Sanitation and Collective Efficacy: Developing a Framework for Understanding Social Context and Intervention Uptake in Rural Cambodia Público
Salinger, Allison (Spring 2018)
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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