Factors associated with willingness to use ecological sanitation toilets in Katine sub county Soroti district Uganda: a cross sectional study

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dc.contributor.authorIkiring, Osako Betty
dc.contributor.authorOkia, David
dc.contributor.authorOkolimong, Charles
dc.contributor.authorAlunyo, Patrick Jimmy
dc.contributor.authorKaturamu, Richard
dc.contributor.authorKhainza, Tabitha Annet
dc.contributor.authorMukunya, David
dc.contributor.authorMatovu, K. B. Joseph
dc.contributor.authorMusoke, David
dc.contributor.authorOlupot-Olupot, Peter
dc.contributor.authorWanume, Benon
dc.date.accessioned2026-03-23T13:18:40Z
dc.date.available2026-03-23T13:18:40Z
dc.date.issued2025
dc.descriptionScientific reports
dc.description.abstractEcological sanitation (EcoSan) toilets provide a sustainable approach to waste management by converting human excreta into usable agricultural inputs. Despite their environmental and health benefits, uptake remains low in many settings. This study investigated the proportion of community members in Katine sub-county, Soroti district, Eastern Uganda, who had ever used EcoSan toilets, their willingness to use them, and the factors associated with this willingness. A cross-sectional survey was conducted among 395 residents using structured questionnaires. Descriptive statistics estimated the proportions of prior use and willingness to use EcoSan toilets. Multivariable logistic regression was used to identify factors independently associated with willingness. Analyses were conducted in Stata 18, and results are presented in tables and figures. Only 18.5% (73/395) of respondents had used EcoSan toilets, and 13.7% (54/395) expressed willingness to use them. In multivariable analysis, key factors negatively associated with willingness included awareness of Ecosan toilets (adjusted odds ratio [AOR] 0.06, 95% CI 0.02–0.16; p<0.0001), willingness to use sanitized fecal matter (AOR 0.06, 95% CI 0.02–0.17; p<0.0001), and perceived ease of use (AOR 0.16, 95% CI 0.05–0.48; p=0.001). Adoption of EcoSan toilets remains low in this setting, primarily due to limited awareness, cultural reservations, and usability concerns. Community sensitisation, culturally appropriate messaging, and user centered toilet design are essential to improving uptake in similar rural environments. Keywords Ecological sanitation, Willingness, Rural sanitation, Uganda, Waste reuse
dc.description.sponsorshipBusitema University.
dc.identifier.citationIkiring, B.O., Okia, D., Okolimong, C. et al. Factors associated with willingness to use ecological sanitation toilets in Katine sub county Soroti district Uganda: a cross sectional study. Sci Rep 15, 36403 (2025). https://doi.org/10.1038/s41598-025-20430-x
dc.identifier.urihttps://doi.org/10.60682/pjt0-ap90
dc.language.isoen
dc.publisherSpringer Nature
dc.titleFactors associated with willingness to use ecological sanitation toilets in Katine sub county Soroti district Uganda: a cross sectional study
dc.typeOther
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