Research Article | | Peer-Reviewed

Spatial Analysis of Open Defecation Sites and the Utilization of Public Toilets

Received: 1 January 2024    Accepted: 16 January 2024    Published: 1 February 2024
Views:       Downloads:
Abstract

Nearly one billion people worldwide still practice open defecation. In 2020 about 59.3% of households in Ghana had household toilets while 23% used public toilets (PTs) and 15% did not have toilets. Nearly all homes (98% of the 15%) without access to toilet facility defecate outside in bushes, fields, or gutters. About 100,336 residents of Wa town do not have household toilets. The inadequacy of both public and household toilets has resulted in the creation of several open defecation sites across the length and width of Wa. This research assessed the spatial distribution and use of PTs, and how these influence the spread of open defecation sites in the Wa township. Using a purposive sampling technique, all forty-four public toilets within the study area were included in the study. Questionnaire survey (structured) was used to collect data from respondents. Geographic coordinates of the public toilets were collected using a handheld Global Position System (GPS). The study showed that there were about 184 open defecation sites and forty-four public toilets. All the forty-four public toilets were used by an average of 8,022 persons per day. About 191 clients use each facility per day. The people without toilets in their houses had to travel about 0.1 km to 4 km to access the nearest PT if they wanted to use toilet facilities. The study therefore recommends that the Wa Municipal Assembly or the Local Authority should enact and enforce the appropriate laws that would prosecute people who practice open defecation. Finally, the Assembly should immediately construct temporary public toilets in communities with high open defecation sites.

Published in Research & Development (Volume 5, Issue 1)
DOI 10.11648/rd.20240501.13
Page(s) 10-22
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Household, Open Defecation, Public Toilet, Sanitation, Township

References
[1] UNICEF. (2018). UNICEF Game Plan to end open defecation. Available: UNICEF Game_plan to_end_open defecation 2018. pdf.
[2] UNICEF (2020). UNICEF Data: Monitoring the situation of children and women. https://data.unicef.org/topic/child-health/diarrhoeal-disease/
[3] WHO/UNICEF JMP 2022 Annual Report https://washdata.org/monitoring/sanitation/open-defecation
[4] UN, The Millennium Development Goal Report (2015). United Nations, New York, NY, USA.
[5] WHO/UNICEF Joint Water Supply, & Sanitation Monitoring Programme. (2015). Progress on sanitation and drinking water: 2015 update and MDG assessment. World Health Organization.
[6] Oxford Economics. (2016). The True Cost of Poor Sanitation. Available: www.lixil.com/en/sustainability/pdf/the_true_cost_of_poor_sanitation_e.pdf.
[7] World Bank. (2012). Poor Sanitation Costs Ghana GHC420 Million Each Year. Available: Poor Sanitation Costs Ghana GHC420 Million Each Year.htm.
[8] World Bank. (2015). World Development Report 2015: Mind, Society, and Behavior, The World Bank, Washington, DC, USA.
[9] Osumanu, I. K., & Kosoe, E. A. (2013). Where do I answer nature’s call? An assessment of accessibility and utilization of toilet facilities in Wa, Ghana. Ghana Journal of Geography, 5, 17-31.
[10] Galan, D. I., Kim, S. S., & Graham, J. P. (2013). Exploring changes in open defecation prevalence in sub-Saharan Africa based on national-level indices. BMC Public Health, 13, 1-12.
[11] Ghana Statistical Service. (2021). Ghana 2021 Population and Housing Census: General Report Volume 3N.
[12] Kosoe, E. A., & Osumanu, I. K. (2018). Entertaining risks to health: the state of human fecal matter management in Wa, Ghana. Ghana Journal of Development Studies, 15(1), 151-172.
[13] Anand, P. B. (1999). Waste management in Madras revisited. Environment and Urbanization, 11(2), 161-176.
[14] Osumanu, I. K., Kosoe, E. A., & Ategeeng, F. (2019). Determinants of Open Defecation in the Wa Municipality of Ghana: Empirical Findings Highlighting Sociocultural and Economic Dynamics among Households. Journal of environmental and public health, 2019, 3075840. https://doi.org/10.1155/2019/3075840
[15] UN-HABITAT, (2009). Ghana: Tamale City Profile. United Nations Human Settlement Program, UN-HABITAT.
[16] GSS (Ghana Statistical Service). (2014). Ghana Population and Housing Census 2010: Regional Analytical Report–Upper West Region, GSS, Accra, Ghana.
[17] Akpakli, D. E., Manyeh, A. K., Akpakli, J. K., Kukula, V., Gyapong, M. (2018). Determinants of access to improved sanitation facilities in rural districts of southern Ghana: evidence from Dodowa Health and Demographic Surveillance Site. BMC Res Notes, Vol. 11, 473. https://doi.org/10.1186/s13104-018-3572-6
[18] van Welie, M. J., & Romijn, H. A. (2018). NGOs fostering transitions towards sustainable urban sanitation in low-income countries: Insights from Transition Management and Development Studies. Environmental Science & Policy, 84, 250-260.
[19] Gebremariam, B., Hagos, G., & Abay, M. (2018). Assessment of community-led total sanitation and hygiene approach on the improvement of latrine utilization in Laelay Maichew District, North Ethiopia. A comparative cross-sectional study. PloS one, 13(9), e0203458.
[20] Cheng, S., Li, Z., Uddin, S. M. N., Mang, H. P., Zhou, X., Zhang, J.,... & Zhang, L. (2018). Toilet revolution in China. Journal of Environmental Management, 216, 347-356.
[21] Yan, R., Cheng, S., Chen, J., Li, X., Sharma, S., Uddin, S. M. N.,... & Wang, X. (2021). Operating status of public toilets in the Hutong neighborhoods of Beijing: An empirical study. Journal of Environmental Management, 287, 112252.
[22] Ministry of Local Government and Rural Development (MLGRD) & Local Government Service (LGS), (2010). Guidelines for the Provision, Operation, Maintenance, and Management of Public Toilets in Ghana (Revised August 2010). Accra: MLGRD.
[23] Ameyaw, S.,& Odame, F. S. (2017). The menace of open defecation and disease in the Nadowli-Kalos District, Ghana. International Journal of Scientific and Research Publications, 7(12): 743-749.
[24] Musa, E. (2015). Addressing Open Defecation Sanitation Problem: The Case of Dry Toilet Implementation in the Wa Municipality, Ghana. Raseborg, Finland: Novia University of Applied Science.
[25] O'Connell, K. (2014). What Influences Open Defecation and Latrine Ownership in Rural Households? Findings from a Global Review. Available: WSP-What-InfluencesOpen-Defecation-Global-SanitationReview.pdf.
[26] Moreira, F. D., Rezende, S., & Passos, F. (2021). On-street toilets for sanitation access in urban public spaces: A systematic review. Utilities Policy, 70, 101186.
[27] Greed, C. (2016). Taking women’s bodily functions into account in urban planning and policy: public toilets and menstruation. TPR: Town Planning Review, 87(5).
[28] Street P. (2019). Public Toilets: Determinant of the Progress of Civilization and Consciousness of Societies or a Necessary Evil? Advances in Human Factors in Architecture, Sustainable Urban Planning, and Infrastructure: Proceedings of the AHFE 2019 International Conference on Human Factors in Architecture, Sustainable Urban Planning and Infrastructure. 966. Washington DC: Springer.
[29] Afacan, Y., & Gurel, M. O. (2015). Public toilets: an exploratory study on the demands, needs, and expectations in Turkey. Environment and Planning B: Planning and Design, 42(2), 242-262.
[30] Peprah, D., Baker, K. K., Moe, C., Robb, K., Wellington, N. I. I., Yakubu, H., & Null, C. (2015). Public toilets and their customers in low-income Accra, Ghana. Environment and Urbanization, 27(2), 589-604.
[31] Oduro-Kwarteng, S. (2009). Shifting from public shared toilets to home toilets. 34 th WEDC International Conference, Addis Ababa, Ethiopia.
[32] Marfo, S., Badu-Yeboah, K., & Akparep, Y. J. (2019). Open Defecation and Human Security Challenges: Assessing the Situation In Bamahu, Ghana. UDS International Journal of Development, 6(3), 138-146.
[33] Ayereka, I. K. (2017). The Provision and Management of Public Toilets in Wa Township (Thesis). http://udsspace.uds.edu.gh/jspui/handle/123456789/1161.
[34] Knight G, Bichard J, (2011) Publicly Accessible Toilets: An Inclusive Design Guide (Helen Hamlyn Centre for Design, London).
[35] Siu, K. W. M., & Wong, M. M. Y. (2013). Promotion of a healthy public living environment: participatory design of public toilets with visually impaired persons. Public health, 127(7), 629-636.
[36] O'Reilly, K. (2016). From toilet insecurity to toilet security: creating safe sanitation for women and girls. Wiley Interdisciplinary Reviews: Water, 3(1), 19-24.
[37] Palmer, M. H., & Newman, D. K. (2015). Women's toileting behaviors: an online survey of female advanced practice providers. International Journal of Clinical Practice, 69(4), 429-435.
[38] Khanna, T., & Das, M. (2016). Why gender matter in the solution towards safe sanitation? Reflections from rural India. Global public health, 11(10), 1185-1201.
[39] Chambers, R. (2009). Going to scale with community-led total sanitation: reflections on experience, issues, and ways forward. IDS Practice Papers, 2009(1), 01-50.
[40] WHO (2014). Burden of Disease and Cost-Effectiveness Estimates, WHO, Water Sanitation and Health (WSH), Geneva, Switzerland.
[41] Rajgire, A. V. (2013). Open Defecation: A Prominent Source of Pollution in Drinking Water in Villages. International Journal of Life Sciences Biotechnology and Pharma Research. 2 238-246.
[42] UNICEF (2023). Triple Threat How disease, climate risks, and unsafe water, sanitation, and hygiene create a deadly combination for children. New York: United Nations Children's Fund.
[43] Farahani, M., Subramanian, S. V., & Canning, D. (2010). Effects of state-level public spending on health on the mortality probability in India. Health economics, 19(11), 1361-1376.
[44] Molotch, H., & Norén, L. (2010). Toilet: Public restrooms and the politics of sharing. New York, NY: NYU Press.
[45] Stanwell-Smith R. (2010). Why public toilets are no laughing matter. Perspectives in Public Health, 130, 13.
[46] Selby, H. (2010). Ashiaman Residents Intensify Open Defecation. Ghanaian Chronicle. Retrieved 18 April 2018). Available: http/www.Modernghana.conwNews/260570 l/Ashents-Intensify-In.
[47] Amato, H. K., Martin, D., Hoover, C. M., & Graham, J. P. (2022). Somewhere to go: assessing the impact of public restroom interventions on reports of open defecation in San Francisco, California from 2014 to 2020. BMC Public Health, 22(1), 1673.
[48] Ayereka, I. K., Ziem, J. B., Jaman, P. B., & Nzeribe, E. (2023). Evaluation of Wa Township's Public Toilet Management and the Adequacy of Services Provided to Commuters and Households without Toilets. Civil and Environmental Research, Vol. 15, No. 1, 2023.
[49] Ayereka, I. K., & Jaman, P. B. (2023). The Impact of Flood on Food Security in Farming Communities in Kumbungu District in the Northern Region of Ghana. Journal of Environment and Earth Science, Vol. 13, No. 3, 2023.
Cite This Article
  • APA Style

    Ayereka, I. K., Jaman, P. B., Ayariga, S. A. (2024). Spatial Analysis of Open Defecation Sites and the Utilization of Public Toilets. Research & Development, 5(1), 10-22. https://doi.org/10.11648/rd.20240501.13

    Copy | Download

    ACS Style

    Ayereka, I. K.; Jaman, P. B.; Ayariga, S. A. Spatial Analysis of Open Defecation Sites and the Utilization of Public Toilets. Res. Dev. 2024, 5(1), 10-22. doi: 10.11648/rd.20240501.13

    Copy | Download

    AMA Style

    Ayereka IK, Jaman PB, Ayariga SA. Spatial Analysis of Open Defecation Sites and the Utilization of Public Toilets. Res Dev. 2024;5(1):10-22. doi: 10.11648/rd.20240501.13

    Copy | Download

  • @article{10.11648/rd.20240501.13,
      author = {Isaac Kwabena Ayereka and Patience Binambiba Jaman and Samson Austin Ayariga},
      title = {Spatial Analysis of Open Defecation Sites and the Utilization of Public Toilets},
      journal = {Research & Development},
      volume = {5},
      number = {1},
      pages = {10-22},
      doi = {10.11648/rd.20240501.13},
      url = {https://doi.org/10.11648/rd.20240501.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.rd.20240501.13},
      abstract = {Nearly one billion people worldwide still practice open defecation. In 2020 about 59.3% of households in Ghana had household toilets while 23% used public toilets (PTs) and 15% did not have toilets. Nearly all homes (98% of the 15%) without access to toilet facility defecate outside in bushes, fields, or gutters. About 100,336 residents of Wa town do not have household toilets. The inadequacy of both public and household toilets has resulted in the creation of several open defecation sites across the length and width of Wa. This research assessed the spatial distribution and use of PTs, and how these influence the spread of open defecation sites in the Wa township. Using a purposive sampling technique, all forty-four public toilets within the study area were included in the study. Questionnaire survey (structured) was used to collect data from respondents. Geographic coordinates of the public toilets were collected using a handheld Global Position System (GPS). The study showed that there were about 184 open defecation sites and forty-four public toilets. All the forty-four public toilets were used by an average of 8,022 persons per day. About 191 clients use each facility per day. The people without toilets in their houses had to travel about 0.1 km to 4 km to access the nearest PT if they wanted to use toilet facilities. The study therefore recommends that the Wa Municipal Assembly or the Local Authority should enact and enforce the appropriate laws that would prosecute people who practice open defecation. Finally, the Assembly should immediately construct temporary public toilets in communities with high open defecation sites.
    },
     year = {2024}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Spatial Analysis of Open Defecation Sites and the Utilization of Public Toilets
    AU  - Isaac Kwabena Ayereka
    AU  - Patience Binambiba Jaman
    AU  - Samson Austin Ayariga
    Y1  - 2024/02/01
    PY  - 2024
    N1  - https://doi.org/10.11648/rd.20240501.13
    DO  - 10.11648/rd.20240501.13
    T2  - Research & Development
    JF  - Research & Development
    JO  - Research & Development
    SP  - 10
    EP  - 22
    PB  - Science Publishing Group
    SN  - 2994-7057
    UR  - https://doi.org/10.11648/rd.20240501.13
    AB  - Nearly one billion people worldwide still practice open defecation. In 2020 about 59.3% of households in Ghana had household toilets while 23% used public toilets (PTs) and 15% did not have toilets. Nearly all homes (98% of the 15%) without access to toilet facility defecate outside in bushes, fields, or gutters. About 100,336 residents of Wa town do not have household toilets. The inadequacy of both public and household toilets has resulted in the creation of several open defecation sites across the length and width of Wa. This research assessed the spatial distribution and use of PTs, and how these influence the spread of open defecation sites in the Wa township. Using a purposive sampling technique, all forty-four public toilets within the study area were included in the study. Questionnaire survey (structured) was used to collect data from respondents. Geographic coordinates of the public toilets were collected using a handheld Global Position System (GPS). The study showed that there were about 184 open defecation sites and forty-four public toilets. All the forty-four public toilets were used by an average of 8,022 persons per day. About 191 clients use each facility per day. The people without toilets in their houses had to travel about 0.1 km to 4 km to access the nearest PT if they wanted to use toilet facilities. The study therefore recommends that the Wa Municipal Assembly or the Local Authority should enact and enforce the appropriate laws that would prosecute people who practice open defecation. Finally, the Assembly should immediately construct temporary public toilets in communities with high open defecation sites.
    
    VL  - 5
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department of Environmental and Occupational Health, University for Development Studies, Tamale, Ghana

  • Emergency Department, Tamale Teaching Hospital, Tamale, Ghana

  • Food Security and Livelihood Department, Anglican Diocesan Development and Relief Organization, Bolgatanga, Ghana

  • Sections