title: Determinants of use of household-level water chlorination products in rural Kenya, 2003-2005.
abstract: Household-level water treatment products provide safe drinking water to at-risk populations, but relatively few people use them regularly; little is known about factors that influence uptake of this proven health intervention. We assessed uptake of these water treatments in Nyanza Province, Kenya, November 2003-February 2005. We interviewed users and non-user controls of a new household water treatment product regarding drinking water and socioeconomic factors. We calculated regional use-prevalence of these products based on 10 randomly selected villages in the Asembo region of Nyanza Province, Kenya. Thirty-eight percent of respondents reported ever using household-level treatment products. Initial use of a household-level product was associated with having turbid water as a source (adjusted odds ratio [AOR] = 16.6, p = 0.007), but consistent usage was more common for a less costly and more accessible product that did not address turbidity. A combination of social marketing, retail marketing, and donor subsidies may be necessary to extend the health benefits of household-level water treatment to populations most at risk.
authors.affiliation: Enteric Diseases Epidemiology Branch, Division of Foodborne, Bacterial and Mycotic Diseases, National Center for Zoonotic, Vectorborne, and Enteric Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA 30333, USA. avd3@cdc.gov
authors.forename: Amy E
authors.initials: AE
authors.lastname: Dubois
authors.forename: John A
authors.initials: JA
authors.lastname: Crump
authors.forename: Bruce H
authors.initials: BH
authors.lastname: Keswick
authors.forename: Laurence
authors.initials: L
authors.lastname: Slutsker
authors.forename: Robert E
authors.initials: RE
authors.lastname: Quick
authors.forename: John M
authors.initials: JM
authors.lastname: Vulule
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Luby
mesh_terms: D002713:Chlorine / Q000737:chemistry*; D006801:Humans; D007630:Kenya; D012423:Rural Health
chemical_list: D002713:Chlorine