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      Gender variations in access, choice to use and cleaning of shared latrines; experiences from Kampala Slums, Uganda

      research-article
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      BMC Public Health
      BioMed Central
      Gender, WASH, Latrines, Access, Cleaning, Slums, Kampala

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          Abstract

          Background

          Sanitation is one of the most intimate issues that affect women, especially in slums of developing countries. There are few studies that have paid attention to the gender variations in access, choice to use and cleaning of shared latrines in slums.

          Methods

          This paper draws on qualitative data from a cross sectional study conducted between 2012 and 2013 in six slums of Kampala City, Uganda. The study involved both women and men. Data were collected from 12 Focus Group Discussions (FGDs), 15 Key informant interviews; community transects and photographs of shared latrines.

          Results

          Location of a shared latrine facility, distance, filthy, narrow and irregular paths; the time when a facility is visited (day or night), privacy and steep inclines were gender ‘filters’ to accessing shared latrines. A full latrine pit was more likely to inhibit access to and choice of a facility for women than men. Results indicate that the available coping mechanisms turned out to be gendered, with fewer options available for women than men. On the whole, women sought for privacy, easy reach, self-respect and esteem, cleanliness and privacy than men. While men like women also wanted clean facilities for use; they (men) were not keen on cleaning these facilities. The cleaning of shared latrines was seen by both women and men as a role for women.

          Conclusion

          The presence of sanitation facilities as the first step in the access, choice, use, and cleaning by both women and men has distinct motivations and limitations along gender lines. The study confirms that the use and cleaning of latrines is regulated by gender in daily living. Using a latrine for women was much more than relieving oneself: it involved security, intimacy and health concerns.

          Electronic supplementary material

          The online version of this article (doi:10.1186/1471-2458-14-1180) contains supplementary material, which is available to authorized users.

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          Most cited references73

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          Longitudinal data analysis for discrete and continuous outcomes.

          Longitudinal data sets are comprised of repeated observations of an outcome and a set of covariates for each of many subjects. One objective of statistical analysis is to describe the marginal expectation of the outcome variable as a function of the covariates while accounting for the correlation among the repeated observations for a given subject. This paper proposes a unifying approach to such analysis for a variety of discrete and continuous outcomes. A class of generalized estimating equations (GEEs) for the regression parameters is proposed. The equations are extensions of those used in quasi-likelihood (Wedderburn, 1974, Biometrika 61, 439-447) methods. The GEEs have solutions which are consistent and asymptotically Gaussian even when the time dependence is misspecified as we often expect. A consistent variance estimate is presented. We illustrate the use of the GEE approach with longitudinal data from a study of the effect of mothers' stress on children's morbidity.
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            'The girl with her period is the one to hang her head' Reflections on menstrual management among schoolgirls in rural Kenya

            Background The onset of menstruation is a landmark event in the life of a young woman. Yet the complications and challenges that can accompany such an event have been understudied, specifically in resource-poor settings. As interventions aim to improve female attendance in schools, it is important to explore how menstruation is perceived and navigated by girls in the school setting. This research conveys rural Kenyan schoolgirls' perceptions and practices related to menstruation Methods Data were collected at six rural schools in the Nyanza Province of Western Kenya. Using focus group discussions, in-depth interviews, and field notes from observations, researchers collected information from 48 primary schoolgirls and nine teachers. Systematic analysis began with a reading of transcripts and debriefing notes, followed by manual coding of the narratives. Results Focus group discussions became opportunities for girls to share thoughts on menstruation, instruct one another on management practices and advise one another on coping mechanisms. Girls expressed fear, shame, distraction and confusion as feelings associated with menstruation. These feelings are largely linked to a sense of embarrassment, concerns about being stigmatized by fellow students and, as teachers explained, a perception that the onset of menstruation signals the advent of a girl's sexual status. Among the many methods for managing their periods, girls most frequently said they folded, bunched up or sewed cloth, including cloth from shirts or dresses, scraps of old cloth, or strips of an old blanket. Cloth was reported to frequently leak and cause chafing, which made school attendance difficult particularly as the day progressed. Attitudes and practices of girls toward menstruation have been arranged into personal, environmental and behavioural factors. Conclusion Further research on menstrual management options that are practical, sustainable and culturally acceptable must be conducted to inform future programs and policies that aim to empower young girls as they transition into womanhood. Stakeholders working within this and similar contexts must consider systematic mechanisms to explain to young girls what menstruation is and how to manage it. Providing sanitary supplies or guiding girls on how to create supplies serve as critical components for future interventions.
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              Menstrual hygiene in South Asia: a neglected issue for WASH (water, sanitation and hygiene) programmes

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                Author and article information

                Contributors
                nkjapheth@yahoo.co.uk
                atekyereza@chuss.mak.ac.ug
                cniwagaba@cedat.mak.ac.ug
                isabel.guenther@nadel.ethz.ch
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                19 November 2014
                19 November 2014
                2014
                : 14
                : 1
                : 1180
                Affiliations
                [ ]Department of Sociology and Anthropology, School of Social Sciences, College of Humanities and Social Sciences; Makerere University, P.O. Box 7062, Kampala, Uganda
                [ ]Department of Sociology, Kyambogo University, Kyambogo, P. O. Box 1, Kampala, Uganda
                [ ]Department of Civil and Environmental Engineering, Makerere University, P. O. Box 7062, Kampala, Uganda
                [ ]Swiss Federal Institute of Technology –Zürich (ETH-Z) and Centre for Development and Cooperation (NADEL), Zürich, Switzerland
                Article
                7310
                10.1186/1471-2458-14-1180
                4247598
                25407788
                a7341a41-0186-464e-86a8-9acb9f29f08e
                © Kwiringira et al.; licensee BioMed Central Ltd. 2014

                This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 4 March 2014
                : 30 October 2014
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2014

                Public health
                gender,wash,latrines,access,cleaning,slums,kampala
                Public health
                gender, wash, latrines, access, cleaning, slums, kampala

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