Achieving universal sanitation in Ghana: An analysis of key drivers of toilet ownership among property owners in Urban areas.

Access to safe sanitation facilities remains a critical public health concern, especially in rapidly urbanizing countries like Ghana. This study investigates the determinants of household toilet ownership among property owners in three urban districts in Ghana. Using a cross-sectional survey design,...

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Main Authors: Godwin Armstrong Duku, Nana Kobea Bonso, Eugene Appiah-Effah, Yenube Clement Kunkuaboor, Emmanuel Nouwati, Barbara Gyapong-Korsah, Ebenezer Acquah, Kwabena Biritwum Nyarko
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0307729
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author Godwin Armstrong Duku
Nana Kobea Bonso
Eugene Appiah-Effah
Yenube Clement Kunkuaboor
Emmanuel Nouwati
Barbara Gyapong-Korsah
Ebenezer Acquah
Kwabena Biritwum Nyarko
author_facet Godwin Armstrong Duku
Nana Kobea Bonso
Eugene Appiah-Effah
Yenube Clement Kunkuaboor
Emmanuel Nouwati
Barbara Gyapong-Korsah
Ebenezer Acquah
Kwabena Biritwum Nyarko
author_sort Godwin Armstrong Duku
collection DOAJ
description Access to safe sanitation facilities remains a critical public health concern, especially in rapidly urbanizing countries like Ghana. This study investigates the determinants of household toilet ownership among property owners in three urban districts in Ghana. Using a cross-sectional survey design, data were collected from 1,256 property owners selected through a multi-stage stratified sampling procedure. Logistic regression analysis revealed that toilet ownership is significantly associated with the age and education level of property owners, community classification, building characteristics, and household income. Older property owners were more likely to own toilets (OR = 1.014 per year increase), as were those with higher education levels (OR = 1.752 for secondary, OR = 4.489 for tertiary education). Medium-class communities (OR = 2.013) completed buildings (OR = 2.625), and those constructed with sandcrete (OR = 12.755) were more likely to have toilets. Higher household income (OR = 1.00) correlated positively with toilet ownership. We conclude that enforcing building regulations requiring toilet facilities in all properties is crucial for improving sanitation in urban Ghana. Additionally, innovative sanitation financing interventions that subsidize the costs of sanitation facilities can be effective in addressing financial barriers and increasing household toilet ownership.
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institution Kabale University
issn 1932-6203
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publishDate 2025-01-01
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spelling doaj-art-6e771721021144d2bea78886f2496aba2025-02-05T05:31:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e030772910.1371/journal.pone.0307729Achieving universal sanitation in Ghana: An analysis of key drivers of toilet ownership among property owners in Urban areas.Godwin Armstrong DukuNana Kobea BonsoEugene Appiah-EffahYenube Clement KunkuaboorEmmanuel NouwatiBarbara Gyapong-KorsahEbenezer AcquahKwabena Biritwum NyarkoAccess to safe sanitation facilities remains a critical public health concern, especially in rapidly urbanizing countries like Ghana. This study investigates the determinants of household toilet ownership among property owners in three urban districts in Ghana. Using a cross-sectional survey design, data were collected from 1,256 property owners selected through a multi-stage stratified sampling procedure. Logistic regression analysis revealed that toilet ownership is significantly associated with the age and education level of property owners, community classification, building characteristics, and household income. Older property owners were more likely to own toilets (OR = 1.014 per year increase), as were those with higher education levels (OR = 1.752 for secondary, OR = 4.489 for tertiary education). Medium-class communities (OR = 2.013) completed buildings (OR = 2.625), and those constructed with sandcrete (OR = 12.755) were more likely to have toilets. Higher household income (OR = 1.00) correlated positively with toilet ownership. We conclude that enforcing building regulations requiring toilet facilities in all properties is crucial for improving sanitation in urban Ghana. Additionally, innovative sanitation financing interventions that subsidize the costs of sanitation facilities can be effective in addressing financial barriers and increasing household toilet ownership.https://doi.org/10.1371/journal.pone.0307729
spellingShingle Godwin Armstrong Duku
Nana Kobea Bonso
Eugene Appiah-Effah
Yenube Clement Kunkuaboor
Emmanuel Nouwati
Barbara Gyapong-Korsah
Ebenezer Acquah
Kwabena Biritwum Nyarko
Achieving universal sanitation in Ghana: An analysis of key drivers of toilet ownership among property owners in Urban areas.
PLoS ONE
title Achieving universal sanitation in Ghana: An analysis of key drivers of toilet ownership among property owners in Urban areas.
title_full Achieving universal sanitation in Ghana: An analysis of key drivers of toilet ownership among property owners in Urban areas.
title_fullStr Achieving universal sanitation in Ghana: An analysis of key drivers of toilet ownership among property owners in Urban areas.
title_full_unstemmed Achieving universal sanitation in Ghana: An analysis of key drivers of toilet ownership among property owners in Urban areas.
title_short Achieving universal sanitation in Ghana: An analysis of key drivers of toilet ownership among property owners in Urban areas.
title_sort achieving universal sanitation in ghana an analysis of key drivers of toilet ownership among property owners in urban areas
url https://doi.org/10.1371/journal.pone.0307729
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