What does this research mean for the field?

The BALatrine subsidised sanitation intervention maintains high functionality and cultural acceptability four to six years post-implementation, leading to a sustained 77% reduction in open defecation in rural Indonesia. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate the long-term functional condition, sustained usage, and cultural acceptability of the subsidized BALatrine sanitation and education intervention four to six years after implementation.

September 3, 2026Infectious Diseases of PovertyOpen Access

Long-term usage, condition, and cultural acceptability of the BALatrine project: findings from a subsidised sanitation improvement intervention in rural Central Java, Indonesia

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Authors

CLCallum Lowe MKMatthew Kelly SASalvador Amaral

Discussion

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Overview

Cross-sectional study reports sustained latrine usage and reduced open defecation in rural households, indicating the long-term feasibility of subsidized sanitation programs.

Key Points

To evaluate the long-term functional condition, sustained usage, and cultural acceptability of the subsidized BALatrine sanitation and education intervention four to six years after implementation.
Conducted a cross-sectional follow-up evaluation in September 2022 across two villages in Central Java, Indonesia.
Surveyed 88 recipient households that received the intervention between 2016 and 2017 using mixed quantitative and qualitative interviews.
Assessed infrastructure functionality, defecation behaviors, and cultural perceptions through descriptive statistics and qualitative interview analysis.
Functional infrastructure was maintained in 89% of households, with 95% of participants regularly using the latrines for defecation.
Open defecation decreased by a self-reported 77% across recipient households.
Recipients reported financial barriers and operational anxieties regarding the prospective costs and logistics of emptying septic tanks.

Cite This Study

Lowe et al. (2026) studied this question.

synapsesocial.com/papers/6a993487636c6408cfa7c40d https://doi.org/10.1186/s40249-026-01499-6

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September 3, 2026Infectious Diseases of PovertyOpen Access

Long-term usage, condition, and cultural acceptability of the BALatrine project: findings from a subsidised sanitation improvement intervention in rural Central Java, Indonesia

View Full Paper

Ask AI

Bookmark

Authors

CLCallum Lowe MKMatthew Kelly SASalvador Amaral

Discussion

Member takes

Overview

Cross-sectional study reports sustained latrine usage and reduced open defecation in rural households, indicating the long-term feasibility of subsidized sanitation programs.

Key Points

To evaluate the long-term functional condition, sustained usage, and cultural acceptability of the subsidized BALatrine sanitation and education intervention four to six years after implementation.
Conducted a cross-sectional follow-up evaluation in September 2022 across two villages in Central Java, Indonesia.
Surveyed 88 recipient households that received the intervention between 2016 and 2017 using mixed quantitative and qualitative interviews.
Assessed infrastructure functionality, defecation behaviors, and cultural perceptions through descriptive statistics and qualitative interview analysis.
Functional infrastructure was maintained in 89% of households, with 95% of participants regularly using the latrines for defecation.
Open defecation decreased by a self-reported 77% across recipient households.
Recipients reported financial barriers and operational anxieties regarding the prospective costs and logistics of emptying septic tanks.

Cite This Study

Lowe et al. (2026) studied this question.

synapsesocial.com/papers/6a993487636c6408cfa7c40d https://doi.org/10.1186/s40249-026-01499-6

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