Exploring the use of solid fuels for cooking and household air pollution in informal settlements through photovoice: The Fuel to Pot study in Ndirande (Malawi) and Mukuru (Kenya).

<h4>Introduction</h4>Worldwide, 2.4 billion people rely on solid fuels such as wood or charcoal for cooking, leading to approximately 3.2 million deaths per year from illnesses attributable to household air pollution. Across Africa, household air pollution generated by solid fuel use acc...

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Main Authors: Isabelle Uny, Tracy Chasima, Line Caes, Lusizi Kambalame, Moses V M Chamba, Limbani Kalumbi, Fred Orina, Heather Price, Sian Lucas, Maria Nyikuri, Sean Semple, Hellen Meme
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0316095
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author Isabelle Uny
Tracy Chasima
Line Caes
Lusizi Kambalame
Moses V M Chamba
Limbani Kalumbi
Fred Orina
Heather Price
Sian Lucas
Maria Nyikuri
Sean Semple
Hellen Meme
author_facet Isabelle Uny
Tracy Chasima
Line Caes
Lusizi Kambalame
Moses V M Chamba
Limbani Kalumbi
Fred Orina
Heather Price
Sian Lucas
Maria Nyikuri
Sean Semple
Hellen Meme
author_sort Isabelle Uny
collection DOAJ
description <h4>Introduction</h4>Worldwide, 2.4 billion people rely on solid fuels such as wood or charcoal for cooking, leading to approximately 3.2 million deaths per year from illnesses attributable to household air pollution. Across Africa, household air pollution generated by solid fuel use accounts for nearly 700,000 deaths each year. Most studies to date have focused either household air pollution exposure, its impacts on particular health outcomes or on the efficacy of mitigation interventions. However, the economic, social, and cultural determinants of household air pollution in Africa are still poorly understood. The purpose of this study was to explore people's experience of using solid fuels for cooking in two informal settlements, Ndirande in Malawi and Mukuru in Kenya, and the associated harms caused by household air pollution.<h4>Methods</h4>We adopted a community-based participatory method, photovoice, which was conducted with 9 participants in Ndirande and 10 participants in Mukuru. Participants took pictures reflecting their experiences and perceptions of household air pollution harms over a two-week period, and later discussed, sorted and analysed those in a series of meetings. Thematic analysis was used to analyse the data.<h4>Results</h4>With their pictures, participants described fuel stacking and switching behaviours in their communities. They described a mix of charcoal, firewood and other biomass fuels use. They also expressed their awareness and perceptions of the harms caused by smoke when cooking. Participants explained the simple behaviours used by residents to minimize the harms of household air pollution to themselves and within their own household. Other themes explored the roles and responsibilities for procuring fuels in the home, and the stated solutions required to address the issues and manage the transition to cleaner fuels in those informal settlements.<h4>Conclusion</h4>This study highlights not only the need to understand the daily life, priorities and concerns of those who use solid fuels on informal settlements, but also the urgency to place them and their experience at the heart of the solutions that will reduce the health harms of household air pollution.
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spelling doaj-art-8bde2a2e4d8341c7a16cb65771c771342025-08-20T02:35:26ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031609510.1371/journal.pone.0316095Exploring the use of solid fuels for cooking and household air pollution in informal settlements through photovoice: The Fuel to Pot study in Ndirande (Malawi) and Mukuru (Kenya).Isabelle UnyTracy ChasimaLine CaesLusizi KambalameMoses V M ChambaLimbani KalumbiFred OrinaHeather PriceSian LucasMaria NyikuriSean SempleHellen Meme<h4>Introduction</h4>Worldwide, 2.4 billion people rely on solid fuels such as wood or charcoal for cooking, leading to approximately 3.2 million deaths per year from illnesses attributable to household air pollution. Across Africa, household air pollution generated by solid fuel use accounts for nearly 700,000 deaths each year. Most studies to date have focused either household air pollution exposure, its impacts on particular health outcomes or on the efficacy of mitigation interventions. However, the economic, social, and cultural determinants of household air pollution in Africa are still poorly understood. The purpose of this study was to explore people's experience of using solid fuels for cooking in two informal settlements, Ndirande in Malawi and Mukuru in Kenya, and the associated harms caused by household air pollution.<h4>Methods</h4>We adopted a community-based participatory method, photovoice, which was conducted with 9 participants in Ndirande and 10 participants in Mukuru. Participants took pictures reflecting their experiences and perceptions of household air pollution harms over a two-week period, and later discussed, sorted and analysed those in a series of meetings. Thematic analysis was used to analyse the data.<h4>Results</h4>With their pictures, participants described fuel stacking and switching behaviours in their communities. They described a mix of charcoal, firewood and other biomass fuels use. They also expressed their awareness and perceptions of the harms caused by smoke when cooking. Participants explained the simple behaviours used by residents to minimize the harms of household air pollution to themselves and within their own household. Other themes explored the roles and responsibilities for procuring fuels in the home, and the stated solutions required to address the issues and manage the transition to cleaner fuels in those informal settlements.<h4>Conclusion</h4>This study highlights not only the need to understand the daily life, priorities and concerns of those who use solid fuels on informal settlements, but also the urgency to place them and their experience at the heart of the solutions that will reduce the health harms of household air pollution.https://doi.org/10.1371/journal.pone.0316095
spellingShingle Isabelle Uny
Tracy Chasima
Line Caes
Lusizi Kambalame
Moses V M Chamba
Limbani Kalumbi
Fred Orina
Heather Price
Sian Lucas
Maria Nyikuri
Sean Semple
Hellen Meme
Exploring the use of solid fuels for cooking and household air pollution in informal settlements through photovoice: The Fuel to Pot study in Ndirande (Malawi) and Mukuru (Kenya).
PLoS ONE
title Exploring the use of solid fuels for cooking and household air pollution in informal settlements through photovoice: The Fuel to Pot study in Ndirande (Malawi) and Mukuru (Kenya).
title_full Exploring the use of solid fuels for cooking and household air pollution in informal settlements through photovoice: The Fuel to Pot study in Ndirande (Malawi) and Mukuru (Kenya).
title_fullStr Exploring the use of solid fuels for cooking and household air pollution in informal settlements through photovoice: The Fuel to Pot study in Ndirande (Malawi) and Mukuru (Kenya).
title_full_unstemmed Exploring the use of solid fuels for cooking and household air pollution in informal settlements through photovoice: The Fuel to Pot study in Ndirande (Malawi) and Mukuru (Kenya).
title_short Exploring the use of solid fuels for cooking and household air pollution in informal settlements through photovoice: The Fuel to Pot study in Ndirande (Malawi) and Mukuru (Kenya).
title_sort exploring the use of solid fuels for cooking and household air pollution in informal settlements through photovoice the fuel to pot study in ndirande malawi and mukuru kenya
url https://doi.org/10.1371/journal.pone.0316095
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