Exploring determinants of community led total sanitation (clts) on latrine adoption among rural cambodians utilizing the diffusion of innovation theory: a pragmatic approach

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dc.contributor Paschal, Angelia
dc.contributor Eke, Ransome
dc.contributor Burton, Wanda
dc.contributor Lee, Hee Yun
dc.contributor.advisor Ross, Levi
dc.contributor.author Hendrix, Sara
dc.date.accessioned 2021-05-12T16:28:34Z
dc.date.available 2021-05-12T16:28:34Z
dc.date.issued 2020-12
dc.identifier.other u0015_0000001_0003747
dc.identifier.other Hendrix_alatus_0004D_14354
dc.identifier.uri http://ir.ua.edu/handle/123456789/7690
dc.description Electronic Thesis or Dissertation
dc.description.abstract Open defecation is a global health problem in which 90% of the cases observed occur in rural settings among developing countries. Individuals exposed to open defecation may face higher risks of diarrheal diseases and health consequences. Basic sanitation facilities may mitigate adverse health effects associated with open defecation. In Cambodia, the lowest percentage of basic sanitation (48.3%) has been reached compared to neighboring countries. This dissertation research explored determinants of Community Led Total Sanitation on latrine construction and usage among rural Cambodians. This exploration was guided by diffusion of innovation theory. This multi-site study included a stratified sample of six community meetings (n=61) conducted across six villages in two districts of Pursat Province, Cambodia in August 2019. Small connected community methodology was employed to gather qualitative data and semi-structured community meetings were utilized to collect data. Thematic analysis and diffusion of innovation theory was used to analyze data derived from this study. Qualitative findings identified the following facilitators of latrine construction: relative advantage (overall health and well-being, convenience, and environmental awareness); complexity (perceived level of simplicity); compatibility (obligation to others); and observability (demonstrations, observable improved health of others). Latrine construction barriers included complexity (lack of resources) and compatibility (interferences to daily life). Facilitators of latrine construction included: relative advantage (overall health and well-being, convenience, economic advantages, and environmental impacts), complexity (ease of use); compatibility (obligation to others); and observability (demonstrations). The latrine uptake barrier was compatibility (misalignment with current practices). Compared to neighboring countries, basic sanitation within Cambodia continues to be a challenge. Rural Cambodians lack resources pertaining to knowledge (of how to build latrines) and cost (of materials). The development and implementation of health education and health promotion programs may effectively address the sanitation challenges in rural communities in low income and developing countries, while simultaneously enhancing the quality of life and well-being of communities.
dc.format.extent 142 p.
dc.format.medium electronic
dc.format.mimetype application/pdf
dc.language English
dc.language.iso en_US
dc.publisher University of Alabama Libraries
dc.relation.ispartof The University of Alabama Electronic Theses and Dissertations
dc.relation.ispartof The University of Alabama Libraries Digital Collections
dc.relation.hasversion born digital
dc.rights All rights reserved by the author unless otherwise indicated.
dc.subject.other
dc.title Exploring determinants of community led total sanitation (clts) on latrine adoption among rural cambodians utilizing the diffusion of innovation theory: a pragmatic approach
dc.type thesis
dc.type text
etdms.degree.department University of Alabama. Department of Health Science
etdms.degree.discipline Health Education/Promotion
etdms.degree.grantor The University of Alabama
etdms.degree.level doctoral
etdms.degree.name Ph.D.


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