/washdev.2016.128

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  • In India, the odds of having a latrine was significantly higher in households where women were the main decision makers, and in Kenya, the likelihood of a household owning an improved sanitation facility was significantly higher when women had at least some input on decisions about major household purchases.

    “With respect to sanitation, in India, the odds of having a latrine was significantly higher in households where women were the main decision makers [136] and in Kenya, the likelihood of a household owning an improved sanitation facility was significantly higher when women had at least some input on decisions about major household purchases [134].”

    From Water, sanitation, and women’s empowerment: A systematic review and qualitative metasynthesis (2022) · cites this paper as [134]

  • In Kenya, women's involvement in WaSH decision-making is positively linked to improved household sanitation uptake.

    “However, Hirai et al’s. [16] study on women’s involvement in WaSH decision-making in Kenya found positive links between women’s involvement and improved household sanitation uptake in households [16].”

    From What if your husband doesn’t feel the pressure? An exploration of women’s involvement in WaSH decision making in Nyanchwa, Kenya. (2019) · cites this paper as [16]

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Authors
Hirai, M., Graham, J. P., & Sandberg, J.
Affiliations
George Washington University (US)
Corresponding author
Hirai, Mitsuaki
ORCID
Venue
Journal of Water Sanitation and Hygiene for Development
Publisher
IWA Publishing
Published
2016-02-06
Volume
6
Issue
1
Pages
151-160
ISSN
  • 2043-9083 (ISSN-L)
  • 2408-9362
DOI
10.2166/washdev.2016.128
OpenAlex
W2311717310
Cited by
30
References
19
Citations by year
2026: 1 · 2025: 4 · 2024: 2 · 2023: 1 · 2022: 6 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 4 · 2017: 3
FWCI
3.84
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Water Sanitation and Hygiene for Development (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion, cc-by)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
  • Social Sciences › Gender Studies › Gender Studies and Social Issues
  • Social Sciences › Gender Studies › Gender, Labor, and Family Dynamics
Keywords
women's decision-making power, household sanitation, gender equity, household decision-making, sanitation facilities, women's education, women's employment, socioeconomic status, Kenya

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