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Open AccessArticle

Shared Sanitation Management and the Role of Social Capital: Findings from an Urban Sanitation Intervention in Maputo, Mozambique

1
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
2
Department of Disease Control, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
3
School of Civil and Environmental Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA
4
WeConsult, R. Fernando Ganhão, Maputo 1103, Mozambique
5
Instituto Nacional de Saúde, Av. Eduardo Mondlane 1008, Maputo 1101, Mozambique
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(10), 2222; https://doi.org/10.3390/ijerph15102222
Received: 7 September 2018 / Revised: 5 October 2018 / Accepted: 7 October 2018 / Published: 11 October 2018
(This article belongs to the Section Global Health)
Shared sanitation—sanitation facilities shared by multiple households—is increasingly common in rapidly growing urban areas in low-income countries. However, shared sanitation facilities are often poorly maintained, dissuading regular use and potentially increasing disease risk. In a series of focus group discussions and in-depth interviews, we explored the determinants of shared sanitation management within the context of a larger-scale health impact evaluation of an improved, shared sanitation facility in Maputo, Mozambique. We identified a range of formal management practices users developed to maintain shared sanitation facilities, and found that management strategies were associated with perceived latrine quality. However—even within an intervention context—many users reported that there was no formal system for management of sanitation facilities at the compound level. Social capital played a critical role in the success of both formal and informal management strategies, and low social capital was associated with collective action failure. Shared sanitation facilities should consider ways to support social capital within target communities and identify simple, replicable behavior change models that are not dependent on complex social processes. View Full-Text
Keywords: sanitation; shared sanitation; collective action; social capital; urban sanitation; shared sanitation; collective action; social capital; urban
MDPI and ACS Style

Shiras, T.; Cumming, O.; Brown, J.; Muneme, B.; Nala, R.; Dreibelbis, R. Shared Sanitation Management and the Role of Social Capital: Findings from an Urban Sanitation Intervention in Maputo, Mozambique. Int. J. Environ. Res. Public Health 2018, 15, 2222.

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