The study looked at how households in Tigania West, Kenya handle sanitation. Most households had toilets, but many were poorly constructed and unhygienic. Some households didn't empty their latrines when full, and many didn't have detergents to clean them. A significant number of people didn't wash their hands after using the toilet. The researchers found that sanitation practices were influenced by cultural beliefs, sharing of toilets, space availability, and financial constraints. They suggest using local materials for toilet construction, providing training and subsidies, and promoting behavioral change to improve sanitation.