坦桑尼亚中部农村资源贫乏地区的卫生习惯、供水、环境卫生和儿童腹泻:一项混合方法研究

Elpidius Rukambile, Gary Muscatello, Msafiri Kalloka, Brigitte Bagnol, Darryl Stellmach, Robyn Alders
{"title":"坦桑尼亚中部农村资源贫乏地区的卫生习惯、供水、环境卫生和儿童腹泻:一项混合方法研究","authors":"Elpidius Rukambile, Gary Muscatello, Msafiri Kalloka, Brigitte Bagnol, Darryl Stellmach, Robyn Alders","doi":"10.24248/easci.v5i1.75","DOIUrl":null,"url":null,"abstract":"Diarrhoeal diseases are associated with high morbidity and mortality, especially in children less than five years of age in many low- and middle-income countries (LMICs). This cross-sectional convergence mixed-method study explored water, sanitation and hygiene challenges as the important contributors to childhood diarrhoea in rural Tanzania. The study involved questionnaire survey (N=340), key informant interviews (KII) (n=10) and eight focus group discussions (FDG) (n=61). Prevalence of diarrhoea was 22.2% and 18.7% in Sanza and Iwondo Wards, of Manyoni and Mpwapwa Districts respectively. Improved houses (iron roof and baked brick walls) were more common in Sanza, while 80% of the houses in both wards had earth floor. Water sources in dry period and frequency of sharing water sources with animal were significantly different between wards (P<.001). Boiling drinking water was uncommon, practised by only 5.2% and 8.6% of the households in Sanza and Iwondo, respectively. More than 95% of the households in both wards used traditional pit latrines, and latrine sharing was more common in Iwondo than in Sanza (P=.035). The themes from KII and FGD were: knowledge of occurrence and causes of diarrhoea, water safety, hand-washing, availability of improved sanitation services, keeping chickens inside the house overnight, health effects associated with keeping chickens inside the house and knowledge of occurrence and causes of diarrhoea. Mixed methods analysis through merging data sets revealed poor community knowledge on the causes of childhood diarrhoea, ineffective hand washing, seasonal variation of drinking water sources and high human-chicken interactions. Prevention and control of gastrointestinal infections in resource-poor settings should promote the use of cheap and locally available resources and feasible practices in response to the existing challenges related to water and sanitation services, financial constraints, economic activities, and cultural practices.","PeriodicalId":11398,"journal":{"name":"East Africa Science","volume":"331 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Hygiene Practices, Water Supply, Sanitation, and Childhood Diarrhoea in Resource-Poor Settings of Rural Central Tanzania: A Mixed-Method Study\",\"authors\":\"Elpidius Rukambile, Gary Muscatello, Msafiri Kalloka, Brigitte Bagnol, Darryl Stellmach, Robyn Alders\",\"doi\":\"10.24248/easci.v5i1.75\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Diarrhoeal diseases are associated with high morbidity and mortality, especially in children less than five years of age in many low- and middle-income countries (LMICs). This cross-sectional convergence mixed-method study explored water, sanitation and hygiene challenges as the important contributors to childhood diarrhoea in rural Tanzania. The study involved questionnaire survey (N=340), key informant interviews (KII) (n=10) and eight focus group discussions (FDG) (n=61). Prevalence of diarrhoea was 22.2% and 18.7% in Sanza and Iwondo Wards, of Manyoni and Mpwapwa Districts respectively. Improved houses (iron roof and baked brick walls) were more common in Sanza, while 80% of the houses in both wards had earth floor. Water sources in dry period and frequency of sharing water sources with animal were significantly different between wards (P<.001). Boiling drinking water was uncommon, practised by only 5.2% and 8.6% of the households in Sanza and Iwondo, respectively. More than 95% of the households in both wards used traditional pit latrines, and latrine sharing was more common in Iwondo than in Sanza (P=.035). The themes from KII and FGD were: knowledge of occurrence and causes of diarrhoea, water safety, hand-washing, availability of improved sanitation services, keeping chickens inside the house overnight, health effects associated with keeping chickens inside the house and knowledge of occurrence and causes of diarrhoea. Mixed methods analysis through merging data sets revealed poor community knowledge on the causes of childhood diarrhoea, ineffective hand washing, seasonal variation of drinking water sources and high human-chicken interactions. Prevention and control of gastrointestinal infections in resource-poor settings should promote the use of cheap and locally available resources and feasible practices in response to the existing challenges related to water and sanitation services, financial constraints, economic activities, and cultural practices.\",\"PeriodicalId\":11398,\"journal\":{\"name\":\"East Africa Science\",\"volume\":\"331 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-03-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"East Africa Science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.24248/easci.v5i1.75\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"East Africa Science","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24248/easci.v5i1.75","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

腹泻病与高发病率和死亡率有关,特别是在许多低收入和中等收入国家的五岁以下儿童中。这项横断面融合混合方法研究探讨了水、环境卫生和个人卫生挑战是坦桑尼亚农村儿童腹泻的重要因素。本研究包括问卷调查(N=340)、关键线人访谈(N= 10)和8次焦点小组讨论(N= 61)。马尼奥尼区和姆瓦普瓦区桑扎区和伊旺多区腹泻患病率分别为22.2%和18.7%。改良过的房子(铁屋顶和烤砖墙)在三扎更常见,而两个区80%的房子都是土地板。干期水源和与动物共用水源的频率在病房间差异显著(p < 0.01)。烧开饮用水并不常见,三扎和Iwondo分别只有5.2%和8.6%的家庭使用烧开饮用水。两个区95%以上的家庭使用传统的坑式厕所,共用厕所在Iwondo比Sanza更为普遍(P= 0.035)。KII和FGD的主题是:了解腹泻的发生和原因、水安全、洗手、改善卫生服务的可得性、在室内养鸡过夜、与在室内养鸡有关的健康影响以及了解腹泻的发生和原因。通过合并数据集进行的混合方法分析显示,社区对儿童腹泻病因的了解不足、洗手效率低下、饮用水源的季节性变化以及人与鸡之间的高度相互作用。在资源贫乏的环境中,预防和控制胃肠道感染应促进使用当地可获得的廉价资源和可行做法,以应对与水和卫生服务、财政限制、经济活动和文化习俗有关的现有挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Hygiene Practices, Water Supply, Sanitation, and Childhood Diarrhoea in Resource-Poor Settings of Rural Central Tanzania: A Mixed-Method Study
Diarrhoeal diseases are associated with high morbidity and mortality, especially in children less than five years of age in many low- and middle-income countries (LMICs). This cross-sectional convergence mixed-method study explored water, sanitation and hygiene challenges as the important contributors to childhood diarrhoea in rural Tanzania. The study involved questionnaire survey (N=340), key informant interviews (KII) (n=10) and eight focus group discussions (FDG) (n=61). Prevalence of diarrhoea was 22.2% and 18.7% in Sanza and Iwondo Wards, of Manyoni and Mpwapwa Districts respectively. Improved houses (iron roof and baked brick walls) were more common in Sanza, while 80% of the houses in both wards had earth floor. Water sources in dry period and frequency of sharing water sources with animal were significantly different between wards (P<.001). Boiling drinking water was uncommon, practised by only 5.2% and 8.6% of the households in Sanza and Iwondo, respectively. More than 95% of the households in both wards used traditional pit latrines, and latrine sharing was more common in Iwondo than in Sanza (P=.035). The themes from KII and FGD were: knowledge of occurrence and causes of diarrhoea, water safety, hand-washing, availability of improved sanitation services, keeping chickens inside the house overnight, health effects associated with keeping chickens inside the house and knowledge of occurrence and causes of diarrhoea. Mixed methods analysis through merging data sets revealed poor community knowledge on the causes of childhood diarrhoea, ineffective hand washing, seasonal variation of drinking water sources and high human-chicken interactions. Prevention and control of gastrointestinal infections in resource-poor settings should promote the use of cheap and locally available resources and feasible practices in response to the existing challenges related to water and sanitation services, financial constraints, economic activities, and cultural practices.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Iron Deficiency and Iron Deficiency Anemia Among Children 3 to 59 Months of Age in Kinondoni Municipal, Dar es Salaam: A Facility-Based Cross-Sectional Study Dengue Virus and Blood Safety: A Mini-Review of Research Publications Self-Medication Practice with Antimalarials and Associated Factors Among Undergraduate Health Science Students in North Western - Tanzania: A Cross-Sectional Study Contamination of Automated Teller Machines Surfaces with Multi-drug Resistance Gram-negative Bacteria in Dar es Salaam, Tanzania Seroprevalence of Toxoplasma gondii and Associated Risk factors Among Pregnant Women Attending Antenatal Care in Ilala Municipality, Dar es Salaam, Tanzania
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1