IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v245y2020ics0277953619307002.html
   My bibliography  Save this article

How does Community-Led Total Sanitation (CLTS) promote latrine construction, and can it be improved? A cluster-randomized controlled trial in Ghana

Author

Listed:
  • Harter, Miriam
  • Inauen, Jennifer
  • Mosler, Hans-Joachim

Abstract

Open defecation is connected to poor health and child mortality, but billions of people still do not have access to safe sanitation facilities. Community-Led Total Sanitation (CLTS) promotes latrine construction to eradicate open defecation. However, the mechanisms by which CLTS works and how they can be improved remain unknown. The present study is the first to investigate the psychosocial determinants of CLTS in a longitudinal design. Furthermore, we tested whether CLTS can be made more effective by theory- and evidence-based interventions using the risks, attitudes, norms, abilities, and selfregulation (RANAS) model.

Suggested Citation

  • Harter, Miriam & Inauen, Jennifer & Mosler, Hans-Joachim, 2020. "How does Community-Led Total Sanitation (CLTS) promote latrine construction, and can it be improved? A cluster-randomized controlled trial in Ghana," Social Science & Medicine, Elsevier, vol. 245(C).
    • Handle: RePEc:eee:socmed:v:245:y:2020:i:c:s0277953619307002
    DOI: 10.1016/j.socscimed.2019.112705
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953619307002
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2019.112705?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Friedrich, Max N.D. & Kappler, Andreas & Mosler, Hans-Joachim, 2018. "Enhancing handwashing frequency and technique of primary caregivers in Harare, Zimbabwe: A cluster-randomized controlled trial using behavioral and microbial outcomes," Social Science & Medicine, Elsevier, vol. 196(C), pages 66-76.
    2. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    3. Contzen, Nadja & Meili, Iara Helena & Mosler, Hans-Joachim, 2015. "Changing handwashing behaviour in southern Ethiopia: A longitudinal study on infrastructural and commitment interventions," Social Science & Medicine, Elsevier, vol. 124(C), pages 103-114.
    4. Amy J. Pickering & Habiba Djebbari & Carolina Lopez & Massa Coulibaly & Maria Laura Alzua, 2015. "Effect of a community-led sanitation intervention on child diarrhoea and child growth in rural Mali: a cluster-randomised controlled trial," Post-Print hal-01456117, HAL.
    5. Tumwebaze, Innocent K. & Mosler, Hans-Joachim, 2015. "Effectiveness of group discussions and commitment in improving cleaning behaviour of shared sanitation users in Kampala, Uganda slums," Social Science & Medicine, Elsevier, vol. 147(C), pages 72-79.
    6. Sophia Rabe-Hesketh & Anders Skrondal & Andrew Pickles, 2004. "Generalized multilevel structural equation modeling," Psychometrika, Springer;The Psychometric Society, vol. 69(2), pages 167-190, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alhassan Abdul Mumin & Abdul-Rahim Mohammed & Toyibu Issahaku & Baba Iddrisu Musah, 2024. "How has community-led total sanitation (CLTS) affected open defecation in urban communities in the Tamale Metropolis?," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 26(8), pages 21353-21368, August.
    2. Benjamin Ambuehl & Jennifer Inauen, 2022. "Contextualized Measurement Scale Adaptation: A 4-Step Tutorial for Health Psychology Research," IJERPH, MDPI, vol. 19(19), pages 1-24, October.
    3. Ester Guijarro & María Clavel & Álvaro Fernández-Baldor, 2022. "Participatory Methodologies for Self-Management of Waste: Case Study for the Reduction of Plastics in the Sahrawi Refugee Camps," Sustainability, MDPI, vol. 14(4), pages 1-17, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Inauen, Jennifer & Lilje, Jonathan & Mosler, Hans-Joachim, 2020. "Refining hand washing interventions by identifying active ingredients: A cluster-randomized controlled trial in rural Zimbabwe," Social Science & Medicine, Elsevier, vol. 245(C).
    2. Kim Dockx & Hans Van Remoortel & Emmy De Buck & Charlotte Schelstraete & An Vanderheyden & Tiene Lievens & John Thomas Kinyagu & Simon Mamuya & Philippe Vandekerckhove, 2019. "Effect of Contextualized Versus Non-Contextualized Interventions for Improving Hand Washing, Sanitation, and Health in Rural Tanzania: Study Design of a Cluster Randomized Controlled Trial," IJERPH, MDPI, vol. 16(14), pages 1-12, July.
    3. Jonathan Lilje & Hans-Joachim Mosler, 2016. "Continuation of Health Behaviors: Psychosocial Factors Sustaining Drinking Water Chlorination in a Longitudinal Study from Chad," Sustainability, MDPI, vol. 8(11), pages 1-20, November.
    4. Zbigniew Bohdanowicz & Beata Łopaciuk-Gonczaryk & Jarosław Kowalski & Cezary Biele, 2021. "Households’ Electrical Energy Conservation and Management: An Ecological Break-Through, or the Same Old Consumption-Growth Path?," Energies, MDPI, vol. 14(20), pages 1-21, October.
    5. Emmy De Buck & Hans Van Remoortel & Karin Hannes & Thashlin Govender & Selvan Naidoo & Bert Avau & Axel Vande Veegaete & Alfred Musekiwa & Vittoria Lutje & Margaret Cargo & Hans‐Joachim Mosler & Phili, 2017. "Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 13(1), pages 1-447.
    6. Maria Andersson & Ola Eriksson & Chris Von Borgstede, 2012. "The Effects of Environmental Management Systems on Source Separation in the Work and Home Settings," Sustainability, MDPI, vol. 4(6), pages 1-17, June.
    7. Tran Huy Phuong & Thanh Trung Hieu, 2015. "Predictors of Entrepreneurial Intentions of Undergraduate Students in Vietnam: An Empirical Study," International Journal of Academic Research in Business and Social Sciences, Human Resource Management Academic Research Society, International Journal of Academic Research in Business and Social Sciences, vol. 5(8), pages 46-55, August.
    8. Peng Cheng & Zhe Ouyang & Yang Liu, 0. "The effect of information overload on the intention of consumers to adopt electric vehicles," Transportation, Springer, vol. 0, pages 1-20.
    9. Alsalem, Amani & Fry, Marie-Louise & Thaichon, Park, 2020. "To donate or to waste it: Understanding posthumous organ donation attitude," Australasian marketing journal, Elsevier, vol. 28(3), pages 87-97.
    10. Benoît Lécureux & Adrien Bonnet & Ouassim Manout & Jaâfar Berrada & Louafi Bouzouina, 2022. "Acceptance of Shared Autonomous Vehicles: A Literature Review of stated choice experiments," Working Papers hal-03814947, HAL.
    11. Kristin Thomas & Evalill Nilsson & Karin Festin & Pontus Henriksson & Mats Lowén & Marie Löf & Margareta Kristenson, 2020. "Associations of Psychosocial Factors with Multiple Health Behaviors: A Population-Based Study of Middle-Aged Men and Women," IJERPH, MDPI, vol. 17(4), pages 1-17, February.
    12. Kamruzzaman, Md. & Baker, Douglas & Washington, Simon & Turrell, Gavin, 2013. "Residential dissonance and mode choice," Journal of Transport Geography, Elsevier, vol. 33(C), pages 12-28.
    13. Ficko, Andrej & Boncina, Andrej, 2013. "Probabilistic typology of management decision making in private forest properties," Forest Policy and Economics, Elsevier, vol. 27(C), pages 34-43.
    14. Muhammad Shahid Qureshi & Saadat Saeed & Syed Waleed Mehmood Wasti, 2016. "The impact of various entrepreneurial interventions during the business plan competition on the entrepreneur identity aspirations of participants," Journal of Global Entrepreneurship Research, Springer;UNESCO Chair in Entrepreneurship, vol. 6(1), pages 1-18, December.
    15. Julie Bayle-Cordier & Loïc Berger & Rayan Elatmani & Massimo Tavoni, 2023. "Breath, Love, Walk? The Impact of Mindfulness Interventions on Climate Policy Support and Environmental Attitudes," Sustainability, MDPI, vol. 15(13), pages 1-29, July.
    16. Szu‐Szu Ho & Rosie Stenhouse & Aisha Holloway, 2020. "Understanding HIV‐positive drug users’ experiences of taking highly active antiretroviral treatment: Identity–Values–Conscious engagement model," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(9-10), pages 1561-1575, May.
    17. Alexandre Cabagnols & Ali Maâlej & Pierre Mauchand & Olfa Kammoun, 2022. "The determinants of entrepreneurial intention of scientist PhD students: analytical vs emotional formation of the intention," Insights into Regional Development, VsI Entrepreneurship and Sustainability Center, vol. 4(4), pages 63-82, December.
    18. Diwanji, Vaibhav S. & Cortese, Juliann, 2020. "Contrasting user generated videos versus brand generated videos in ecommerce," Journal of Retailing and Consumer Services, Elsevier, vol. 54(C).
    19. Carlos Bazan, 2022. "Effect of the University’s Environment and Support System on Subjective Social Norms as Precursor of the Entrepreneurial Intention of Students," SAGE Open, , vol. 12(4), pages 21582440221, October.
    20. Nouman Khurram & Umair Saeed, 2015. "Factors Influencing the Intention of People to Use Islamic Banking: An Evidence from Lahore, Pakistan," International Journal of Economics and Empirical Research (IJEER), The Economics and Social Development Organization (TESDO), vol. 3(8), pages 411-418, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:245:y:2020:i:c:s0277953619307002. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.