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Barriers and Facilitators to the Adoption and Sustained Use of Cleaner Fuels in Southwest Cameroon: Situating ‘Lay’ Knowledge within Evidence-Based Policy and Practice

Author

Listed:
  • Debbi Stanistreet

    (Department of Epidemiology and Public Health, Royal College Surgeons Ireland, Dublin D02 YN77, Ireland)

  • Lirije Hyseni

    (Department of Public Health and Policy, University of Liverpool, Liverpool L69 3BX, UK)

  • Elisa Puzzolo

    (Department of Public Health and Policy, University of Liverpool, Liverpool L69 3BX, UK)

  • James Higgerson

    (Department of Nursing, Midwifery and Social Work, University of Manchester, Manchester M13 9PL, UK)

  • Sara Ronzi

    (Department of Public Health and Policy, University of Liverpool, Liverpool L69 3BX, UK)

  • Rachel Anderson de Cuevas

    (Department of Public Health and Policy, University of Liverpool, Liverpool L69 3BX, UK)

  • Oluwakorede Adekoje

    (Department of Epidemiology and Public Health, Royal College Surgeons Ireland, Dublin D02 YN77, Ireland)

  • Nigel Bruce

    (Department of Public Health and Policy, University of Liverpool, Liverpool L69 3BX, UK)

  • Bertrand Mbatchou Ngahane

    (Internal Medicine Service, Douala General Hospital, Douala 4108, Cameroon)

  • Daniel Pope

    (Department of Public Health and Policy, University of Liverpool, Liverpool L69 3BX, UK)

Abstract

Approximately four million people die each year in low- and middle-income countries from household air pollution (HAP) due to inefficient cooking with solid fuels. Liquid Petroleum Gas (LPG) offers a clean energy option in the transition towards renewable energy. This qualitative study explored lay knowledge of barriers and facilitators to scaling up clean fuels in Cameroon, informed by Quinn et al.’s Logic Model. The model has five domains and we focused on the user and community needs domain, reporting the findings of 28 semi-structured interviews (SSIs) and four focus group discussions (FGDs) that explored the reasons behind fuel use choices. The findings suggest that affordability, safety, convenience, and awareness of health issues are all important influences on decision making to the adoption and sustained use of LPG, with affordability being the most critical issue. We also found the ability of clean fuels to meet cooking needs to be central to decision-making, rather than an aspect of convenience, as the logic model suggests. Local communities provide important insights into the barriers and facilitators to using clean fuels. We adapt Quinn et al.’s logic model accordingly, giving more weight to lay knowledge so that it is better positioned to inform policy development.

Suggested Citation

  • Debbi Stanistreet & Lirije Hyseni & Elisa Puzzolo & James Higgerson & Sara Ronzi & Rachel Anderson de Cuevas & Oluwakorede Adekoje & Nigel Bruce & Bertrand Mbatchou Ngahane & Daniel Pope, 2019. "Barriers and Facilitators to the Adoption and Sustained Use of Cleaner Fuels in Southwest Cameroon: Situating ‘Lay’ Knowledge within Evidence-Based Policy and Practice," IJERPH, MDPI, vol. 16(23), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:23:p:4702-:d:290976
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    References listed on IDEAS

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    Cited by:

    1. Jewitt, Sarah & Smallman-Raynor, Matthew & K C, Binaya & Robinson, Benjamin & Adhikari, Puspanjali & Evans, Catrin & Karmacharya, Biraj Man & Bolton, Charlotte E. & Hall, Ian P., 2022. "Domesticating cleaner cookstoves for improved respiratory health: Using approaches from the sanitation sector to explore the adoption and sustained use of improved cooking technologies in Nepal," Social Science & Medicine, Elsevier, vol. 308(C).
    2. Katherine E. Woolley & Suzanne E. Bartington & Telesphore Kabera & Xiang-Qian Lao & Francis D. Pope & Sheila M. Greenfield & Malcolm J. Price & G. Neil Thomas, 2021. "Comparison of Respiratory Health Impacts Associated with Wood and Charcoal Biomass Fuels: A Population-Based Analysis of 475,000 Children from 30 Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(17), pages 1-18, September.
    3. Debbi Stanistreet & Eunice Phillip & Nitya Kumar & Rachel Anderson de Cuevas & Megan Davis & Jessica Langevin & Vincent Jumbe & Aisling Walsh & Sarah Jewitt & Mike Clifford, 2021. "Which Biomass Stove(s) Capable of Reducing Household Air Pollution Are Available to the Poorest Communities Globally?," IJERPH, MDPI, vol. 18(17), pages 1-13, September.

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