Pub Date : 2022-12-06DOI: 10.2166/washdev.2022.099
A. Dongzagla, Felix Dordaa, F. Agbenyo
This paper examined inequalities in drinking water access among regions and between urban and rural areas in Ghana with a focus on access to safely managed water service, access to safe water, access to water on premises, access to sufficient quantities of water, and access to improved water. Microdata of the 2017/18 Ghana Multiple Indicator Cluster Survey was used and analyzed using descriptive statistics and Gini index. Nationally, access to safely managed water service was low (6.8%) with moderate inequality among regions (Gini index = 0.27) and high inequality between rural and urban areas (Gini index = 0.42). Also, among the 10 administrative regions, moderate inequality was recorded for access to water on premises (Gini index = 0.20), and low inequality for access to safe water (Gini index = 0.117), access to improved water (0.06), and access to sufficient quantities of drinking water (0.02). The results of the study reinforce the call by the United Nations for disaggregation of national data of the Sustainable Development Goals by relevant socio-economic and spatial variables at a subnational level to help in the design and implementation of inclusive and equitable policies.
{"title":"Spatial inequality in safely managed water access in Ghana","authors":"A. Dongzagla, Felix Dordaa, F. Agbenyo","doi":"10.2166/washdev.2022.099","DOIUrl":"https://doi.org/10.2166/washdev.2022.099","url":null,"abstract":"\u0000 This paper examined inequalities in drinking water access among regions and between urban and rural areas in Ghana with a focus on access to safely managed water service, access to safe water, access to water on premises, access to sufficient quantities of water, and access to improved water. Microdata of the 2017/18 Ghana Multiple Indicator Cluster Survey was used and analyzed using descriptive statistics and Gini index. Nationally, access to safely managed water service was low (6.8%) with moderate inequality among regions (Gini index = 0.27) and high inequality between rural and urban areas (Gini index = 0.42). Also, among the 10 administrative regions, moderate inequality was recorded for access to water on premises (Gini index = 0.20), and low inequality for access to safe water (Gini index = 0.117), access to improved water (0.06), and access to sufficient quantities of drinking water (0.02). The results of the study reinforce the call by the United Nations for disaggregation of national data of the Sustainable Development Goals by relevant socio-economic and spatial variables at a subnational level to help in the design and implementation of inclusive and equitable policies.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45812158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-16DOI: 10.2166/washdev.2022.149
A. Limantol, A. Amoah
As part of measures to promote good hygiene, the United Nations International Children's Emergency Fund adopted affordable handwashing with soap facility (Tippy-Tap), and implemented a sensitisation training for residents in the Binduri District of Ghana. In the context of good hygiene technology adoption, this study examines how poor communities have adopted and used Tippy-Tap over a period of 1 year. The study further identifies the associated post-sensitisation drivers of the Tippy-Tap. In addition to descriptive analysis, this study relies on post-sensitisation cross-sectional data and a logit regression with its marginal effects for the analysis. The results show that after the sensitisation programme, the adoption and use rate now stands at 90%, up from the baseline of 4%. The study provides evidence that female household-heads are more likely to adopt and use the Tippy-Tap relative to male household-heads. The study further reveals that being educated increases the probability of accessing the Tippy-Tap facility by about 23%. Subsequently, this study finds that personal, household, and community-level characteristics are the key drivers of the high adoption and use rate. In conclusion, the study finds evidence of a high adoption and use rate of the Tippy-Tap initiative after its sensitisation. The study recommends extensive sensitisation of hand hygiene using community-level social norms and practices.
{"title":"Access to handwashing with soap facility: a post-sensitisation investigation of drivers","authors":"A. Limantol, A. Amoah","doi":"10.2166/washdev.2022.149","DOIUrl":"https://doi.org/10.2166/washdev.2022.149","url":null,"abstract":"\u0000 As part of measures to promote good hygiene, the United Nations International Children's Emergency Fund adopted affordable handwashing with soap facility (Tippy-Tap), and implemented a sensitisation training for residents in the Binduri District of Ghana. In the context of good hygiene technology adoption, this study examines how poor communities have adopted and used Tippy-Tap over a period of 1 year. The study further identifies the associated post-sensitisation drivers of the Tippy-Tap. In addition to descriptive analysis, this study relies on post-sensitisation cross-sectional data and a logit regression with its marginal effects for the analysis. The results show that after the sensitisation programme, the adoption and use rate now stands at 90%, up from the baseline of 4%. The study provides evidence that female household-heads are more likely to adopt and use the Tippy-Tap relative to male household-heads. The study further reveals that being educated increases the probability of accessing the Tippy-Tap facility by about 23%. Subsequently, this study finds that personal, household, and community-level characteristics are the key drivers of the high adoption and use rate. In conclusion, the study finds evidence of a high adoption and use rate of the Tippy-Tap initiative after its sensitisation. The study recommends extensive sensitisation of hand hygiene using community-level social norms and practices.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46939054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-16DOI: 10.2166/washdev.2022.154
K. Conroy, K. Mancl
Understanding barriers and facilitators to the adoption of sanitation technologies is crucial to the diffusion of these innovations. Urine-diverting dry toilets (UDDTs) have been implemented throughout regions that are lacking improved sanitation. This review applied the Diffusion of Innovation theory to 18 research articles that collected end-user/potential end-user feedback on UDDT pilot projects in low- and lower-middle-income countries to better understand barriers and facilitators to adoption. Results show the main barriers to adoption were beliefs incompatible with UDDT by-product reuse, a lack of supporting infrastructure, high capital costs, and ineffective promotional communication strategies. The benefits promoted by the diffusion agency were often misaligned with the desires and interests of the potential adopters. Ensuring supporting infrastructure was in place and tailoring the promotional communications to the adopters’ perspectives facilitated UDDT adoption. The main facilitator was the perceived relative advantages of the UDDT over existing sanitation options, including fertilizer production. This indicates that safe treatment and reuse processes need to be implemented. Urine diversion was rarely mentioned as a barrier. These findings can help communities and organizations working to increase sanitation technology adoption in low-income, rural areas by better understanding common barriers and facilitators to adoption.
{"title":"Understanding the adoption of urine-diverting dry toilets (UDDTs) in low- and lower-middle-income countries using the Diffusion of Innovation framework","authors":"K. Conroy, K. Mancl","doi":"10.2166/washdev.2022.154","DOIUrl":"https://doi.org/10.2166/washdev.2022.154","url":null,"abstract":"\u0000 Understanding barriers and facilitators to the adoption of sanitation technologies is crucial to the diffusion of these innovations. Urine-diverting dry toilets (UDDTs) have been implemented throughout regions that are lacking improved sanitation. This review applied the Diffusion of Innovation theory to 18 research articles that collected end-user/potential end-user feedback on UDDT pilot projects in low- and lower-middle-income countries to better understand barriers and facilitators to adoption. Results show the main barriers to adoption were beliefs incompatible with UDDT by-product reuse, a lack of supporting infrastructure, high capital costs, and ineffective promotional communication strategies. The benefits promoted by the diffusion agency were often misaligned with the desires and interests of the potential adopters. Ensuring supporting infrastructure was in place and tailoring the promotional communications to the adopters’ perspectives facilitated UDDT adoption. The main facilitator was the perceived relative advantages of the UDDT over existing sanitation options, including fertilizer production. This indicates that safe treatment and reuse processes need to be implemented. Urine diversion was rarely mentioned as a barrier. These findings can help communities and organizations working to increase sanitation technology adoption in low-income, rural areas by better understanding common barriers and facilitators to adoption.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":"1 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67906082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-16DOI: 10.2166/washdev.2022.082
Elvis Kichana, Maame Serwa Opare-Boafoa, E. Bekoe
Even in the 21st century, households in rural Ghana still rely on drinking water sources that are contaminated with pathogenic Escherichia coli, the consumption of which results in morbidity and mortality of children and adults. The present study sought to determine the prevalence and antimicrobial susceptibility profile of E. coli isolated from household drinking water. A total of forty-nine (49) water samples were analyzed. E. coli was isolated and confirmed from the water samples using the spread plate and biochemical tests, respectively. The Kirby–Bauer method was used for antimicrobial susceptibility testing. E. coli was isolated from 79.6% of the water samples with a mean colony growth of 15 cfu/100 μl. The isolates were absolutely resistant to ceftazidime, cefixime, augmentin, and cefuroxime. In contrast, the isolates were most susceptible to ciprofloxacin, ofloxacin, gentamicin, and nitrofurantoin. Multidrug resistance was registered in 48.7% of the isolates. E. coli isolates from each water sample had a Multiple Antibiotic Resistance (MAR) index greater than 0.2, indicating increased use or misuse of antibiotics in the study area. This study revealed a high occurrence of multidrug-resistant E. coli and a record-high reduction in the efficacy of important antimicrobials.
{"title":"Prevalence of multidrug-resistant Escherichia coli in household drinking water in rural Ghana","authors":"Elvis Kichana, Maame Serwa Opare-Boafoa, E. Bekoe","doi":"10.2166/washdev.2022.082","DOIUrl":"https://doi.org/10.2166/washdev.2022.082","url":null,"abstract":"\u0000 Even in the 21st century, households in rural Ghana still rely on drinking water sources that are contaminated with pathogenic Escherichia coli, the consumption of which results in morbidity and mortality of children and adults. The present study sought to determine the prevalence and antimicrobial susceptibility profile of E. coli isolated from household drinking water. A total of forty-nine (49) water samples were analyzed. E. coli was isolated and confirmed from the water samples using the spread plate and biochemical tests, respectively. The Kirby–Bauer method was used for antimicrobial susceptibility testing. E. coli was isolated from 79.6% of the water samples with a mean colony growth of 15 cfu/100 μl. The isolates were absolutely resistant to ceftazidime, cefixime, augmentin, and cefuroxime. In contrast, the isolates were most susceptible to ciprofloxacin, ofloxacin, gentamicin, and nitrofurantoin. Multidrug resistance was registered in 48.7% of the isolates. E. coli isolates from each water sample had a Multiple Antibiotic Resistance (MAR) index greater than 0.2, indicating increased use or misuse of antibiotics in the study area. This study revealed a high occurrence of multidrug-resistant E. coli and a record-high reduction in the efficacy of important antimicrobials.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41541895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-14DOI: 10.2166/washdev.2022.236
C. Logie, Moses Okumu, Madelaine Coelho, Miranda Loutet, Manjulaa Narasimhan, S. O. Lukone, Nelson Kisubi, D. Musoke, Peter Kyambadde, C. Dórea, L. Taing
Refugee youth disproportionately experience sexual and gender-based violence (SGBV) and water insecurity, yet their SGBV experiences in the context of water insecurity are understudied. In this qualitative study, we conducted six focus groups (n = 48) and in-depth individual interviews (IDI) (n = 12) with refugee youth aged 16–24, and IDI with refugee elders (n = 8) in Bidi Bidi refugee Settlement, Uganda. We applied thematic analysis informed by a social contextual framework and found that (1) SGBV is gendered, whereby adolescent girls and young women (AGYW) were targets for violence (symbolic context), and is intertwined with gender norms linked to AGYW's water collection roles (relational context); (2) water scarcity and off-site access to water infrastructure, combined with limited lighting, provide insecure environments that exacerbate AGYW's SGBV risks (material context); (3) participant generated solutions to water insecurity-related SGBV included engaging men and communities in dialogue and water collection (relational context), technology (e.g., solar lighting), improved security, and additional water points (material context). Findings signal the need to integrate water and sanitation hygiene development with SGBV prevention and sexual health (e.g., post-rape care) interventions. Refugee youth and communities should be meaningfully engaged in developing contextually relevant, gender transformative services to mitigate SGBV risks and advance health and rights.
{"title":"Water insecurity and sexual and gender-based violence among refugee youth: qualitative insights from a humanitarian setting in Uganda","authors":"C. Logie, Moses Okumu, Madelaine Coelho, Miranda Loutet, Manjulaa Narasimhan, S. O. Lukone, Nelson Kisubi, D. Musoke, Peter Kyambadde, C. Dórea, L. Taing","doi":"10.2166/washdev.2022.236","DOIUrl":"https://doi.org/10.2166/washdev.2022.236","url":null,"abstract":"\u0000 Refugee youth disproportionately experience sexual and gender-based violence (SGBV) and water insecurity, yet their SGBV experiences in the context of water insecurity are understudied. In this qualitative study, we conducted six focus groups (n = 48) and in-depth individual interviews (IDI) (n = 12) with refugee youth aged 16–24, and IDI with refugee elders (n = 8) in Bidi Bidi refugee Settlement, Uganda. We applied thematic analysis informed by a social contextual framework and found that (1) SGBV is gendered, whereby adolescent girls and young women (AGYW) were targets for violence (symbolic context), and is intertwined with gender norms linked to AGYW's water collection roles (relational context); (2) water scarcity and off-site access to water infrastructure, combined with limited lighting, provide insecure environments that exacerbate AGYW's SGBV risks (material context); (3) participant generated solutions to water insecurity-related SGBV included engaging men and communities in dialogue and water collection (relational context), technology (e.g., solar lighting), improved security, and additional water points (material context). Findings signal the need to integrate water and sanitation hygiene development with SGBV prevention and sexual health (e.g., post-rape care) interventions. Refugee youth and communities should be meaningfully engaged in developing contextually relevant, gender transformative services to mitigate SGBV risks and advance health and rights.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48238627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-11DOI: 10.2166/washdev.2022.075
K. Alford, K. Rosendale, Abdul Hafiz Koroma, S. DeRuiter, R. Pruim, Jason E. Van Horn, M. Bone, Jared Deighton, Adam DenHaan, Jamison Koeman, S. Kornoelje, B. Lika, Abigail Stratton, Lydia Walls, Nathan Wang
In Liberia, access to safe water is not universal, and waterborne diseases like diarrhea run rampant. As part of a larger border-to-border clean water project in Liberia, hollow membrane fiber filters were distributed to households in remote and/or small villages across Liberia. While filter efficacy has been demonstrated in the laboratory, studies of filter efficacy in real-world settings yield more mixed results. Intervention efficacy in Liberia was evaluated by assessing (1) user ability to correctly filter and backwash and (2) filter functioning at follow-up visits approximately 2 and 8 weeks post-intervention. Ultimately, the results supported the efficacy of this intervention. At arrival of both follow-ups, over 95% of filters were functioning properly and the majority of issues were resolved during visits. This supported the short-term durability of the filters and the importance of follow-up visits for repairs. Furthermore, the vast majority of households were able to correctly demonstrate filtering and backwashing: 88.47% at the first follow-up and 91.79% at the second. This slight increase may indicate the value of follow-up visits as educational tools. The widescale distribution of point-of-use filters as a mechanism for clean water should include on-going education and affordable filter repair and replacement opportunities.
{"title":"Evaluating filter functionality and user competence after a hollow fiber membrane filter intervention in Liberia","authors":"K. Alford, K. Rosendale, Abdul Hafiz Koroma, S. DeRuiter, R. Pruim, Jason E. Van Horn, M. Bone, Jared Deighton, Adam DenHaan, Jamison Koeman, S. Kornoelje, B. Lika, Abigail Stratton, Lydia Walls, Nathan Wang","doi":"10.2166/washdev.2022.075","DOIUrl":"https://doi.org/10.2166/washdev.2022.075","url":null,"abstract":"\u0000 In Liberia, access to safe water is not universal, and waterborne diseases like diarrhea run rampant. As part of a larger border-to-border clean water project in Liberia, hollow membrane fiber filters were distributed to households in remote and/or small villages across Liberia. While filter efficacy has been demonstrated in the laboratory, studies of filter efficacy in real-world settings yield more mixed results. Intervention efficacy in Liberia was evaluated by assessing (1) user ability to correctly filter and backwash and (2) filter functioning at follow-up visits approximately 2 and 8 weeks post-intervention. Ultimately, the results supported the efficacy of this intervention. At arrival of both follow-ups, over 95% of filters were functioning properly and the majority of issues were resolved during visits. This supported the short-term durability of the filters and the importance of follow-up visits for repairs. Furthermore, the vast majority of households were able to correctly demonstrate filtering and backwashing: 88.47% at the first follow-up and 91.79% at the second. This slight increase may indicate the value of follow-up visits as educational tools. The widescale distribution of point-of-use filters as a mechanism for clean water should include on-going education and affordable filter repair and replacement opportunities.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47948739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-11DOI: 10.2166/washdev.2022.126
A. Shehu, M. Vasjari, S. Duka, L. Vallja, N. Broli, Sadik Cenolli
Investigation of the quality of drinking water was carried out aiming to evaluate health risks and toxicity arising from the content of heavy metals. Samples were analysed for the content of Pb, Cd, Cr, Ni, Cu, Fe, Zn, Al, and Mn. Water quality and health risk assessment were evaluated by comparing the obtained data with current National, EU, and WHO regulations as well as by using the hazard quotient and cancer risk (HQ and CR). Results showed that Al (in one sample) and Ni (in five samples) exceeded the maximum allowed limits. Based on the metal pollution index, MPI, it was concluded that none of the samples exhibited ‘very good quality’ (MPI > 0.3), whereas the overall quality of Glina bottled water was classified as toxic to humans and Trebeshina as moderately toxic. Selected samples exhibited no evident health risk to humans (HQ < 1). Among the toxic metals analysed, Ni, Cd, and Cr exhibited higher values of cancer risk index (CR > 10−4), whereas Pb exhibited the lowest value. Bottled water such as Qafeshtama, Lajthiza, Tepelena, Dukat, Spring, Living, and Aqua Pana as well as tap water collected in the area of Student's City in Tirana can be considered safe for human consumption.
{"title":"Assessment of health risk induced by heavy metal contents in drinking water","authors":"A. Shehu, M. Vasjari, S. Duka, L. Vallja, N. Broli, Sadik Cenolli","doi":"10.2166/washdev.2022.126","DOIUrl":"https://doi.org/10.2166/washdev.2022.126","url":null,"abstract":"\u0000 Investigation of the quality of drinking water was carried out aiming to evaluate health risks and toxicity arising from the content of heavy metals. Samples were analysed for the content of Pb, Cd, Cr, Ni, Cu, Fe, Zn, Al, and Mn. Water quality and health risk assessment were evaluated by comparing the obtained data with current National, EU, and WHO regulations as well as by using the hazard quotient and cancer risk (HQ and CR). Results showed that Al (in one sample) and Ni (in five samples) exceeded the maximum allowed limits. Based on the metal pollution index, MPI, it was concluded that none of the samples exhibited ‘very good quality’ (MPI > 0.3), whereas the overall quality of Glina bottled water was classified as toxic to humans and Trebeshina as moderately toxic. Selected samples exhibited no evident health risk to humans (HQ < 1). Among the toxic metals analysed, Ni, Cd, and Cr exhibited higher values of cancer risk index (CR > 10−4), whereas Pb exhibited the lowest value. Bottled water such as Qafeshtama, Lajthiza, Tepelena, Dukat, Spring, Living, and Aqua Pana as well as tap water collected in the area of Student's City in Tirana can be considered safe for human consumption.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42292041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-25DOI: 10.2166/washdev.2022.040
N. E. Soboksa, Beekam Kebede Olkeba, Belay Negassa, Habtamu Endashaw Hareru, D. Gudeta
In household environments, the improper handling of children's feces can be a significant contaminant, raising a high risk of child exposure. Thus, the objective of this study was to pool the available evidence on the prevalence of safe child feces disposal practices and their association with reported childhood diarrhea in low-income and middle-income countries. PubMed, Science Direct, Cochrane Library databases, Ovid Medline, Google Scholar, and references of other studies were searched. The search was limited to studies published in English-language literature. Two independent reviewers used an appropriate tool to critically appraise the selected studies. Stata version 16 was used for the analysis. The pooled prevalence of unsafe disposal of children's feces among 20 studies was 52.63% (95% CI: 0.43–0.62). Overall, the meta-analysis found that unsafe disposal practices insignificantly increased the risk of diarrhea by 4% (OR: 1.04, 95% CI: 0.84–1.24). In the subgroup analysis, unsafe disposal of children's feces decreased the risk of diarrhea in Oceania (OR = 0.75, 95% CI = 0.62–0.88) and increased in Asia (OR = 1.33, 95% CI = 1.25–1.41). In conclusion, the prevalence of unsafe child feces disposal practices was high. There was no significant association between unsafe child feces disposal practices and diarrhea.
在家庭环境中，对儿童粪便的不当处理可能是一种重要的污染物，增加了儿童接触的高风险。因此，本研究的目的是汇集现有的证据，证明在低收入和中等收入国家，安全的儿童粪便处理方法的普遍程度及其与报告的儿童腹泻的关系。检索PubMed、Science Direct、Cochrane Library数据库、Ovid Medline、谷歌Scholar以及其他研究的参考文献。搜索仅限于发表在英语文献中的研究。两名独立审稿人使用适当的工具对选定的研究进行批判性评估。使用Stata version 16进行分析。20项研究中儿童粪便不安全处理的总发生率为52.63% (95% CI: 0.43-0.62)。总的来说，荟萃分析发现，不安全的处理做法使腹泻的风险增加了4% (OR: 1.04, 95% CI: 0.84-1.24)。在亚组分析中，大洋洲儿童粪便的不安全处理降低了腹泻的风险(OR = 0.75, 95% CI = 0.62-0.88)，而在亚洲则增加了腹泻的风险(OR = 1.33, 95% CI = 1.25-1.41)。总之，不安全的儿童粪便处理方法的流行率很高。不安全的儿童粪便处理方法与腹泻之间没有显著关联。
{"title":"Unsafe fecal disposal practices in children and the nexus with childhood diarrhea in low- and middle-income countries: a systematic review and meta-analysis","authors":"N. E. Soboksa, Beekam Kebede Olkeba, Belay Negassa, Habtamu Endashaw Hareru, D. Gudeta","doi":"10.2166/washdev.2022.040","DOIUrl":"https://doi.org/10.2166/washdev.2022.040","url":null,"abstract":"\u0000 In household environments, the improper handling of children's feces can be a significant contaminant, raising a high risk of child exposure. Thus, the objective of this study was to pool the available evidence on the prevalence of safe child feces disposal practices and their association with reported childhood diarrhea in low-income and middle-income countries. PubMed, Science Direct, Cochrane Library databases, Ovid Medline, Google Scholar, and references of other studies were searched. The search was limited to studies published in English-language literature. Two independent reviewers used an appropriate tool to critically appraise the selected studies. Stata version 16 was used for the analysis. The pooled prevalence of unsafe disposal of children's feces among 20 studies was 52.63% (95% CI: 0.43–0.62). Overall, the meta-analysis found that unsafe disposal practices insignificantly increased the risk of diarrhea by 4% (OR: 1.04, 95% CI: 0.84–1.24). In the subgroup analysis, unsafe disposal of children's feces decreased the risk of diarrhea in Oceania (OR = 0.75, 95% CI = 0.62–0.88) and increased in Asia (OR = 1.33, 95% CI = 1.25–1.41). In conclusion, the prevalence of unsafe child feces disposal practices was high. There was no significant association between unsafe child feces disposal practices and diarrhea.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42419779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-21DOI: 10.2166/washdev.2022.089
Wama Emmanuel Binga, R. Houmsou, L. Garba, E. U. Amuta, Kela Larit Suntaya
Water- and soil-transmitted helminthiasis in relation to socio-demographic status and risk factors of internally displaced persons in Jalingo Local Government Area (LGA) were determined. The nutritional status was also studied among infected individuals. Urine filtration and Kato-Katz techniques were used to examine urine and faecal samples, respectively. Urogenital schistosomiasis infection was found at a moderate level of 52 (17.6%), whereas a low level of ascariasis and hookworm infections were found at 48 (16.3%) and 8 (2.7%), respectively. People in Jauro Gbadi camp and in the age group between 41 and 50 years had significantly the highest infection with hookworm, 8 (8.2%) (χ2 = 16.70; p = 0.000) and 2 (11.7%)(χ2 = 17.59, p = 0.003), respectively. Farmers were significantly infected with urogenital schistosomiasis (20.1%) (χ2 = 14.03; p = 0.043). Fishing in rivers exposed more individuals to urogenital schistosomiasis with an adjusted odds ratio (aOR) = 8.60 (95% CI: 0.86–85.52; p = 0.046). The lack of hygienic measures exposed more individuals who ‘don't wash their hands before eating’ to soil-transmitted helminthiasis with an aOR = 4.13 (95% CI: 0.77–21.99; p = 0.045). In sanitation, individuals who ‘don't use pit latrines and do use the bush for defaecating’ were exposed to soil-transmitted helminthiasis with an aOR = 2.14 (95% CI: 1.30–3.52; p = 0.002). Farmers were infected with urogenital schistosomiasis. People in the Jauro Gbadi camp and individuals between the age groups of 11 and 50 years had hookworm infection. Use of river water, inappropriate hygiene, and sanitation exposed individuals to infection.
{"title":"Use of rivers' water, inadequate hygiene, and sanitation as exposure of internally displaced persons (IDPs) to urogenital schistosomiasis and soil-transmitted helminthiasis in Jalingo Local Government Area (LGA), Taraba State, Nigeria","authors":"Wama Emmanuel Binga, R. Houmsou, L. Garba, E. U. Amuta, Kela Larit Suntaya","doi":"10.2166/washdev.2022.089","DOIUrl":"https://doi.org/10.2166/washdev.2022.089","url":null,"abstract":"\u0000 Water- and soil-transmitted helminthiasis in relation to socio-demographic status and risk factors of internally displaced persons in Jalingo Local Government Area (LGA) were determined. The nutritional status was also studied among infected individuals. Urine filtration and Kato-Katz techniques were used to examine urine and faecal samples, respectively. Urogenital schistosomiasis infection was found at a moderate level of 52 (17.6%), whereas a low level of ascariasis and hookworm infections were found at 48 (16.3%) and 8 (2.7%), respectively. People in Jauro Gbadi camp and in the age group between 41 and 50 years had significantly the highest infection with hookworm, 8 (8.2%) (χ2 = 16.70; p = 0.000) and 2 (11.7%)(χ2 = 17.59, p = 0.003), respectively. Farmers were significantly infected with urogenital schistosomiasis (20.1%) (χ2 = 14.03; p = 0.043). Fishing in rivers exposed more individuals to urogenital schistosomiasis with an adjusted odds ratio (aOR) = 8.60 (95% CI: 0.86–85.52; p = 0.046). The lack of hygienic measures exposed more individuals who ‘don't wash their hands before eating’ to soil-transmitted helminthiasis with an aOR = 4.13 (95% CI: 0.77–21.99; p = 0.045). In sanitation, individuals who ‘don't use pit latrines and do use the bush for defaecating’ were exposed to soil-transmitted helminthiasis with an aOR = 2.14 (95% CI: 1.30–3.52; p = 0.002). Farmers were infected with urogenital schistosomiasis. People in the Jauro Gbadi camp and individuals between the age groups of 11 and 50 years had hookworm infection. Use of river water, inappropriate hygiene, and sanitation exposed individuals to infection.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44080150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-21DOI: 10.2166/washdev.2022.184
C. Nicoletti, Greg Lestikow, Toeur Veasna, A. May, Reimar Macaranas, D. Hudner, James Harper
Because improved sanitation can improve public health but is lacking in many rural areas, many organizations use sanitation marketing to increase latrine coverage. In rural Cambodia, iDE has facilitated the sale of more than 395,000 pour-flush latrines since 2011 but recognizes that market actors are not incentivized to sell to the poorest households. Using a randomized controlled trial, in which poor households in treatment villages were offered partial latrine subsidies, this study investigated how subsidies affected latrine sales and program cost-effectiveness. Results show latrine sales among poor households that were offered subsidies increased by 14–16% compared to those that were not offered subsidies. Also, no significant effect on latrine sales among non-poor households was found, although lower village-level latrine coverage can reduce latrine sales to non-poor households. Cost-effectiveness analysis shows the increase in sales and thus economies of scale from subsidies yield lower per-latrine program costs compared to non-subsidy costs ($38 vs. $54). Well-targeted latrine subsidies can significantly increase latrine sales among poor households with minimal impact on latrine sales to non-poor households and favorable program cost reductions. However, subsidies must not be introduced into a market before baseline sanitation coverage is achieved to avoid market distortion effects.
{"title":"Increasing latrine sales among poor households in rural Cambodia using targeted subsidies: a randomized control trial","authors":"C. Nicoletti, Greg Lestikow, Toeur Veasna, A. May, Reimar Macaranas, D. Hudner, James Harper","doi":"10.2166/washdev.2022.184","DOIUrl":"https://doi.org/10.2166/washdev.2022.184","url":null,"abstract":"\u0000 Because improved sanitation can improve public health but is lacking in many rural areas, many organizations use sanitation marketing to increase latrine coverage. In rural Cambodia, iDE has facilitated the sale of more than 395,000 pour-flush latrines since 2011 but recognizes that market actors are not incentivized to sell to the poorest households. Using a randomized controlled trial, in which poor households in treatment villages were offered partial latrine subsidies, this study investigated how subsidies affected latrine sales and program cost-effectiveness. Results show latrine sales among poor households that were offered subsidies increased by 14–16% compared to those that were not offered subsidies. Also, no significant effect on latrine sales among non-poor households was found, although lower village-level latrine coverage can reduce latrine sales to non-poor households. Cost-effectiveness analysis shows the increase in sales and thus economies of scale from subsidies yield lower per-latrine program costs compared to non-subsidy costs ($38 vs. $54). Well-targeted latrine subsidies can significantly increase latrine sales among poor households with minimal impact on latrine sales to non-poor households and favorable program cost reductions. However, subsidies must not be introduced into a market before baseline sanitation coverage is achieved to avoid market distortion effects.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44674962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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