Abstract: This study investigated latrine uptake and hygiene practices among community households in Ruhango District, Rwanda, focusing on the key factors that influence these behaviors. Using a cross-sectional design, data were collected from 216 households via structured questionnaires to explore how socio-economic status, cultural beliefs, gender roles, and community engagement affect sanitation habits.
Findings revealed that although 74% of households had access to latrines, only 60% reported consistent uptake. Handwashing after latrine use was practiced by 68% of respondents, with better adherence (80%) among those with reliable water access. Economic hardship emerged as a major barrier, with 42% of households unable to afford latrine construction. Additionally, 48% reported water shortages as a challenge to maintaining hygiene. Cultural beliefs negatively impacted sanitation behaviors in 30% of households.
Statistical analysis showed significant associations between hygiene practices and factors such as income (p = 0.009), education (p = 0.006), household size (p = 0.042), and age (p = 0.033). A strong correlation was found between a positive attitude toward hygiene and improved practices (OR = 3.7, p < 0.001). Community support and water access also significantly influenced behavior (p = 0.010 and p = 0.005, respectively). Most participants acknowledged the role of traditional beliefs and recognized the health risks linked to poor sanitation.
The study concluded that despite relatively high latrine availability, consistent uptake remains low due to economic, environmental, and cultural barriers. It recommended that government agencies, including the Ministry of Health and local authorities, prioritize enhancing water access, offering subsidies for latrine construction, and expanding hygiene education. Emphasis was placed on the importance of culturally sensitive programs and community involvement to promote sustained hygiene improvements.
These findings, aligning with the 2020 Rwanda Demographic and Health Survey, underscore the need for integrated interventions addressing infrastructure, behavior change, and socio-cultural factors to improve community sanitation outcomes in Ruhango District.
Keywords: Latrine Uptake, Hygiene Practices, Community Households, Ruhango District, Rwanda.
Title: Determinants of Latrine Uptake and Hygiene Practices in Community Households of Ruhango District, Rwanda
Author: Ms. Umuhoza Elyse, Dr. HABIMANA Amos
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Vol. 13, Issue 1, April 2025 - September 2025
Page No: 377-394
Research Publish Journals
Website: www.researchpublish.com
Published Date: 07-July-2025
