Health Impact and Effectiveness of Distribution Models for Plastic Latrine Slabs in Kenya

Lack of sanitation is a huge development challenge in Kenya, but also a potentially sizeable market opportunity. The World Bank and IFCs ‘Selling Sanitation’ project worked with large plastics manufacturing firms in Nairobi to design, test, and support market development and distribution of a range...

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Main Author:	World Bank Group
Format:	Brief
Language:	English en_US
Published:	World Bank, Washington, DC 2017
Subjects:	sanitation child health private sector impact evaluation microfinance nutrition
Online Access:	http://documents.worldbank.org/curated/en/269571488921973754/Health-impact-and-effectiveness-of-distribution-models-for-plastic-latrine-slabs-in-Kenya http://hdl.handle.net/10986/26231

id	okr-10986-26231
recordtype	oai_dc
spelling	okr-10986-262312021-05-25T10:54:43Z Health Impact and Effectiveness of Distribution Models for Plastic Latrine Slabs in Kenya World Bank Group sanitation child health private sector impact evaluation microfinance nutrition Lack of sanitation is a huge development challenge in Kenya, but also a potentially sizeable market opportunity. The World Bank and IFCs ‘Selling Sanitation’ project worked with large plastics manufacturing firms in Nairobi to design, test, and support market development and distribution of a range of plastic latrine slabs. The products were designed from the consumer’s perspective using the Human-Centered Design approach and priced well below the cost of the prevailing concrete slab. This research brief summarizes baseline findings and monitoring results from an impact evaluation of the plastic latrine slab, evaluating its health impact and the effectiveness of niche distribution and financing mechanisms for reaching base-of-the-pyramid households. Baseline findings show that children in the study area suffer from high rates of diarrhea and many are underweight, but worm infections are rare. The majority of households at baseline had unimproved pit latrines with either no slab (49%), or a mud slab, and overall sanitation and environmental hygiene conditions are poor. Feedback on the plastic slab from monitoring visits is overwhelmingly positive, with respondents citing ease of cleaning, safety for children, and prestige. However several barriers to adoption were noted. Most participants perceive the slab as unaffordable for the target beneficiaries, while a lack of adequate follow-up and marketing from sales agents, and limited availability of the product in remote, rural villages are major obstacles to generating demand for the slab. Additional public sector resources will be needed to further support the development of distribution channels and financing mechanisms to reduce the price for base-of-the-pyramid households and increase adoption of the slab among target beneficiaries. 2017-03-08T15:45:53Z 2017-03-08T15:45:53Z 2017-03 Brief http://documents.worldbank.org/curated/en/269571488921973754/Health-impact-and-effectiveness-of-distribution-models-for-plastic-latrine-slabs-in-Kenya http://hdl.handle.net/10986/26231 English en_US Water Global Practice Knowledge Brief; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Brief Africa Kenya
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	sanitation child health private sector impact evaluation microfinance nutrition
spellingShingle	sanitation child health private sector impact evaluation microfinance nutrition World Bank Group Health Impact and Effectiveness of Distribution Models for Plastic Latrine Slabs in Kenya
geographic_facet	Africa Kenya
relation	Water Global Practice Knowledge Brief;
description	Lack of sanitation is a huge development challenge in Kenya, but also a potentially sizeable market opportunity. The World Bank and IFCs ‘Selling Sanitation’ project worked with large plastics manufacturing firms in Nairobi to design, test, and support market development and distribution of a range of plastic latrine slabs. The products were designed from the consumer’s perspective using the Human-Centered Design approach and priced well below the cost of the prevailing concrete slab. This research brief summarizes baseline findings and monitoring results from an impact evaluation of the plastic latrine slab, evaluating its health impact and the effectiveness of niche distribution and financing mechanisms for reaching base-of-the-pyramid households. Baseline findings show that children in the study area suffer from high rates of diarrhea and many are underweight, but worm infections are rare. The majority of households at baseline had unimproved pit latrines with either no slab (49%), or a mud slab, and overall sanitation and environmental hygiene conditions are poor. Feedback on the plastic slab from monitoring visits is overwhelmingly positive, with respondents citing ease of cleaning, safety for children, and prestige. However several barriers to adoption were noted. Most participants perceive the slab as unaffordable for the target beneficiaries, while a lack of adequate follow-up and marketing from sales agents, and limited availability of the product in remote, rural villages are major obstacles to generating demand for the slab. Additional public sector resources will be needed to further support the development of distribution channels and financing mechanisms to reduce the price for base-of-the-pyramid households and increase adoption of the slab among target beneficiaries.
format	Brief
author	World Bank Group
author_facet	World Bank Group
author_sort	World Bank Group
title	Health Impact and Effectiveness of Distribution Models for Plastic Latrine Slabs in Kenya
title_short	Health Impact and Effectiveness of Distribution Models for Plastic Latrine Slabs in Kenya
title_full	Health Impact and Effectiveness of Distribution Models for Plastic Latrine Slabs in Kenya
title_fullStr	Health Impact and Effectiveness of Distribution Models for Plastic Latrine Slabs in Kenya
title_full_unstemmed	Health Impact and Effectiveness of Distribution Models for Plastic Latrine Slabs in Kenya
title_sort	health impact and effectiveness of distribution models for plastic latrine slabs in kenya
publisher	World Bank, Washington, DC
publishDate	2017
url	http://documents.worldbank.org/curated/en/269571488921973754/Health-impact-and-effectiveness-of-distribution-models-for-plastic-latrine-slabs-in-Kenya http://hdl.handle.net/10986/26231
_version_	1764461225938255872

Health Impact and Effectiveness of Distribution Models for Plastic Latrine Slabs in Kenya

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