Knowledge, attitudes and practices on use of Fossa Alternas and double vault urine diverting dry (DVUDD) latrines in Malawi

<jats:p>Fossa Alternas and double vault urine diverting dry (DVUDD) latrines have been extensively promoted as ecological sanitation (EcoSan) latrine options in Malawi, but little is known about whether they are used properly. A qualitative study of EcoSan users was conducted in Blantyre and Chikwawa districts, Malawi. Data were collected using in-depth interviews (IDIs). Twenty-eight (28) and seventeen (17) IDIs were conducted with household heads that had Fossa Alternas and DVUDD latrines, respectively. Recorded data were transcribed verbatim and analysed thematically. Of the total 45 EcoSan users, 40 had moderate to high knowledge on EcoSan latrine use, four had low knowledge and only one had no knowledge of how EcoSan latrines operate. Blockages of urine diversion systems, intensive management and maintenance needed for the latrines were reported as some problems related to the negative attitudes about EcoSan use. Use of soil and ash, urine diverting, use of hot water and chemicals to kill maggots, urinating in the drop-hole of the DVUDDs and poor maintenance of the roof were some of the practices reported on use of these latrines. It is therefore recommended that government, through community workers, should be monitoring practices on EcoSan latrine use and provide necessary support to users.</jats:p>