Barriers to access improved water and sanitation in poor peri-urban settlements of Abidjan, Côte d’Ivoire
Open Access
- 28 August 2018
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 13 (8), e0202928
- https://doi.org/10.1371/journal.pone.0202928
Abstract
Achieving access to safe water and sanitation still pose major challenges in urban areas of sub-Saharan Africa countries, despite all the progress achieved in the last decade. This study assessed the ability of populations living in poor peri-urban settlements to access improved water and sanitation and identified factors influencing this access, in order to guide sustainable mitigating solutions to address associated health and environmental risks. We conducted a cross-sectional study in six poor peri-urban settlements of Yopougon, the largest municipality of Abidjan. A total of 556 randomly selected households were included. The factors associated with access to improved water and sanitation were identified through explanatory models using multivariate logistic regression. A proportion of 25% of all households assessed did not have access to clean water and 57% lacked improved sanitation. Socioeconomic status and settlement characteristics appear as the main indicators of poor access to reliable water and sanitation in peri-urban settlements. The presence of the household head’s wife at home was associated with greater access to clean water (OR = 3.57; 95% CI: 1.74, 7.31), thus highlighting the important role of women in ensuring access to clean water in these specific environments. Household size, education and religion were not significantly associated with the two considered outcomes. Women therefore should be involved at all levels of programming in water promotion in these settlements to improve the population’s well-being. While religion does not appear to play an important role in access to water and sanitation, successful interventions should involve religious communities because of their large representation.Keywords
Funding Information
- Programme d'Appui Stratégique à la Recherche Scientifique (PASRES) (PASRES/488-14/SY /TK)
This publication has 14 references indexed in Scilit:
- Estimates of global, regional, and national morbidity, mortality, and aetiologies of diarrhoeal diseases: a systematic analysis for the Global Burden of Disease Study 2015The Lancet Infectious Diseases, 2017
- Introduction: gender and water, sanitation and hygieneGender & Development, 2017
- An Analysis of Water Collection Labor among Women and Children in 24 Sub-Saharan African CountriesPLOS ONE, 2016
- Burden of disease from inadequate water, sanitation and hygiene in low‐ and middle‐income settings: a retrospective analysis of data from 145 countriesTropical Medicine & International Health, 2014
- Factors influencing householders' access to improved water in low-income urban areas of Accra, GhanaJournal of Water and Health, 2014
- Comprendre la régression logistiqueJournal Français d'Ophtalmologie, 2013
- Measuring water collection times in Kenyan informal settlementsPublished by Association for Computing Machinery (ACM) ,2012
- The role of religious community in recycling: Empirical insights from MalaysiaResources, Conservation and Recycling, 2012
- Safe access to safe water in low income countries: Water fetching in current timesSocial Science & Medicine (1982), 2011
- Interconnected Slums: Water, Sanitation and Health in Abidjan, Côte d'IvoireThe European Journal of Development Research, 2006