title: A participatory approach to sanitation: experience of Bangladeshi NGOs.
abstract: This study assesses the role of participatory development programmes in improving sanitation in rural Bangladesh. Data for this study came from a health surveillance system of BRAC covering 70 villages in 10 regions of the country. In-depth interviews were conducted with one adult member of a total of 1556 randomly selected households that provided basic socioeconomic information on the households and their involvement with NGO-led development programmes in the community. The findings reveal that households involved with credit programmes were more likely to use safe latrines than others who were equally poor but not involved in such programmes. The study indicates that an unmet need to build or buy safe and hygienic latrines existed among those who did not own one. Such latent need could be raised further if health education at the grassroots level along with supervised credit supports were provided to them. Unlike conventional belief, the concept of community-managed jointly owned latrines did not seem a very attractive alternative. The study argues that social and behavioural aspects of the participatory development programmes can significantly improve environmental sanitation in a traditional community.
authors.affiliation: Research and Evaluation Division, BRAC, Dhaka, Bangladesh. shirsha@bangla.net
authors.forename: A
authors.initials: A
authors.lastname: Hadi
mesh_terms: D001459:Bangladesh; D003256:Community Participation; D003906:Developing Countries; D005191:Family Characteristics; D005192:Family Health; D015438:Health Behavior; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D015999:Multivariate Analysis; D009939:Organizations, Nonprofit / Q000458:organization & administration*; D017149:Private Sector / Q000458:organization & administration; D015397:Program Evaluation; D012423:Rural Health; D012499:Sanitation / Q000379:methods / Q000592:standards*; D014038:Toilet Facilities; D018505:Waste Management / Q000592:standards