Sanitation and Collective Efficacy: Developing a Framework for Understanding Social Context and Intervention Uptake in Rural Cambodia Pubblico

Salinger, Allison (Spring 2018)

Permanent URL: https://etd.library.emory.edu/concern/etds/vm40xr605?locale=it
Published

Abstract

Background: The aim of this study was to develop a framework for collective efficacy based on qualitative data from the rural Cambodian context and compare this framework to an existing a priori framework for collective efficacy. The published literature suggests that men and women may perceive of and participate in collective efficacy differently. Therefore, this study also examined how these frameworks may differ by gender.

 

Methods: The study followed a concurrent triangulation mixed methods design. The investigator utilized a modified grounded theory approach to develop a framework for collective efficacy based on qualitative data from villages participating in the Cambodia Rural Sanitation and Hygiene Improvement Program (CRSHIP). Household survey data, from villages participating in CRSHIP, were analyzed using complex confirmatory factor analysis to compare the fit of four, sex-segregated models of collective efficacy.

 

Results: All four models fit the data adequately according to absolute fit statistics, including chi-square model fit test statistics and root mean square error of approximation (RMSEA). However, none of the models fit the data well according to relative/incremental fit statistics, including the comparative fit index (CFI) and Tucker-Lewis index (TLI). The qualitative-based model fit the data better than the a priori model for both women and men survey respondents. Women generally had higher collective efficacy factor scores overall. While small sample sizes may not provide sufficient power for sub-group analyses, the data suggest that women from poor households tended to have higher scores than women from non-poor households. Although the male sample was small, the findings suggest that there may be a difference in scores by wealth status for men as well. Respondents from households that owned latrines tended to have higher collective efficacy scores than respondents from households that did not own latrines, regardless of gender.

 

Implications: Absolute model fit statistics indicate that all of the models under comparison are plausible, yet all likely need further refinement via exploratory factor analysis (EFA) in order to appropriately identify the underlying structure of collective efficacy as a latent construct. The relative fit of the qualitative-based models indicates the importance of inductively conceptualizing collective efficacy.

Table of Contents

Table of Contents

 

 

Introduction

 

1

Background

1

Research Aims and Objectives

4

 

Literature Review

 

5

Collective Action and Sanitation

5

Exploring Social Constructs

6

Collective Efficacy

9

 

Methods

 

15

Setting

15

Research Phases

16

Qualitative Research Phase

16

Quantitative Research Phase

21

 

Results

 

28

KII and FGD Demographics

28

Collective Efficacy Framework

28

Household Survey Respondent Demographics

38

Univariate Analysis: Item Distribution

40

Item Reduction

41

Model 1: Female, Qualitative-Based Model

41

Model 2: Male, Qualitative-Based Model

42

Model 3: Female, A Priori Model

46

Model 4: Male, A Priori Model

46

Comparing Model Fit

50

Factor Scores

51

 

Discussion

 

53

Qualitative Findings

54

Model Fit

56

Factor Scores

58

Limitations

61

Implications and Future Directions

63

 

References

 

64

 

Appendices

 

69

Appendix A: Key Informant Interview Guide

69

Appendix B: Focus Group Discussion Guide

75

Appendix C: Sampled Villages

82

Appendix D: Item Distribution: Frequency of responses, by sex

83

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