Formative Research to Design a Child-Friendly Latrine in Bangladesh

In low- and middle-income countries, most latrines are not accessible to young children. We explored how to modify existing pit latrines to make them child friendly. We conducted four focus group discussions with mothers to explore barriers to child latrine use. We then enrolled 20 households with a...

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Autores principales:	Tarique Md. Nurul Huda, Tania Jahir, Sushobhan Sarker, Farzana Yeasmin, Abdullah Al Masud, Jesmin Sultana, Jyoti Bhushan Das, Fosiul Alam Nizame, Elli Leontsini, Abul Kasham Shoab, Laura H. Kwong, Mahbubur Rahman, Stephen P. Luby, Peter J. Winch
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	sanitation latrine Bangladesh young children child-friendly Medicine R
Acceso en línea:	https://doaj.org/article/194f045f324a40c8954c53548a336768
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spelling	oai:doaj.org-article:194f045f324a40c8954c53548a3367682021-11-11T16:14:12ZFormative Research to Design a Child-Friendly Latrine in Bangladesh10.3390/ijerph1821110921660-46011661-7827https://doaj.org/article/194f045f324a40c8954c53548a3367682021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11092https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601In low- and middle-income countries, most latrines are not accessible to young children. We explored how to modify existing pit latrines to make them child friendly. We conducted four focus group discussions with mothers to explore barriers to child latrine use. We then enrolled 20 households with a child aged 3–7 years old to test six enabling technologies developed based on the identified barriers. Two to three weeks after installing the selected enabling technologies in each household, researchers conducted 19 in-depth interviews with caregivers to explore the technologies’ acceptance and feasibility. Common barriers included the discomfort of squatting on a large pan, fear of darkness, and fear of a slippery floor. Of the potential solutions, a ring to stabilize the child while squatting in the latrine was preferred by children and was affordable and available. A wooden board with a smaller hole than the usual pan reduced fears of falling and helped eliminate discomfort but was inconvenient to handle and clean. A transparent fiberglass roof tile was affordable, available, increased visibility, and kept the latrine floor dry. In conclusion, the fiberglass roof tile and stability ring were two affordable and locally available technologies that facilitated latrine use by children aged 3–7 years.Tarique Md. Nurul HudaTania JahirSushobhan SarkerFarzana YeasminAbdullah Al MasudJesmin SultanaJyoti Bhushan DasFosiul Alam NizameElli LeontsiniAbul Kasham ShoabLaura H. KwongMahbubur RahmanStephen P. LubyPeter J. WinchMDPI AGarticlesanitationlatrineBangladeshyoung childrenchild-friendlyMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11092, p 11092 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sanitation latrine Bangladesh young children child-friendly Medicine R
spellingShingle	sanitation latrine Bangladesh young children child-friendly Medicine R Tarique Md. Nurul Huda Tania Jahir Sushobhan Sarker Farzana Yeasmin Abdullah Al Masud Jesmin Sultana Jyoti Bhushan Das Fosiul Alam Nizame Elli Leontsini Abul Kasham Shoab Laura H. Kwong Mahbubur Rahman Stephen P. Luby Peter J. Winch Formative Research to Design a Child-Friendly Latrine in Bangladesh
description	In low- and middle-income countries, most latrines are not accessible to young children. We explored how to modify existing pit latrines to make them child friendly. We conducted four focus group discussions with mothers to explore barriers to child latrine use. We then enrolled 20 households with a child aged 3–7 years old to test six enabling technologies developed based on the identified barriers. Two to three weeks after installing the selected enabling technologies in each household, researchers conducted 19 in-depth interviews with caregivers to explore the technologies’ acceptance and feasibility. Common barriers included the discomfort of squatting on a large pan, fear of darkness, and fear of a slippery floor. Of the potential solutions, a ring to stabilize the child while squatting in the latrine was preferred by children and was affordable and available. A wooden board with a smaller hole than the usual pan reduced fears of falling and helped eliminate discomfort but was inconvenient to handle and clean. A transparent fiberglass roof tile was affordable, available, increased visibility, and kept the latrine floor dry. In conclusion, the fiberglass roof tile and stability ring were two affordable and locally available technologies that facilitated latrine use by children aged 3–7 years.
format	article
author	Tarique Md. Nurul Huda Tania Jahir Sushobhan Sarker Farzana Yeasmin Abdullah Al Masud Jesmin Sultana Jyoti Bhushan Das Fosiul Alam Nizame Elli Leontsini Abul Kasham Shoab Laura H. Kwong Mahbubur Rahman Stephen P. Luby Peter J. Winch
author_facet	Tarique Md. Nurul Huda Tania Jahir Sushobhan Sarker Farzana Yeasmin Abdullah Al Masud Jesmin Sultana Jyoti Bhushan Das Fosiul Alam Nizame Elli Leontsini Abul Kasham Shoab Laura H. Kwong Mahbubur Rahman Stephen P. Luby Peter J. Winch
author_sort	Tarique Md. Nurul Huda
title	Formative Research to Design a Child-Friendly Latrine in Bangladesh
title_short	Formative Research to Design a Child-Friendly Latrine in Bangladesh
title_full	Formative Research to Design a Child-Friendly Latrine in Bangladesh
title_fullStr	Formative Research to Design a Child-Friendly Latrine in Bangladesh
title_full_unstemmed	Formative Research to Design a Child-Friendly Latrine in Bangladesh
title_sort	formative research to design a child-friendly latrine in bangladesh
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/194f045f324a40c8954c53548a336768
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Formative Research to Design a Child-Friendly Latrine in Bangladesh

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