A qualitative assessment of mothers' perceptions and behaviors in response to an intervention designed to encourage safe child feces management practices in rural Odisha, India
Open accessAbstract
Abstract Child feces are not always safely disposed of into a latrine, potentially contributing to fecal exposure in the household environment. In India, safe disposal of child feces is a relatively uncommon practice despite gains in latrine coverage. This study took place after the delivery of a behavior change intervention that also included the provision of potties and scoops. The aims of this research were to (1) describe current child feces management (CFM) practices, (2) explore perceptions and behaviors of mothers who participated in intervention activities, and (3) assess the spillover of intervention activities in neighboring villages. Twenty-four in-depth interviews and four focus group discussions were conducted across six villages, three of which received the intervention. Using thematic analysis, we explored caregivers' descriptions of the different strategies to manage their child's feces. The study found (i) women's access to and perception of the intervention informed their knowledge, attitudes, perceived risk, and behaviors related to CFM, (ii) most women positively perceived the messages of the intervention with varying use of the tools provided for feces disposal, and (iii) there was no spillover in the neighboring villages. Our findings underscore that CFM practices must be addressed to reduce fecal contamination of the environment.
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Women and girls might have increased exposures based on gendered expectations that they collect and treat water, manage dependents' faeces, and care for ill children.
“Women and girls might have increased exposures based on gendered expectations that they collect and treat water, manage dependents’ faeces, and care for ill children.65, 66, 67”
From Burden of disease attributable to unsafe drinking water, sanitation, and hygiene in domestic settings: a global analysis for selected adverse health outcomes (2023) · cites this paper as [67]
The Family roles and responsibilities related to CFM section (page unavailable) identifies child-feces disposal as a responsibility of mothers and female caregivers; the Introduction links unsafe child-feces management to fecal-exposure risk. The paper does not establish the broader claim about women and girls collecting and treating water or caring for ill children, or show that these combined roles increase their exposure. (LLM, conf=0.86)
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Cites
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Self-citationChild Feces Disposal Practices in Rural Orissa: A Cross Sectional Study
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Community Perceptions of a Multilevel Sanitation Behavior Change Intervention in Rural Odisha, India
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Self-citationMixed Methods Process Evaluation of a Sanitation Behavior Change Intervention in Rural Odisha, India
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Research works printed but not linked: 2
- Gil, A. I., Lanata, C. F., Kleinau, E. F. & Penny, M. E. 2004 Strategic Report 11 Children's Feces Disposal Practices in Developing Countries and Interventions to Prevent Diarrheal Diseases: A Literature Review. Environmental Health Project: Office of Health, Infectious Diseases and Nutrition Bureau for Global Health. Grandmother Project 2020 Available from: https://www.grandmotherproject.org (accessed 22 April 2022).
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- Authors
- Williams, R. N., Sclar, G. D., Routray, P., Majorin, F., Blais, L., & Caruso, B. A.
- Affiliations
- Emory University (US)
- Corresponding author
- Williams, Rebekah N.
- Venue
- Journal of Water Sanitation and Hygiene for Development
- Publisher
- IWA Publishing
- Published
- 2022-04-01
- Volume
- 12
- Issue
- 4
- Pages
- 375-386
- ISSN
- 2043-9083 (ISSN-L)
- 2408-9362
- OpenAlex
- W4224277624
- Cited by
- 10
- References
- 18
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 7 · 2023: 1
- FWCI
- 1.39
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of Water Sanitation and Hygiene for Development (publishedVersion, cc-by)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Bill and Melinda Gates Foundation (OPP1148651)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Social Sciences › Gender Studies › Gender Studies and Social Issues
- Physical Sciences › Environmental Science › Water Science and Technology › Fecal contamination and water quality
- Keywords
- latrine use, behaviour change interventions, maternal perceptions, spillover effects, fecal contamination, rural Odisha, household hygiene
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