Sanitation Insecurity and the Indignities of Open Toileting in Ibadan, Nigeria
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Main Article Content

Olufemi, O. 
Olatunde, O. 

Abstract

Open toileting is the discharge of human excrement, faecal and/or urinary, in any open space in the built environment. Indiscriminate exposure to bodily human waste adversely impacts peoples’ well-being and environmental health. The prevalence of toilet spaces such as open fields/spaces, forests, bushes, gutters, garbage dumps, streams and rivers constitute a public health hazard.  Whether off-street, on-street, flying, public, or private, toilets are inaccessible, of poor quality or non-existent in many public and private spheres in Nigeria. Triple peril of open toileting, toilet sharing, and inadequate water access predisposes many people to ill-health and disease. This paper adopts a qualitative inquiry using focus group discussions, interviews, observations, secondary and non-formal sources to elicit information and lived experiences of 22 individuals about the private and personal matter of toileting. The research was conducted in 2019. Deductions from the research includes moral failure, poor planning, and poor policy implementation. Lack of toilets and clean sanitation spaces, undignified toilet spaces, toilet sharing practices, lack of safety and toilet insecurity in terms of access, location and health were prevalent in places where people lived, learned, worked, played, and recreated. Paper suggests behavioural change through health promotion and advocacy to minimise the continued exposure to the various vector-borne diseases associated with open defecation and improper toilet facilities. Healthy spaces for toileting are essential to healthy life and living, and access to sanitation, inclusive toilets within public spaces is a human right, and the realization of the Sustainable Development Goals six and eleven.

Article Details

Olufemi, O., & Olatunde, O. (2026). Sanitation Insecurity and the Indignities of Open Toileting in Ibadan, Nigeria. African Journal of Humanities and Contemporary Education Research, 21(1), 206-229. https://doi.org/10.62154/ajhcer.2025.021.01022
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Copyright (c) 2026 Olufemi, O., Olatunde, O. (Author)

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Olufemi, O., Independent Urban Planner, Ontario, Canada.

1Independent Urban Planner, Ontario, Canada.
2Research Associate, Society for Good Health, Sustainable Development and Environmental Awareness, Canada.

Ajisafe, O. and Babaleye, T (2024). Assessment of Media Advocacy Against Open Defecation in South-west Nigeria. British Journal of Mass Communication and Media Research 4, no. 2 pp. 30–43. http://dx.doi.org/10.52589/bjmcmr-qcdqvjnw DOI: https://doi.org/10.52589/BJMCMR-QCDQVJNW

Alom, K., Ogah, A. I., Dogo, S. (2020). Public Awareness and Knowledge of Approaches on the Campaign against Open Defecation in Benue State. MCC, Vol. 4 No. 2.

Ayereka, I., Jaman, P, and Ayariga, S. (2024). Spatial Analysis of Open Defecation Sites and the Utilization of Public Toilets. Research and Development, Vo.5, Issue 1, March 2024, pp.10-22. 10.11648/rd.20240501.13. DOI: https://doi.org/10.11648/rd.20240501.13

Ayereka, I.K., Ziem, J.B., Jaman, P.B., E Nzeribe, E. (2023). Evaluation of Wa Township's Public Toilet Management and the Adequacy of Services Provided to Commuters and Households Without Toilets. Civil and Environmental Research Journal, Volume 15, doi: 10.7176/CER/15-1-05, Pages 42-57. DOI: https://doi.org/10.7176/CER/15-1-05

Bichard, J.A., Hanson, J. and Greed, C. (2013). Access to the Built Environment/Barriers, Chains and Missing Links. University College, London, England.

Caruso, B.A., Clasen, T.F., Hadley, C. et al. (2017). Understanding and Defining Sanitation Insecurity: Women’s Gendered Experiences of Urination, Defecation and Menstruation in Rural Odisha, India. BMJ Global Health, 2017; 2: e000414. DOI: https://doi.org/10.1136/bmjgh-2017-000414

Derseh, N.M., Alemayehu, M.A., Agimas, M.C., et.al. (2024). Spatial Variation and Geographical Weighted Regression Analysis to Explore Open Defecation Practice and its Determinants Among Households in Ethiopia. PLoS One, July, 19(7): e0307362. doi: 10.1371/journal.pone.0307362. PMID: 39024342; PMCID: PMC11257303. DOI: https://doi.org/10.1371/journal.pone.0307362

Davis, M. (2006). Planet of Slums. London: Verso. DOI: https://doi.org/10.1111/j.1540-5842.2006.00797.x

Feachem, R.G., Bradley, D.J., Garelick, H., Mara, D.D. (1983). Sanitation and Disease. Health Aspects of Wastewater and Excreta Management. Chichester: John Wiley & Sons.

Giorgi, A. (1997). The Theory, Practice and Evaluation of the Phenomenology Method as a Qualitative Research Procedure. Journal of Phenomenological Psychology, vol.28, no, 2, pp. 235-260. DOI: https://doi.org/10.1163/156916297X00103

Greed, C. (2016). Taking women's bodily functions into account in urban planning and policy: Public Toilets and Menstruation. The Town Planning Review, 87(5), 505-524. https://doi.org/10.3828/tpr.2016.35 DOI: https://doi.org/10.3828/tpr.2016.35

Greed, C. (2015). Gender Equality and Developing World Toilet Provision. In A. Coles; L. Gray and J. Momsen (eds.) Routledge Handbook of Gender and Development, London and New York: Routledge, Chapter 2.

Greed, C. (2003). Inclusive Urban Design: Public Toilets. Oxford: Architectural Press.

Guerrant, R.L., DeBoer, M.D., Moore, S.R. et. al. (2013). The Impoverished Gut- A Triple Burden of Diarrhoea, Stunting and Chronic Disease. Nat Rev Gastroenterol Hepatol, 10: pp.220-229. DOI: https://doi.org/10.1038/nrgastro.2012.239

Hanson, J., Bichard, J., and Greed, C. (2007). The Accessible Toilet Resource Manua., London: University College London.

Inah, S. A., Andenum, S. K.-R., Asor, L. J., et.al. (2023). Knowledge, Perceptions and Attitude Towards Open Defecation and its Health Implications Among Residents in Ussa Local Government Area, Taraba State, Nigeria. Global Sustainability Research, 2(1), 10–21. https://doi.org/10.56556/gssr.v2i1.436 DOI: https://doi.org/10.56556/gssr.v2i1.436

Jonah, A., Gamde, S. M., Abriba, S. P., et.al. (2024). Assessment of open defecation practice among Gugugu Residents in Abuja, Nigeria. Sokoto Journal of Medical Laboratory Science, 9(3), 152–159. https://doi.org/10.4314/sokjmls.v9i3.15 DOI: https://doi.org/10.4314/sokjmls.v9i3.15

Kira, A. (1975). The Bathroom, Harmondsworth: Penguin.

Kimutai, J.J., Lund, C., Moturi, W.N., et.al. (2023).Evidence on the Links between Water Insecurity, Inadequate Sanitation and Mental Health: A Systematic Review and Meta-analysis. PLoS One, May 25;18(5): e0286146. doi: 10.1371/journal.pone.0286146. PMID: 37228056; PMCID: PMC10212143. DOI: https://doi.org/10.1371/journal.pone.0286146

Kolawole, Y. (2019). Addressing Open Defecation in Nigeria, This Day Newspaper, July 18, 2019. Retrieved July 18, 2019 from: https://www.thisdaylive.com/index.php/2019/07/18/addressing-open-defecation-in-nigeria/, 4pp.

Oberg, A. (2019). Problematizing Urban Shit(ting): Representing Human Waste as a Problem, International Journal of Urban and Regional Research, vol. 43, Issue 2, pp. 377-392, https://doi.org/10.1111/1468-2427.12744 DOI: https://doi.org/10.1111/1468-2427.12744

Office of the High Commissioner for Human Rights (OHCHR) (2019). Human rights to water and sanitation in spheres of life beyond the household with an emphasis on public spaces: Report of the Special Rapporteur on the human rights to safe drinking water and sanitation. Human Rights Council, United Nations General Assembly, A/HRC/42/47. Retrieved July 18, 2019, from: https://digitallibrary.un.org/record/3823889?ln=enth

Office of the High Commissioner for Human Rights (OHCHR) (2015). Right to sanitation is a distinct human right-over 2.5 billion people lack access, says UN expert. United Nations, December 4. Retrieved July 18, 2019, from:https://www.ohchr.org/en/press-releases/2015/12/right-sanitation-distinct-human-right-over-25-billion-people-lackaccess

Olufemi, O. (2013). Phenomenology: A Qualitative Inquiry in Research, In T. Agbola; L. Egunjobi L; C.O. Olatubara; D. Yusuf; and M. Alabi (eds.) Contemporary Social Science Research Methods: A Practical Guide, MURLAB Searchwisdom Educational services, Marina, Lagos, Nigeria, pp. 91-110.

Olufemi, O. and Olatunde, O. (2019). No place to pee or poo: Gendered Indignities and Health Corollaries of Open Toileting in Nigeria, Paper presented at the Canadian Society for International Health (CSIH), Delta Hotel, October 17-19, 2019, Ottawa, Canada.

Olagbemide, P. T., & Oluropo, O. D. (2025). Open Defecation, Causes, Consequences and Intervention in Nigeria. ABUAD International Journal of Natural and Applied Sciences, 5(1), 47–57. https://doi.org/10.53982/aijnas.2025.0501.06-j DOI: https://doi.org/10.53982/aijnas.2025.0501.06-j

O’Reilly, K. (2016). From Toilet Insecurity to Toilet Security: Creating Safe Sanitation for Women and Girls. Wiley Interdisciplinary Reviews: Water, 3, pp.19-24. DOI: https://doi.org/10.1002/wat2.1122

Panchang, S.V., Joshi, P., Kale, S. (2022). Women 'Holding it' in Urban India: Toilet Avoidance as an Under-Recognized Health Outcome of Sanitation Insecurity. Glob Public Health. April ;17(4):587-600. doi: 10.1080/17441692.2021.1882527. DOI: https://doi.org/10.1080/17441692.2021.1882527

Prüss-Üstün, A., Bos, R., Gore, F. et. al., (2008). Safer Water, Better Health: Costs, Benefits and Sustainability of Interventions to Protect and Promote Health: World Health Organization.

Roller, Z., Gasteyer, S., Nelson, N., et.al. (2019). Closing the Water Access Gap in the United States: A National Action Plan (Dig Deep and U.S. Water Alliance. Published online, 2019), https://www.digdeep.org/close-the-water-gap

Rotowa, O. (2020). Assessment of Public Lavatories in Akure, Nigeria. International Journal of Research in Environmental Science (IJRES), vol. 6, no.1, pp. 10-18, 2020. DOI: http://dx.doi.org/10.20431/2454-9444.0601002 DOI: https://doi.org/10.20431/2454-9444.0601002

Sebesta, E., Furuyama, W., Dmochowski, R., et.al. (2024). Household Toilet and Sanitation Insecurity is Associated with Urinary Symptoms, Psychosocial Burden, and Compensatory Bladder Behaviors. Urology, September;191:72-78. doi: 10.1016/j.urology.2024.06.071. Epub 2024 Jul 4. PMID: 38971232. DOI: https://doi.org/10.1016/j.urology.2024.06.071

Thevenon, F. (2017). Sustainable Wastewater and Sanitation Systems: Health, Environment and Governance Challenges: The Case for Human Rights-based Policy Reform in Alternative Wastewater Management Strategies. WaterLex and the UN Environment Global Wastewater Initiative. Geneva, Switzerland, 80 pp.

United Nations (UN) (2010). The Human right to Water and Sanitation, New York, United Nations.

United Nations (UN) (2025). We’ll Always Need the Toilet. Retrieved November 2, 2025, from: https://www.un.org/en/observances/toilet-day

UNICEF (2020). New survey reveals progress and gaps in Nigerians’ access to water, sanitation and hygiene services, November 11, 2020. Retrieved January 18, 2020, from: https://www.unicef.org/nigeria/stories/new-survey-reveals-progress-and-gaps-nigerians-access-water-sanitation-and-hygiene-services

UNICEF (2025). Sanitation. Retrieved November 2, 2025, from: https://data.unicef.org/topic/water-and-sanitation/sanitation/

UN-Water. (2020). World Toilet Day 2020: Sustainable sanitation and climate change, October 19, 2020, available at https://www.unwater.org/world-toilet-day-2020-sustainable-sanitation-and-climate-change/

WHO (2006). Guidelines for the Safe Use of Wastewater Excreta and Greywater. Volume IV. Excreta and Grey Water Use in Agriculture. Geneva: World Health Organisation (WHO), pp. 204.

WHO and UNICEF (2022). Nigeria Roadmap for Hand Hygiene for All 2021-2025, Retrieved November 2, 2025, from: https://www.unicef.org/nigeria/media/6341/file/Nigeria%20Roadmap%20to%20Hand%20Hygiene%20for%20All.pdf

WHO and UNICEF (2025). Progress on household drinking water, sanitation and hygiene 2000–2024: special focus on inequalities. Geneva: World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF), 2025. Licence: CC BY-NC-SA 3.0 IGO.

Yogananth, N. and Bhatnagar, T. (2018). Prevalence of Open Defecation Among Households with Toilets and Associated Factors in Rural South India: An Analytical Cross-sectional study. Trans R Soc Trop Med Hygiene. July, 1;112(7):349-360. doi: 10.1093/trstmh/try064. PMID: 30032253. DOI: https://doi.org/10.1093/trstmh/try064