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Now, the trend in the promotion of sanitation is progressively moving from the emphasis on centrally planned sanitation infrastructure to a demand led approach that empowers people to change behaviour and improve their own sanitation  .In this regard, simple health interventions such as hygiene and sanitation promotion in the prevention of diarrhoea have been central to the demand led approaches such as sanitation marketing, community led total sanitation and community health clubs; which begins with, and it is based on influencing peoples’ attitude, what they know, do and want  .
Despite high awareness about environmental sanitation (95.0%) reported among the respondents, proportion of them with good knowledge about environmental sanitation (22.9%), attitude (38.6%) and practice (20.8%) towards environmental sanitation was low.
The mean quantity of waste generated per week per household or business premise was 14.1 ± 0.94 kg with a majority of the respondents (80.0%), not separating their waste before disposal.
The commonest solid waste component generated was organic/perishable materials (74.8%) and the commonest disposal practice reported was open dumping (49.8%).
Conclusion: A lot of attention is still required in the development of basic sanitation infrastructure and also, in the promotion of strategies or interventions that influence behavioural change towards environmental sanitation especially in developing countries like Nigeria. Introduction Environmental sanitation is a set of actions or a fundamental process of collecting and safely disposing all kinds of waste within the environment with the intention of protecting and promoting the individual health and quality of life of communities.
Background: Environmental sanitation is a fundamental process that is a key public health intervention which is essential for social, economic and overall health development of communities.
Objective: To determine Knowledge, Attitude and Practices of Environmental Sanitation in Semi-Urban Communities in Orlu, Imo State, Nigeria.
Methods: A cross sectional descriptive design using a multistage random sampling technique to select 426 participants from households and business premises in semi-urban communities in Orlu Local Government Area of Imo State.
Data was collected using a pretested, semi structured, interviewer administered questionnaire.
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