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Benefits and barriers to safe use of ecological sanitation in El Alto, Bolivia – a need for improved hygiene education?
The document evaluates an ecosan project in El Alto, Bolivia, which installed 897 sanitation units, including urine-diverting dry toilets (UDDTs), for approximately 4,489 people. The study found a statistically significant reduction in diarrhoeal disease overall, though the impact was smaller for households with lower socioeconomic status. Key barriers to success included irregular waste collection, age-related sociocultural differences in toilet adoption, and a lack of user knowledge regarding the specific health links between hygiene practices and pathogen exposure.
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Document type: Briefing
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