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      Decision-making on shared sanitation in the informal settlements of Kisumu, Kenya.

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          Abstract

          Unlike most quantitative studies that investigate decision-making on investing in sanitation, this study adopted a qualitative approach to investigate decision-making on shared sanitation in the informal settlements of Kisumu city, in Kenya. Using a grounded theory approach, landlords and tenants were interviewed to identify sanitation decisions, individuals involved in decision-making and factors influencing decision-making. The results indicate that the main sanitation decisions are on investment, emptying, repair and cleaning. Landlords make investment, emptying and repair decisions, while tenants make cleaning decisions. Absentee landlords are less involved in most decision-making compared to live-in landlords, who rarely consult tenants in decision-making. Tenants make decisions after consultations with a third party and often collectively with other tenants. Sanitation interventions in informal settlements should thus, target landlords and tenants, with investment efforts being directed at landlords and maintenance efforts at tenants.

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          Author and article information

          Journal
          Int J Environ Health Res
          International journal of environmental health research
          Informa UK Limited
          1369-1619
          0960-3123
          Oct 2017
          : 27
          : 5
          Affiliations
          [1 ] a School of Public Leadership , Stellenbosch University , Stellenbosch , South Africa.
          [2 ] b Department of Disease Control , London School of Hygiene and Tropical Medicine , London , UK.
          Article
          10.1080/09603123.2017.1350261
          28705015

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