Attitudes and Perceptions on the Agricultural Use of Human Excreta and Human Excreta Derived Materials: A Scoping Review

This study explicates the scope of published literature on the influence of attitudes and perceptions on the intention to use human excreta and human excreta derived materials in agriculture. Using a scoping review methodology, search results from Scopus and Web of Science were screened and synthesized using the DistillerSR web-based application. Out of the 1192 studies identified, 22 published articles met the inclusion criteria. Additional studies were identified by keyword enrichment, hand-searching, and snowballing in other electronic data bases. The benefit perception of the soil health, income, and yield was the main driver for positive attitudes. Perceived health risk and socio-cultural factors were reported as the main barriers to the use of human excreta derived materials in agriculture. Limited information, availability, collection, transport, and storage were the other reported perceived barriers. The influence of socioeconomic and demographic factors on farmers’ attitudes and perceptions was inconclusive, which is potentially attributed to contextual and methodological differences. Social and behavior change communication through community mass campaigns and targeting interventions segregated by socioeconomic and demographic contexts is recommended for development interventions. Future empirical studies could focus on the influence of crop types, treatment processes, food preparation and processing on attitudes and perceptions.