Water, Sanitation And Hygiene Conditions In Kenyan Rural Schools: Are Schools Meeting The Needs Of Menstruating Girls?

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Richard Rheingans Ph.D., Department Chair (Creator)
Appalachian State University (ASU )
Web Site: https://library.appstate.edu/

Abstract: Water, sanitation and hygiene (WASH) programs in African schools have received increased attention, particularlyaround the potential impact of poor menstrual hygiene management (MHM) on equity for girls’ education. This studywas conducted prior to a menstrual feasibility study in rural Kenya, to examine current WASH in primary schools andthe resources available for menstruating schoolgirls. Cross-sectional surveys were performed in 62 primary schoolsduring unannounced visits. Of these, 60% had handwashing water, 13% had washing water in latrines for menstruatinggirls, and 2% had soap. Latrines were structurally sound and 16% were clean. Most schools (84%) had separate latrinesfor girls, but the majority (77%) had no lock. Non-governmental organizations (NGOs) supported WASH in 76% ofschools. Schools receiving WASH interventions were more likely to have: cleaner latrines (Risk Ratio (RR) 1.5; 95%Confidence Intervals [CI] 1.0, 2.1), handwashing facilities (RR 1.6, CI 1.1, 2.5), handwashing water (RR 2.7; CI 1.4,5.2), and water in girls’ latrines (RR 4.0; CI 1.4, 11.6). Schools continue to lack essential WASH facilities formenstruating girls. While external support for school WASH interventions improved MHM quality, the impact of thesecontributions remains insufficient. Further support is required to meet international recommendations for healthy,gender-equitable schools.

Additional Information

Alexander KT, Oduor C, Nyothach E, Laserson KF, Amek N, Eleveld A, Mason L, Rheingans Richard, Beynon C, Mohammed A, Ombok M, Obor D, Odhiambo F, Quick R, Phillips-Howard PA. 2014. Water, Sanitation and Hygiene Conditions in Kenyan Rural Schools: Are Schools Meeting the Needs of Menstruating Girls? Water.; 6(5):1453-1466. Water 2014, 6, 1453-1466; doi:10.3390/w6051453. ISSN 2073-4441. Version of record available from Water @ http:// www.mdpi.com
Language: English
Date: 2014

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