Assessment of Challenges Experienced Among Households on Promotion of Sanitation Practices in Tigania West Sub County, Meru County, Kenya

A poorly constructed toilet may deter its use and provoke open defecation. Globally, 2.5 billion people do not have access to improved sanitation facilities. In Kenya, over 5 million people are forced to defecate in the open due to challenges associated with toilet construction and use resulting in high prevalence of water, sanitation and hygiene-related diseases such diarrhea. This study therefore sought to profile the challenges experienced on promotion of sanitation practices among households in Tigania West, with a view of yielding insights on promotion of safe disposal of human waste. Questionnaires, interview guide and observations were used to collect data in a mixed study design. Systematic and purposive sampling technique was employed to select respondents and the data analyzed using SPSS version 21.0 and audio recordings were transcribed into text and then analyzed thematically.  73.4% of the residents lacked adequate space for toilet construction and (26.6%) who did not. (69.1%) of respondents had limited toilet construction materials, (11.8%) had challenge in toilet construction in rocky soils. Loose/collapsing soils were 9.4% (4.6 %) and financial constrains were (5.1%). 75.3% encountered culture challenges which affected toilet construction. More than half 64.9% had problems with sanitation facilities sharing (n=225).Sanitation practices had a significant positive correlation with cultural practices (0.119 (p=0.003<0.05), sharing of toilets (0.142; p=0.002<0.05), space availability in the household (0.098; p=0.004<0.005) and financial challenges (0.074; p=0.004<0.005). Innovative approaches to toilet construction using locally available materials, training and subsidies together with behavioral change sensitization could improve sanitation among households of Tigania West Sub-County.