Influence of Open Defecation-Free (ODF) Communication Efforts on Knowledge, Attitude and Practice of Residents of Selected States in South-South, Nigeria
International Journal of TROPICAL DISEASE & Health,
Aim: To examine the influence of ODF communication intervention on knowledge, attitude and practice as precursor for sustainable ODF adoption.
Study Design: Data was gathered using a mixed method. A total of 384 participants were selected from the South-South region using multistage sampling technique.
Place and Duration: A total of eight communities were selected from four states (Cross River, Rivers, Delta and Bayelsa) in South-South Nigeria. The study was conducted between June and July 2019.
Methodology: A total of eight focus group discussions were held, one in each community while 384 copies of questioners were administered, 48 for each community.
Results: indicates high awareness (89%) of ODF but poor understanding. Significant difference in knowledge between those exposed and those not exposed to ODF communication intervention was revealed. Attitude to ODF was poor and insignificant between those exposed and those not exposed. Practice towards ODF initiative was manifest in the proper handling of child feaces, ownership and use of toilet while a binary logistic regression of demographic factors associated with the likelihood of practice towards ODF initiative revealed gender, education and age as the three strongest. Other factors impacting negatively on sustained ODF adoption are inappropriate and inadequate communication, denial of structural constraints and intervention systemic glitches.
Conclusion: The relevance ODF communication intervention is established yet inappropriate and adequate application as well as other factors combines to obscure the full realization of its potential in improving defecation practices. A region specific ODF intervention and evidence based participatory communication approaches are recommended.
- Communication intervention
- open defecation-free
How to Cite
Federal ministry of water resources (FMWR), Government of Nigeria, national bureau of statistics (NBS) and UNICEF. Water, sanitation and hygiene: National outcome routine mapping (WASH NORM) 2019: A report of findings. FCT, Abuja, Nigeria. 2019;.6
Chambers R, Myers J. Frontiers of CLTS: Innovations and insights, norms, knowledge and usage. Institute of development studies. 2016. Available:www.communityledtotalsanitation.org
WaterAid. Toilets are vital in the fight against the impact of climate change and infectious diseases, says WaterAid - but 112 million people in Nigeria do not have a toilet of their own;2020.
UNICEF Game plan to end open defecation. Programme division/WASH 3 United Nations Plaza New York, NY 10017 USA;2018.
Okullo JO, Moturi WN, Ogendi GM. Open defecation and its effects on the bacteriological quality of drinking water sources in Isiola county, Kenya. Environ. 2017;11:1-8
Njuguna J. Effect of eliminating open defecation on diarrhoeal morbidity: an ecological study of Nyando and Nambale sub-counties, Kenya. BMC Public health 2016;16:712
World Bank. Nigeria loses NGN455 billion annually due to poor sanitation. 2018. Available: http://documents.worldbank.org.
Purnaweni H. Open defecation-free (ODF) program as an urgent public service in Semarang City, Central Java. E3S Web of conferences. 2018;73.
Alemu F, Kumie A, Medhin G, Gasana J. The role of psychological factors in predicting latrine ownership and consistent latrine use in rural Ethiopia: a cross sectional study. BMC Public Health. 2018;18-229.
Okoro N, Nwachukwu C, Ajaero I. Health communication strategies. In: Ike OF & Udeze SE Editor. Emerging trends in gender, health & political communication in Africa. Enugu (Nigeria): Rhyce kerex publishers. 2015;63-82.
Akinfeleye RA. Health and behavioral change communication. Ibadan (Nigeria): Spectrum books limited in collaboration with Safari books;2007/2008
Ngigi S, Busolo DN. Behaviour change communication in health promotion: appropriate practices and promising approaches. Int. J. Innov. 2018;7-9.
Takon M, Okpata J, Cyril J. Report on TfD Step-down training held at Abgokim water falls community, Etung Local Government Area of Cross River State. Water Supply, Sanitation and Hygiene (WASH) Programme. 2008. RUWATSSA, European Commission and UNICEF.
Chuktwu N. Advancing sanitation: 2018 Calabar carnival final report. United Purpose Milestone Report. 2019;2.
WSSCC. 2018 Annual report. 2019. 15, Chemin Louis-Dunant 1202 Geneva Switzerland.
Cross River Broadcasting Corporation. Commercial schedule;2019.
Sample ED, Evans BE, Camargo-Valero MA, Wright NG, Leton TG. Understanding the drivers of sanitation behavior in riverine communities of Niger Delta: the case of Odi and Kaiama Communities. J Water Sanit. Hyg. Dev. 2016;6:3-491
Singh PK. Corporate social responsibility: Activities done by NGO Ganga Sansthan, Lucknow ICSI;2019.
Sumedh MK. Community based approaches to tackle open defecation in rural India: Theory, evidence and policies. ORF occasional. 2018;178.
Okafo CN, Nwude MO. Sanitation and hygiene practices of Nigeria coastal communities and associated socio-economic characteristics: study of two Akwa Ibom communities. BJAST 2016;14:2-1
Okoro UK, Chen W, Chineke TC, Nwofor OK. Recent Moonsoon rainfall characteristics over the Niger Delta region of Nigeria; A causal link. International Journal of Science, Environment and Technology. 2014;3:634-651.
Abubakar IR. Access to sanitation facilities among Nigerian household, determinants and sustainability implications. Sustainability MDPI. 2017;9(4):547.
Eneji CVO, Eneji JEO, Asuquo I, Ubom BAE. Water sanitation and bygiene (WASH) in community disease control in Cross River state Nigeria. Int. J. Environ. Sci. Toxic. Res. 2015;3:173-181.
Tamunobereton-ari I, Uko ED, Horsfall OI. Correlational analysis of sewage disposal methods and incidence rates of typhoid fever and cholera in Port Harcourt metropolis, Nigeria. J.emerg.trends eng.appl.sci. 2013;4:16-23.
Odigie J. 1.3million engage in open defecation in Edo, says UNICEF. Enviro News Nigeria.
Agba JU. Application of social and behaviour change communication education strategies in the Management of open defecation in Cross River State, Nigeria. IOSR-JHSS. 2019;24:1-15.
Hagger MS, Polet J, Lintunen T. The reasoned action approach applied to health behavior: Role of past behavior and test of some key moderators using metaanalytic structural equation modeling. Social Science & Medicine;2018.
Akpabio EM, Brown AS, Ansa IE, Udom ES, Etok AS, Udofia ES, et al. Nigeria’s water and sanitation: spaces of risk and the challenges of data. Presented at the XVth World water congress, Edinburgh, Scotland;2015.
Ekpata J. LGA-wide CLTS implementation: Yakurr LGA experience. Presentation by Pastor Joe Ekpata;2016.
Ngwu UI. The practice of open defecation in rural communities in Nigeria: a call for social and behavior change intervention. International Journal of communication research 2017. 7:201- 206.
Harter M, Mosch S, Mosler HJ. How does community –led total sanitation (CLTS) affects latrine ownership? A quantitative case study from Mozambique. BMC Public Health. 2018;18.
Flachenberg F. Hygiene promotion: have we got the right answers to the knowledge behaviour gap?. 40th WEDC International conference, Loughborough, UK. 2017;2729.
Tufte T, Mefalopulos P. Participatory communication: A practical guide. World bank working. 2009;170
Waisbord S. Family tree of theories, methodologies and strategiesin development communication. Rockefeller foundation;2001.
Edoumiekumo SG, Karimo TM, Tombofa SS. Determinants of households’ income poverty in the South-South geopolitical zone of Nigeria. J Stud Soc Sci. 2014;9:101-115.
Braun V, Clarke V. Using Thematic analysis in psychology. Qualitative research in psychology. 2006;3:2.
Gilbert N, King L. Improving sanitation in the Niger Delta. Local action with international cooperation to improve and sustain water, sanitation and hygiene services, paper 2626. 2017. 40th WEDC international conference, Loughborough, UK.
Okuku MO. Policy brief: Ending open defecation in Nigeria. Int. j. trop. dis. health 2020;41:47-54
Gertler P, Shah M, Alzua ML, Cameron L, Martinez S, Patil S. How does health promotion work? Evidence from the dirty business of eliminating open defecation. Working paper series. Center for Effective Global Action, University of California;2015.
Lilje J, Mosler HJ. Effects of a behaviour change campaign on household drinking water disinfection in the Lake Chad basin using the RANAS approach. Sci Total Environ 2017; 10:142.
Wasonga J, Kioli F. Improving households knowledge and attitude on water, sanitation, and hygiene practices through school health programme in Nyakach, Kisumu County in Western Kenya. Journal of Anthropology;2014.
Ginja S, Gallagher S, Keenan M. Water, sanitation and hygiene (WASH) behaviour change research: Why an analysis of contingencies of reinforcement is needed. Intl. J. Environ. Health Res. 2019;715- 728
Gavaravarapu SM, Pavaral V. Communicating nutrition in community settings: Case studies in critical examination of institutional approaches in India. J. Creat. Commun. 2014;9:23- 48.
Ndolo SI, Ozoh H. Issues and perspectives in community engagement for behavior and social change. In: Onwumechili C & Ndolo I, Editor. Re-imaging development communication in Africa. Plymouth (United Kingdom): Lexington books; 2013.p133-151.
Ogunyombo OE, Azeez OY. Exploring the perspectives of selected public relations professionals on the made-in-Nigeria campaign. 2018;2.
Aminah S. The application of participatory communication in the implementation of small farmers empowerment program. Jurnal Bina Praja 2016;8:1-135-148.
Servaes J, Makihao P. Participatory communication: The new paradigm?. Media and global change: rethinking communication for development. 2005;91-103
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