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The latrine ownership ladder: A conceptual framework for enhancing sanitation uptake in low-income peri-urban settings

Peter Appiah Obeng (Civil Engineering Department, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.)
Bernard Keraita (Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.)
Sampson Oduro-Kwarteng (Civil Engineering Department, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.)
Henrik Bregnhøj (Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.)
Robert C. Abaidoo (Department of Theoretical and Applied Biology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.)
Flemming Konradsen (Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.)

Management of Environmental Quality

ISSN: 1477-7835

Article publication date: 10 August 2015

423

Abstract

Purpose

The purpose of this paper is to present the latrine ownership ladder as a conceptual policy framework to enhance sanitation uptake in low-income peri-urban areas.

Design/methodology/approach

The paper draws from literature and a case study in a Ghanaian peri-urban community to highlight the challenges that undermine sanitation uptake in low-income peri-urban areas and the prospects of various levels of facility sharing as conceived in the latrine ownership ladder approach.

Findings

The authors argue that the infrastructural and other socio-economic challenges of low-income peri-urban areas prevent some households from acquiring their own latrines. For such households, a more responsive approach to latrine promotion and prevention of open defecation would be the recognition of shared ownership regimes such as co-tenant shared, neighbourhood shared and community shared, in addition to the promotion of household latrines. The paper identifies provision of special concessions for peri-urban areas in policy formulation, education and technical support to households, regulation and enforcement of sanitation by-laws among complimentary policy interventions to make the latrine ownership ladder approach more effective.

Originality/value

The paper provides an insight into the debate on redefining improved sanitation in the post-2015 era of the Millennium Development Goals and offers policy alternatives to policy makers in low-income countries seeking to accelerate the uptake of improved latrines among peri-urban and urban slum dwellers.

Keywords

Acknowledgements

The authors wish to acknowledge the Danish International Development Agency (DANIDA), which funded the work under the Sustainable Sanitation (SUSA) Ghana research project. The Agency played no role in the conduct of the research and the views expressed in this paper do not necessarily reflect the views of DANIDA.

Citation

Obeng, P.A., Keraita, B., Oduro-Kwarteng, S., Bregnhøj, H., Abaidoo, R.C. and Konradsen, F. (2015), "The latrine ownership ladder: A conceptual framework for enhancing sanitation uptake in low-income peri-urban settings", Management of Environmental Quality, Vol. 26 No. 5, pp. 752-763. https://doi.org/10.1108/MEQ-05-2014-0079

Publisher

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Emerald Group Publishing Limited

Copyright © 2015, Emerald Group Publishing Limited

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