Comparison of respondent-reported and sensor-recorded latrine utilization measures in rural Bangladesh: a cross-sectional study.
- Publisher:
- OXFORD UNIV PRESS
- Publication Type:
- Journal Article
- Citation:
- Trans R Soc Trop Med Hyg, 2017, 111, (7), pp. 308-315
- Issue Date:
- 2017-07-01
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Delea, MG | |
dc.contributor.author | Nagel, CL | |
dc.contributor.author | Thomas, EA | |
dc.contributor.author | Halder, AK | |
dc.contributor.author | Amin, N | |
dc.contributor.author | Shoab, AK | |
dc.contributor.author | Freeman, MC | |
dc.contributor.author | Unicomb, L | |
dc.contributor.author | Clasen, TF | |
dc.date.accessioned | 2022-03-14T06:55:09Z | |
dc.date.available | 2017-10-11 | |
dc.date.available | 2022-03-14T06:55:09Z | |
dc.date.issued | 2017-07-01 | |
dc.identifier.citation | Trans R Soc Trop Med Hyg, 2017, 111, (7), pp. 308-315 | |
dc.identifier.issn | 0035-9203 | |
dc.identifier.issn | 1878-3503 | |
dc.identifier.uri | http://hdl.handle.net/10453/155211 | |
dc.description.abstract | Background: Health improvements realized through sanitation are likely achieved through high levels of facilities utilization by all household members. However, measurements of sanitation often rely on either the presence of latrines, which does not guarantee use, or respondent-reported utilization of sanitation facilities, which is prone to response bias. Overstatement of sanitation metrics limits the accuracy of program outcome measures, and has implications for the interpretation of related health impact data. Methods: We conducted a cross-sectional study of 213 households in 14 village water, sanitation and hygiene committee clusters throughout rural Bangladesh and used a combined data- and relationship-scale approach to assess agreement between respondent-reported latrine utilization and sensor-recorded measurement. Results: Four-day household-level respondent-reported defecation averaged 28 events (inter-quartile range [IQR] 20-40), while sensor-recorded defecation averaged 17 events (IQR 11-29). Comparative analyses suggest moderately high accuracy (bias correction factor=0.84), but imprecision in the data (broad scatter of data, Pearson's r=0.35) and thus only weak concordance between measures (ρc=0.29 [95% BCa CI 0.15 to 0.43]). Conclusions: Respondent-reported latrine utilization data should be interpreted with caution, as evidence suggests use is exaggerated. Coupling reported utilization data with objective measures of use may aid in the estimation of latrine use. | |
dc.format | ||
dc.language | eng | |
dc.publisher | OXFORD UNIV PRESS | |
dc.relation.ispartof | Trans R Soc Trop Med Hyg | |
dc.relation.isbasedon | 10.1093/trstmh/trx058 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 0605 Microbiology, 1108 Medical Microbiology, 1117 Public Health and Health Services | |
dc.subject.classification | Tropical Medicine | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Bangladesh | |
dc.subject.mesh | Child | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Defecation | |
dc.subject.mesh | Family Characteristics | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Hygiene | |
dc.subject.mesh | Male | |
dc.subject.mesh | Rural Population | |
dc.subject.mesh | Sanitation | |
dc.subject.mesh | Self Report | |
dc.subject.mesh | Toilet Facilities | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Hygiene | |
dc.subject.mesh | Cross-Sectional Studies | |
dc.subject.mesh | Family Characteristics | |
dc.subject.mesh | Sanitation | |
dc.subject.mesh | Toilet Facilities | |
dc.subject.mesh | Defecation | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Child | |
dc.subject.mesh | Rural Population | |
dc.subject.mesh | Bangladesh | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Self Report | |
dc.title | Comparison of respondent-reported and sensor-recorded latrine utilization measures in rural Bangladesh: a cross-sectional study. | |
dc.type | Journal Article | |
utslib.citation.volume | 111 | |
utslib.location.activity | England | |
utslib.for | 0605 Microbiology | |
utslib.for | 1108 Medical Microbiology | |
utslib.for | 1117 Public Health and Health Services | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/DVC (Research) | |
pubs.organisational-group | /University of Technology Sydney/DVC (Research)/Institute For Sustainable Futures | |
utslib.copyright.status | open_access | * |
dc.date.updated | 2022-03-14T06:55:06Z | |
pubs.issue | 7 | |
pubs.publication-status | Published | |
pubs.volume | 111 | |
utslib.citation.issue | 7 |
Abstract:
Background: Health improvements realized through sanitation are likely achieved through high levels of facilities utilization by all household members. However, measurements of sanitation often rely on either the presence of latrines, which does not guarantee use, or respondent-reported utilization of sanitation facilities, which is prone to response bias. Overstatement of sanitation metrics limits the accuracy of program outcome measures, and has implications for the interpretation of related health impact data. Methods: We conducted a cross-sectional study of 213 households in 14 village water, sanitation and hygiene committee clusters throughout rural Bangladesh and used a combined data- and relationship-scale approach to assess agreement between respondent-reported latrine utilization and sensor-recorded measurement. Results: Four-day household-level respondent-reported defecation averaged 28 events (inter-quartile range [IQR] 20-40), while sensor-recorded defecation averaged 17 events (IQR 11-29). Comparative analyses suggest moderately high accuracy (bias correction factor=0.84), but imprecision in the data (broad scatter of data, Pearson's r=0.35) and thus only weak concordance between measures (ρc=0.29 [95% BCa CI 0.15 to 0.43]). Conclusions: Respondent-reported latrine utilization data should be interpreted with caution, as evidence suggests use is exaggerated. Coupling reported utilization data with objective measures of use may aid in the estimation of latrine use.
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