Gender dynamics of community-led total sanitation interventions in Mpwapwa District, Tanzania

ABSTRACTGender equity is an important element of health promotion and is vital to ensuring that the benefits and burdens of participation in health promotion activities are fairly distributed. Yet, the gendered consequences of participatory interventions are often overlooked. This is particularly re...

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Main Authors: Hannah Tough, Ally-Kebby Abdallah, Elisabeth Zemp, Kate Molesworth
Format: Article
Language:English
Published: Taylor & Francis Group 2023-01-01
Series:Global Public Health
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/17441692.2022.2053733
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author Hannah Tough
Ally-Kebby Abdallah
Elisabeth Zemp
Kate Molesworth
author_facet Hannah Tough
Ally-Kebby Abdallah
Elisabeth Zemp
Kate Molesworth
author_sort Hannah Tough
collection DOAJ
description ABSTRACTGender equity is an important element of health promotion and is vital to ensuring that the benefits and burdens of participation in health promotion activities are fairly distributed. Yet, the gendered consequences of participatory interventions are often overlooked. This is particularly relevant for water and sanitation initiatives, given that women are generally responsible for maintaining domestic hygiene and procuring water. This study uses a qualitative approach to assess the gender dynamics of participation in community-led total sanitation (CLTS) activities in Mpwapwa District, Tanzania. We used semi-structured interviews and focus-group discussions to investigate men’s and women’s involvement in health promotion initiatives and their key motivators for and challenges to participation. We interviewed 77 community members from four villages and analysed the responses using qualitative content analysis. The study supports the notion that participation reinforces gender inequity and reproduces gendered norms due to activity-specific participation, women’s passive participation within activities, and their limited opportunities for decision-making. However, there were also indications that participation provided a platform to increase the status of women, prioritise women’s needs and demand a stronger position in decision making within the household and the community. CLTS organisers should, therefore, harness the opportunity to address gender inequalities within the community.
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spelling doaj.art-498c4ad5046c480baddbffb4d35f776b2023-12-11T14:35:13ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062023-01-0118110.1080/17441692.2022.2053733Gender dynamics of community-led total sanitation interventions in Mpwapwa District, TanzaniaHannah Tough0Ally-Kebby Abdallah1Elisabeth Zemp2Kate Molesworth3Swiss Paraplegic Research, Nottwil, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandABSTRACTGender equity is an important element of health promotion and is vital to ensuring that the benefits and burdens of participation in health promotion activities are fairly distributed. Yet, the gendered consequences of participatory interventions are often overlooked. This is particularly relevant for water and sanitation initiatives, given that women are generally responsible for maintaining domestic hygiene and procuring water. This study uses a qualitative approach to assess the gender dynamics of participation in community-led total sanitation (CLTS) activities in Mpwapwa District, Tanzania. We used semi-structured interviews and focus-group discussions to investigate men’s and women’s involvement in health promotion initiatives and their key motivators for and challenges to participation. We interviewed 77 community members from four villages and analysed the responses using qualitative content analysis. The study supports the notion that participation reinforces gender inequity and reproduces gendered norms due to activity-specific participation, women’s passive participation within activities, and their limited opportunities for decision-making. However, there were also indications that participation provided a platform to increase the status of women, prioritise women’s needs and demand a stronger position in decision making within the household and the community. CLTS organisers should, therefore, harness the opportunity to address gender inequalities within the community.https://www.tandfonline.com/doi/10.1080/17441692.2022.2053733Participatory approachhealth promotiongender equitycommunity-led total sanitationCLTSTanzania
spellingShingle Hannah Tough
Ally-Kebby Abdallah
Elisabeth Zemp
Kate Molesworth
Gender dynamics of community-led total sanitation interventions in Mpwapwa District, Tanzania
Global Public Health
Participatory approach
health promotion
gender equity
community-led total sanitation
CLTS
Tanzania
title Gender dynamics of community-led total sanitation interventions in Mpwapwa District, Tanzania
title_full Gender dynamics of community-led total sanitation interventions in Mpwapwa District, Tanzania
title_fullStr Gender dynamics of community-led total sanitation interventions in Mpwapwa District, Tanzania
title_full_unstemmed Gender dynamics of community-led total sanitation interventions in Mpwapwa District, Tanzania
title_short Gender dynamics of community-led total sanitation interventions in Mpwapwa District, Tanzania
title_sort gender dynamics of community led total sanitation interventions in mpwapwa district tanzania
topic Participatory approach
health promotion
gender equity
community-led total sanitation
CLTS
Tanzania
url https://www.tandfonline.com/doi/10.1080/17441692.2022.2053733
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AT elisabethzemp genderdynamicsofcommunityledtotalsanitationinterventionsinmpwapwadistricttanzania
AT katemolesworth genderdynamicsofcommunityledtotalsanitationinterventionsinmpwapwadistricttanzania