Table A1.
Sanitation Insecurity tool, presented with urination and defecation items grouped to facilitate delivery.
| Part A. Urination Module | ||||||
| How Often Have You Experienced Any of the Following in the Previous 30 Days When Going to Urinate? | ||||||
| F1 | U01 | Worried about not having a proper facility to urinate | 01 Never | 02 Sometimes | 03 Often | 04 Always |
| F2 | U02 | Could not always go to urinate when there was a need | 01 | 02 | 03 | 04 |
| F1 | U03 | Worried that someone would see me while urinating | 01 | 02 | 03 | 04 |
| F2 | U04 | Experience difficulty controlling the urge to urinate | 01 | 02 | 03 | 04 |
| F1 | U05 | Had difficulty finding a clean place to urinate | 01 | 02 | 03 | 04 |
| F1 | U06 | Felt worried that I would step on urine | 01 | 02 | 03 | 04 |
| F2 | U07 | Worried people would talk about me if they saw me | 01 | 02 | 03 | 04 |
| F1 | U08 | Felt concerned I would get an infection if I was urinating in an unsuitable/dirty place | 01 | 02 | 03 | 04 |
| F1 | U09 | Feared I would be harmed by animals or insects when I went to urinate | 01 | 02 | 03 | 04 |
| F1 | U10 | Feared I would be harmed by someone when I went to urinate | 01 | 02 | 03 | 04 |
| F4 | U11 | Felt scared urinating in the dark at night | 01 | 02 | 03 | 04 |
| F1 | U12 | Felt concerned I would get an infection if I urinated on someone else's urine | 01 | 02 | 03 | 04 |
| F4 | U13 | Felt scared of ghosts when I went to urinate at night | 01 | 02 | 03 | 04 |
| F2 | U14 | Had difficulty finding a private place to urinate | 01 | 02 | 03 | 04 |
| F6 | U15 | Had difficulty or pain sitting or getting up for urination | 01 | 02 | 03 | 04 |
| F3 | U16 | Had difficulty accessing water for urination | 01 | 02 | 03 | 04 |
| F2 | U17 | Had to suppress urge because people were around and could not go | 01 | 02 | 03 | 04 |
| F3 | U18 | Had to do extra work washing clothes because of dirty conditions where urinating | 01 | 02 | 03 | 04 |
| F5 | U19 | Had to leave dependents (like children, sick or elderly) alone to urinate | 01 | 02 | 03 | 04 |
| F2 | U20 | Had to stand while urinating because someone came | 01 | 02 | 03 | 04 |
| F5 | U21 | Had trouble finding someone to watch dependents (like children, sick or elderly) so I could urinate | 01 | 02 | 03 | 04 |
| F3 | U22 | Withheld water to control urge to urinate | 01 | 02 | 03 | 04 |
| F2 | U23 | Had to suppress when workload was high | 01 | 02 | 03 | 04 |
| F2 | U24 | Worried others would get upset if asked to accompany for urination | 01 | 02 | 03 | 04 |
| F2 | U25 | Had to suppress when I got an urge at night | 01 | 02 | 03 | 04 |
| Part B. Defecation Module | ||||||
| How Often Have You Experienced Any of the Following in the Previous 30 Days When Going to Defecate? | ||||||
| F7 | D01 | Worried about not having toilet to defecate | 01 Never | 02 Sometimes | 03 Often | 04 Always |
| F7 | D02 | Had to go far to defecate | 01 | 02 | 03 | 04 |
| F7 | D03 | Defecation process/Activity of defecation took a long time to complete | 01 | 02 | 03 | 04 |
| F7 | D04 | Had difficulty finding a clean place to defecate | 01 | 02 | 03 | 04 |
| F7 | D05 | Could not access preferred location | 01 | 02 | 03 | 04 |
| F6 | D06 | Worried I would fall when going to defecate | 01 | 02 | 03 | 04 |
| F2 | D07 | Had to suppress urge when workload was high | 01 | 02 | 03 | 04 |
| F4 | D08 | Felt scared defecating in the dark at night | 01 | 02 | 03 | 04 |
| F2 | D09 | Worried people would talk about me if they saw me | 01 | 02 | 03 | 04 |
| F1 | D10 | Feared I would be harmed by animals or insects when I went to defecate | 01 | 02 | 03 | 04 |
| F7 | D11 | Had to do extra work washing clothes because of dirty conditions where defecating | 01 | 02 | 03 | 04 |
| F1 | D12 | Worried about getting an infection when going to defecate | 01 | 02 | 03 | 04 |
| F6 | D13 | Had difficulty or pain squatting for defecation | 01 | 02 | 03 | 04 |
| F4 | D14 | Felt scared of ghosts when I went to defecate at night | 01 | 02 | 03 | 04 |
| F3 | D15 | Had difficulty accessing water for defecation | 01 | 02 | 03 | 04 |
| F3 | D16 | Had difficulty cleaning/washing myself after defecation | 01 | 02 | 03 | 04 |
| F2 | D17 | Had to suppress urge because I can only defecate at certain times of the day | 01 | 02 | 03 | 04 |
| F1 | D18 | Feared I would be harmed by someone when I went to defecate | 01 | 02 | 03 | 04 |
| F5 | D19 | Had trouble finding someone to watch dependents (like children, sick or elderly) so I could defecate | 01 | 02 | 03 | 04 |
| F2 | D20 | Had trouble controlling urge to defecate | 01 | 02 | 03 | 04 |
| F7 | D21 | Worried about defecating in the same place as others | 01 | 02 | 03 | 04 |
| F3 | D22 | Withheld food to control urge to defecate | 01 | 02 | 03 | 04 |
| F5 | D23 | Worried about dependents (children, sick or elderly) who need me when I go to defecate | 01 | 02 | 03 | 04 |
| F7 | D24 | Worried that have no money to build or maintain toilet | 01 | 02 | 03 | 04 |
| F7 | D25 | Have had to go back and forth to defecation location because could not find privacy | 01 | 02 | 03 | 04 |
Note: Both urination and defecation modules should be delivered collectively as factor items span both modules. Factors may be extracted for targeted use, but all relevant items across modules need to be delivered. Identifiers listed above (i.e., U01, U02, D01, etc. do not necessarily correspond to those noted in the paper. F1 = Potential harms Factor; F2 = Social expectations and repercussions Factor; F3 = Physical exertion or strain Factor; F4 = Night Concerns Factor; F5 = Social support Factor; F6 = Physical agility Factor; F7 = Defecation place Factor.