Household Determinants of Liquified Petroleum Gas (LPG) as a Cooking Fuel in South West Cameroon.

Currently 70% of the population in Cameroon are reliant on solid fuel for cooking (90% in rural communities) and the associated household air pollution contributes to significant mortality and morbidity in the country. To address the problems of energy security, deforestation and pollution the government has developed a strategy (Masterplan) to increase use of liquified petroleum gas (LPG) as a cooking fuel from 12% to 58% by 2030. As a clean fuel scaled adoption of LPG has the potential to make significant positive impacts on population health. The LPG Adoption in Cameroon Evaluation (LACE) studies are assessing in the community (i) barriers and enablers for and (ii) local interventions to support, adoption and sustained use of LPG. A census survey conducted for LACE in rural and peri-urban regions of SW Cameroon provided an opportunity to investigate current fuel use patterns and factors associated with primary and exclusive use of LPG. A cross-sectional survey of 1577 households (1334 peri-urban and 243 rural) was conducted in March 2016 using standardised fuel use and household socio-demographic questions, administered by trained fieldworkers. Wood (40.7%) and LPG (51.1%) were the most frequently reported fuels, although the dominant fuels in rural and peri-urban communities were wood (81%) and LPG (58%) respectively. Fuel stacking was observed for the majority of LPG using households (91% of peri-urban and 99% of rural households). In rural homes, a higher level of education, access to sanitation and piped water and household wealth (income and asset ownership) were all significantly associated with LPG use (p < 0.05). In peri-urban homes, younger age, access to sanitation and piped water and increasing education were significantly associated with both any and exclusive use of LPG (p < 0.05). However, whilst household wealth was related to any LPG use, there was no relationship with exclusive use. Results from this census survey of a relatively well-established LPG market with lower levels of poverty and high levels of education than Cameroon as a whole, find LPG usage well below target levels set by the Cameroon government (58% by 2030). Fuel stacking is an issue for the majority of LPG using households. Whilst, as observed here, education, household wealth and socio-economic status are well recognised predictors of adoption and sustained use of clean modern fuels, it is important to consider factors across the whole LPG eco-system when developing policies to support their scaled expansion. A comprehensive approach is therefore required to ensure implementation of the Cameroon LPG Masterplan achieves its aspirational adoption target within its stated timeframe.