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Int. J. Environ. Res. Public Health 2017, 14(1), 49; doi:10.3390/ijerph14010049

Estimating the Cost and Payment for Sanitation in the Informal Settlements of Kisumu, Kenya: A Cross Sectional Study

1
School of Public Leadership, Stellenbosch University, Stellenbosch 7602, South Africa
2
Community Health Department, Great Lakes University of Kisumu, Box 2224-40100, Kisumu, Kenya
3
Sustainable Development Department, Appalachian State University, Boone, NC 28608, USA
4
Department of Environmental and Global Health, University of Florida, Gainesville, FL 32611, USA
5
Department of Disease Control, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
*
Author to whom correspondence should be addressed.
Academic Editor: Paul A. Scuffham
Received: 22 November 2016 / Revised: 25 December 2016 / Accepted: 30 December 2016 / Published: 6 January 2017
(This article belongs to the Section Health Services and Health Economics Research)
View Full-Text   |   Download PDF [863 KB, uploaded 6 January 2017]   |  

Abstract

Lack of sanitation facilities is a common occurrence in informal settlements that are common in most developing countries. One challenge with sanitation provision in these settlements is the cost and financing of sanitation. This study aimed at estimating the cost of sanitation, and investigating the social and economic dynamics within Kisumu’s informal settlements that hinder provision and uptake of sanitation facilities. Primary data was collected from residents of the settlements, and using logistic and hedonic regression analysis, we identify characteristics of residents with sanitation facilities, and estimate the cost of sanitation as revealed in rental prices. Our study finds that sanitation constitutes approximately 54% of the rent paid in the settlements; and dynamics such as landlords and tenants preferences, and sharing of sanitation facilities influence provision and payment for sanitation. This study contributes to general development by estimating the cost of sanitation, and further identifies barriers and opportunities for improvement including the interplay between landlords and tenants. Provision of sanitation in informal settlements is intertwined in social and economic dynamics, and development approaches should target both landlords and tenants, while also engaging various stakeholders to work together to identify affordable and appropriate sanitation technologies. View Full-Text
Keywords: sanitation; landlord; socio-economic; hedonic pricing; housing; tenant sanitation; landlord; socio-economic; hedonic pricing; housing; tenant
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MDPI and ACS Style

Simiyu, S.; Swilling, M.; Rheingans, R.; Cairncross, S. Estimating the Cost and Payment for Sanitation in the Informal Settlements of Kisumu, Kenya: A Cross Sectional Study. Int. J. Environ. Res. Public Health 2017, 14, 49.

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