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Full-Text Articles in Pharmacology, Toxicology and Environmental Health
A Qualitative Assessment Of Disability Friendly Water And Sanitation Facilities In Primary Schools, Rumphi, Malawi, Harlod Zaunda, Rochelle H. Holm, Ambumulire Itimu-Phiri, Mphatso Malota, Sian White
A Qualitative Assessment Of Disability Friendly Water And Sanitation Facilities In Primary Schools, Rumphi, Malawi, Harlod Zaunda, Rochelle H. Holm, Ambumulire Itimu-Phiri, Mphatso Malota, Sian White
Faculty Scholarship
Students with disabilities commonly face barriers when accessing water and using sanitation and hygiene facilities at school. International frameworks have prompted governments to enact local policies that enshrine these rights, guarantee equitable access to education and mandate inclusive infrastructure. This research was designed to explore whether Malawi has translated good policies into practice. Data were gathered in Rumphi district, Malawi, through structured field observations in ten schools and interviews with students with a disability (n = 23), teachers (n = 11) and government stakeholders (n = 2). No school had facilities that fully meet the needs of students with disabilities, …
A Cluster-Randomized Trial To Evaluate The Impact Of An Inclusive, Community-Led Total Sanitation Intervention On Sanitation Access For People With Disabilities In Malawi, Adam Biran, Lisa Danquah, Joseph Chunga, Wolf Peter Schmidt, Rochelle Holm, Ambumulire Itimu-Phiri, Wales Singini, Hazel Jones, Hannah Kuper, Sian White
A Cluster-Randomized Trial To Evaluate The Impact Of An Inclusive, Community-Led Total Sanitation Intervention On Sanitation Access For People With Disabilities In Malawi, Adam Biran, Lisa Danquah, Joseph Chunga, Wolf Peter Schmidt, Rochelle Holm, Ambumulire Itimu-Phiri, Wales Singini, Hazel Jones, Hannah Kuper, Sian White
Faculty Scholarship
Community-led total sanitation (CLTS) is a common method for promoting sanitation in low-income settings. This cluster-randomized trial evaluated an intervention to improve inclusion of people with disability in CLTS through training facilitators. A qualitative study examined intervention acceptability. The trial included 171 people with disabilities (78 control and 93 intervention) living in 15 intervention and 15 control communities. In the intervention arm, respondents were more likely to participate in a community meeting about sanitation (+18.7%, 95% confidence interval [CI]: 3.2, 34.2) and to have been visited to discuss sanitation (+19.7, 95% CI: 0.6, 37.8). More intervention households improved latrine access …