ii.  Water and sanitation 23.  The Shona community households have similar access to improved drinking water as Kenyans living in urban areas, although less access than nationals in Nairobi and Kiambu counties. Nationally, Kenya has made strides toward improving access to drinking water, with 73 percent of households reporting improved access, compared to 59 percent 10 years before.27 In urban Kenya, 87 percent of households have access to improved drinking water, similar to the Shona community average of 88 percent (Figure 14). However, at the Nairobi and Kiambu county levels, Kenyans have better access than the Shona community (p<0.01). 24.  The Shona community reports lower access to improved sanitation, and they share toilets more often than nationals. Poor sanitation conditions and waste disposal practices contribute to the spread of infectious diseases and are linked to poorer development outcomes, including education and genderbased violence (Kayser et al. 2018; Singavarapu and Murray 2013; World Health Organization 2008, 2019). About 83 percent of the Shona population have access to an improved sanitation facility compared to 87 percent of households in urban Kenya (p<0.01; Figure 15). At the county level, nationals in Kiambu have higher access to improved sanitation than the Shona community (96 percent vs. 74 percent, p<0.01). However, an opposite trend is noted in Nairobi (93 percent nationals vs. 97 percent Shona, p<0.05). In addition, toilet sharing is more common among the Shona community than among nationals, especially in Kiambu County (Figure 16). About 77 percent of households in the Shona community share a toilet facility with other household members compared to 66 percent among urban nationals (p<0.01).  FIGURE 14: Access to drinking water for the Shona community and Kenyans Percent of households 100 5 7 1 12 5 5 3 88 87 90 97 Shona National 5 10 80 2 60 40 98 85 20 0 Shona National (urban) Population average Shona Kiambu County Improved Unimproved National Nairobi County Other Source: Shona SES (2019) and KIHBS (KNBS 2015/16). 27 https://sun-connect-news.org/fileadmin/DATEIEN/Dateien/New/KNBS_-_Basic_Report.pdf Findings 10183_Shona Report.indd 15  15 12/14/20 2:56 PM

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