title: Dreaming of toilets: using photovoice to explore knowledge, attitudes and practices around water-health linkages in rural Kenya.
abstract: As part of a knowledge, attitudes, practices and empowerment (KAPE) project implemented by the United Nations University Institute for Water, Environment and Health (UNU-INWEH) in the Lake Victoria Basin, this paper reports findings from a photovoice study with women in Usoma, a lakeshore community in Western Kenya. Drawing on ecosocial and political ecology theory, findings reveal that access to water, perceptions and practices were shaped by ecological and broader structural factors. Further, collective actions to improve access were constrained by institutional and economic structures, thus (re)enforcing inequalities.
authors.affiliation: Department of Geography and Environmental Management, University of Waterloo, 200 University Avenue West, Waterloo, Ont., Canada; United Nations University Institute for Water Environment and Health, Hamilton, Ont., Canada. Electronic address: ebisung@uwaterloo.ca.
authors.forename: Elijah
authors.initials: E
authors.lastname: Bisung
authors.affiliation: Department of Geography and Environmental Management, University of Waterloo, 200 University Avenue West, Waterloo, Ont., Canada.
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Elliott
authors.affiliation: Center for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya.
authors.forename: Bernard
authors.initials: B
authors.lastname: Abudho
authors.affiliation: United Nations University Institute for Water Environment and Health, Hamilton, Ont., Canada.
authors.forename: Corinne J
authors.initials: CJ
authors.lastname: Schuster-Wallace
authors.affiliation: Center for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya.
authors.forename: Diana M
authors.initials: DM
authors.lastname: Karanja
mesh_terms: D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007630:Kenya; D008875:Middle Aged; D033262:Narration; D010781:Photography; D012423:Rural Health; D012499:Sanitation
keywords: Collective action; Kenya; Photovoice; Practices; Water and sanitation