TY - JOUR
T1 - Formative Research Using Settings and Motives to Explore Child Faeces Disposal and Management in Rural Solomon Islands
AU - Biran, Adam
AU - Sanderson, Rosie
AU - Gonzalez, Diana
AU - Bugoro, Hugo
AU - Kadir, Mohammad
AU - Gegeo, David
AU - Keboy, Jamesford
AU - Lifoia, Clement
AU - Funubo, Sheilla
AU - Honimae, Hellenda
AU - Pitasua, Lanique Naolina
AU - Tatalu, Joanna
AU - Jonah, Patishadel
AU - Souter, Regina
PY - 2022/8/9
Y1 - 2022/8/9
N2 - Unsafe child faeces management can lead to adverse health and wellbeing outcomes for children. In Solomon Islands, diarrhoeal disease is a leading cause of under-5 mortality, though there is limited research into CFM practices and promotion of safe behaviours. The formative research applied a Behaviour-Centred Design framework to investigate the habits, motives and settings related to child faeces management in rural Solomon Islands villages. Data were collected through structured recall demonstrations by caregivers (n = 61), household infrastructure observations (n = 57), semi-structured interviews with caregivers (n = 121) and community leaders (n = 30), focus group discussions (n = 26), and three participatory activities with caregivers. The findings identified a range of CFM-related behaviours, some of which would be considered safe and some, such as outside defecation and disposal to a waterway, as unsafe. Convenience is important in shaping CFM practice and may help health benefits to be achieved without women bearing the cost of an increased work burden. Nurture and disgust may provide the basis for behaviour change communication in SI as they have elsewhere. Critically, the participation in and promotion of safe CFM by fathers in households should be promoted, and motivating such behaviours might be achieved through focus on nurture as a motive.
AB - Unsafe child faeces management can lead to adverse health and wellbeing outcomes for children. In Solomon Islands, diarrhoeal disease is a leading cause of under-5 mortality, though there is limited research into CFM practices and promotion of safe behaviours. The formative research applied a Behaviour-Centred Design framework to investigate the habits, motives and settings related to child faeces management in rural Solomon Islands villages. Data were collected through structured recall demonstrations by caregivers (n = 61), household infrastructure observations (n = 57), semi-structured interviews with caregivers (n = 121) and community leaders (n = 30), focus group discussions (n = 26), and three participatory activities with caregivers. The findings identified a range of CFM-related behaviours, some of which would be considered safe and some, such as outside defecation and disposal to a waterway, as unsafe. Convenience is important in shaping CFM practice and may help health benefits to be achieved without women bearing the cost of an increased work burden. Nurture and disgust may provide the basis for behaviour change communication in SI as they have elsewhere. Critically, the participation in and promotion of safe CFM by fathers in households should be promoted, and motivating such behaviours might be achieved through focus on nurture as a motive.
KW - behaviour
KW - children
KW - gender
KW - hygiene
KW - motives
KW - sanitation
UR - http://www.scopus.com/inward/record.url?scp=85136655624&partnerID=8YFLogxK
U2 - 10.3390/ijerph19169815
DO - 10.3390/ijerph19169815
M3 - Article
C2 - 36011452
AN - SCOPUS:85136655624
SN - 1661-7827
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 16
ER -