Cost and effectiveness of water, sanitation and hygiene promotion intervention in Ghana: the case of four communities in the Brong Ahafo region
Cost and effectiveness of water, sanitation and hygiene promotion intervention in Ghana: the case of four communities in the Brong Ahafo region
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Date
2018
Authors
Dwumfour-Asare, Bismark
Paa Kwesi, Woode
Kwabena, Biritwum Nyarko
Eugene, Appiah-Effah
Journal Title
Journal ISSN
Volume Title
Publisher
Heliyon
Abstract
Knowledge of cost and effectiveness of Ghana’s main hygiene promotion
intervention (HPI), Community-Led Total Sanitation (CLTS), is critical for
policy direction. Cost and resultant effect of HPI is examined using a case study
of four communities. Surveys were conducted with 300 households, CLTS
implementers and relevant agencies during the study period (May 2012 to
February 2014). The HPI produced marginal but statistically significant effect
(8%, p < 0.001). Improvement in hygiene behaviour was statistically associated
with both government investments (p < 0.001) and household investments
(p < 0.001). Actual HPI cost is US$ 90 per household: US$ 51 and 39 from
government and households respectively. Cost-effectiveness of the HPI is US$
106.42 per capita of improved hygiene behaviour.
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Citation
Woode, P. K., Dwumfour-Asare, B., Nyarko, K. B., & Appiah-Effah, E. (2018). Cost and effectiveness of water, sanitation and hygiene promotion intervention in Ghana: the case of four communities in the Brong Ahafo region. Heliyon, 4(10).