Assessing peri-urban sanitation quality using a theoretically derived composite measure in Lusaka, Zambia

This paper, published by Tidwell et al. (2018) in The Journal of Water, Sanitation and Hygiene for Development, highlights how a Peri-Urban Healthy Toilet Index (PUHTI) was created for measuring on-site, peri-urban sanitation quality in Lusaka, Zambia. Applying the PUHTI tool showed that while 87% of toilets were classified as ‘improved, but shared,’ there were frequent concerns about doors that could not be locked, dirty user interfaces, unhygienic containment, limited emptyability, and lack of handwashing facilities.