Community Health Clubs Improve Latrine Construction Through Savings, Lending, and Income-Generating Activities

This study identified motivators of and barriers to latrine construction and explored the integration of financial activities with CHCs as a model to improve latrine coverage. Ten focus group discussions with community health club members and 19 in-depth interviews with key informants were conducted. Key motivators and enablers included health benefits; the desire to avoid disgust, shame, and embarrassment; access to materials and construction; and social support. Barriers to improvement included costs, water access, limited leadership support, and behavior change resistance.