Formative Research Using Settings and Motives to Explore Child Faeces Disposal and Management in Rural Solomon Islands

Unsafe child faeces management can lead to adverse health and wellbeing outcomes for children. In Solomon Islands, diarrhoeal disease is a leading cause of under-5 mortality, though there is limited research into CFM practices and promotion of safe behaviours. The formative research applied a Behaviour-Centred Design framework to investigate the habits, motives and settings related to child faeces management in rural Solomon Islands villages. Data were collected through structured recall demonstrations by caregivers ( n = 61), household infrastructure observations ( n = 57), semi-structured interviews with caregivers ( n = 121) and community leaders ( n = 30), focus group discussions ( n = 26), and three participatory activities with caregivers. The findings identified a range of CFM-related behaviours, some of which would be considered safe and some, such as outside defecation and disposal to a waterway, as unsafe. Convenience is important in shaping CFM practice and may help health benefits to be achieved without women bearing the cost of an increased work burden. Nurture and disgust may provide the basis for behaviour change communication in SI as they have elsewhere. Critically, the participation in and promotion of safe CFM by fathers in households should be promoted, and motivating such behaviours might be achieved through focus on nurture as a motive

Business · Citizen journalism · Economic growth · Environmental health · Focus group · Formative assessment · Health promotion · Nature versus nurture · Participatory action research · Political science · Promotion (chess · Public health · Public relations · Sociology · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Global Maternal and Child Health · Medicine · Nursing · Psychology · Marketing

• Global, regional, and national causes of under-5 mortality in 2000–15

  Open Access•Li Liu, Shefali Oza et al.•The Lancet•2016

  Incluir item

• Effect of a behaviour-change intervention on handwashing with soap in India (SuperAmma)

  Open Access•Adam Biran, Wolf‐peter Schmidt et al.•The Lancet Global Health•2014

  Incluir item

• The Qualitative Researcher's Companion

  A Michael Huberman, A Huberman et al.•The Qualitative Researcher's…•2002

  Incluir item

• Prevalence and associated factors of safe and improved infant and young children stool disposal in Ethiopia

  Open Access•Biniyam Sahiledengle•BMC Public Health•2019

  Incluir item

• The context and practice of handwashing among new mothers in Serang, Indonesia

  Open Access•Katie Greenland, Endang Iradati et al.•BMC Public Health•2013

  Incluir item

• Mainstreaming gender in the Wash sector

  Julie Fisher, Sue Cavill et al.•Gender & Development•2017

  Incluir item

• Nature’s Call

  Katherine L Dickinson, Patil et al.•Economic Development and Cultural…•2015

  Incluir item

• Access to Water, Women's Work, and Child Outcomes

  Gayatri Koolwal, Dominique Van De Walle•Economic Development and Cultural…•2013

  Incluir item

• Behaviour settings theory applied to domestic water use in Nigeria

  Open Access•Val Curtis, Robert Dreibelbis et al.•Social Science & Medicine•2019

  Incluir item

• Potties, pits and pipes

  Open Access•Valerie Curtis, Bernadette Kanki et al.•Social Science & Medicine•1995

  Incluir item