We explored the facilitators and barriers to uptake of water, sanitation and hygiene (WASH) interventions among slum dwellers in Kampala, Uganda using a socio-ecological perspective. This qualitative exploration used focus group discussions with community members and key informant interviews with community leaders and technocrats to collect data. Among facilitators to uptake of WASH interventions were susceptibility to WASH-related diseases and low WASH knowledge levels at individual level, peer practices at household level, and promotion of WASH at organizational level. At community and public policy levels, community engagement and empowerment, and formation and enforcement of ordinances and bye-laws, respectively, motivated slums dwellers to adopt WASH interventions. Conversely, individual knowledge, beliefs, language, and financial status inhibited individuals from taking up WASH interventions. Negative peer practices and upbringing at peer level; unsupportive environments, and engagement of communities at organizational level; cultural beliefs and lack of space at community level; and unexamplary leaders and political interference barred slum dwellers in Kampala from embracing the WASH interventions. Uptake of WASH interventions in the slum community is influenced by a cascade of facilitators and barriers across the socio-ecological realm. Hence, a multi-faceted approach targeting all stakeholders is required in planning and implementation of WASH interventions.

我们从社会生态角度探讨了乌干达坎帕拉贫民窟居民中水，环境卫生和个人卫生（WASH）干预措施的促进因素和障碍。这项定性探索使用了与社区成员进行的焦点小组讨论，以及与社区领导人和技术专家进行的关键知情人访谈，以收集数据。采取WASH干预措施的推动者包括对WASH相关疾病的敏感性以及个人层面WASH知识水平低，家庭层面的同伴实践以及组织层面对WASH的促进。在社区和公共政策层面，社区的参与和授权以及条例和细则的制定和执行，都促使贫民窟居民采取WASH干预措施。相反，个人知识，信仰，语言，财务状况使个人无法采取WASH干预措施。负面的同龄人实践和同龄人的养育；不支持的环境，以及社区在组织层面的参与；文化信仰和社区一级缺乏空间；以及无私的领导人和政治干预禁止坎帕拉的贫民窟居民接受WASH干预措施。贫民窟社区对WASH干预措施的采用受到社会生态领域中一系列促进因素和障碍的影响。因此，在计划和实施WASH干预措施时，需要针对所有利益相关者的多方面方法。文化信仰和社区一级缺乏空间；以及无私的领导人和政治干预禁止坎帕拉的贫民窟居民接受WASH干预措施。贫民窟社区对WASH干预措施的采用受到社会生态领域中一系列促进因素和障碍的影响。因此，在计划和实施WASH干预措施时，需要针对所有利益相关者的多方面方法。文化信仰和社区一级缺乏空间；以及无私的领导人和政治干预禁止坎帕拉的贫民窟居民接受WASH干预措施。贫民窟社区对WASH干预措施的采用受到社会生态领域中一系列促进因素和障碍的影响。因此，在计划和实施WASH干预措施时，需要针对所有利益相关者的多方面方法。