Effectiveness of a community-based water, sanitation, and hygiene (WASH) intervention in reduction of diarrhoea among under-five children: Evidence from a repeated cross-sectional study (2007–2015) in rural Bangladesh
This article was published in The Science Direct [© 2019 Elsevier GmbH. All rights reserved.] and the definite version is available at: https://doi.org/10.1016/j.ijheh.2019.08.006 The Journal's website is at: https://www.sciencedirect.com/science/article/abs/pii/S1438463919304389?via%3Dihub
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| Accés en línia: | http://hdl.handle.net/10361/16504 https://doi.org/10.1016/j.ijheh.2019.08.006 |
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10361-165042022-04-03T07:47:56Z Effectiveness of a community-based water, sanitation, and hygiene (WASH) intervention in reduction of diarrhoea among under-five children: Evidence from a repeated cross-sectional study (2007–2015) in rural Bangladesh Dey, Nepal C Parvez, Mahmood Islam, Mir Raihanul Mistry, Sabuj K Levine, David I Brac James P. Grant School of Public Health Child feces disposal Diarrhoea Under-five children WASH This article was published in The Science Direct [© 2019 Elsevier GmbH. All rights reserved.] and the definite version is available at: https://doi.org/10.1016/j.ijheh.2019.08.006 The Journal's website is at: https://www.sciencedirect.com/science/article/abs/pii/S1438463919304389?via%3Dihub Diarrhoea, the most common disease directly related to water, sanitation, and hygiene (WASH), still remains one of the most significant health problems among children under-five worldwide. In this reality, BRAC, the largest NGO in the world initiated a comprehensive WASH intervention in 50 upazilas (sub-districts) of Bangladesh in 2007 which was later scaled up to cover 150 upazilas in two subsequent phases. The intervention period of the programme was 2007–2011. The present study encompassed 30 upazilas of the first phase of intervention. The aim of the study was to investigate the effectiveness of this intervention on reduction of diarrhoea among under-five children, and to identify the factors associated with childhood diarrhoea. A repeated cross-sectional study design was followed, and a population-based survey was carried out on four occasions: baseline (2007), midline (2009), endline (2011), and post-endline (2015) among 4,775 households. This analysis considers only households having at least one under-five children. Absence of handwashing practice with soap after defecation and before eating food, unclean latrine condition, and unsafe disposal of child faeces were identified as significant risk factors associated with under-five diarrhoea from Log-binomial regression. The prevalence of under-five diarrhoea within the past 2 weeks of the survey declined from 13.7% at baseline to 3.6% at end-line (p < 0.001) in the WASH intervention area. However, the progress seemingly stalled after 2011, which may have occurred due to the lack of improvement in unsafe disposal of child faeces and unclean latrine condition after the intervention period. Study findings suggest that, to reduce the prevalence of childhood diarrhoea it is important to promote safe disposal of child faeces, maintaining cleanliness of latrines, and washing hand with soap at critical times, beyond merely increasing the sanitation coverage. Findings also underline the necessity of maintaining a small-scale monitoring component involving local community, such as a WatSan committee (a local committee comprising the user communities for supervising WASH related activities) for periodic monitoring at household level for a certain period after the program intervention works to make the behavioural change more sustainable and to keep the reduction rate of under-five diarrhoeal prevalence steady. Published 2022-04-03T07:45:29Z 2022-04-03T07:45:29Z 2019 2019-08-20 Journal Article Dey, N. C., Parvez, M., Islam, M. R., Mistry, S. K., & Levine, D. I. (2019). Effectiveness of a community-based water, sanitation, and hygiene (WASH) intervention in reduction of diarrhoea among under-five children: Evidence from a repeated cross-sectional study (2007-2015) in rural Bangladesh. International journal of hygiene and environmental health, 222(8), 1098–1108. https://doi.org/10.1016/j.ijheh.2019.08.006 http://hdl.handle.net/10361/16504 https://doi.org/10.1016/j.ijheh.2019.08.006 en_US https://www.sciencedirect.com/science/article/abs/pii/S1438463919304389?via%3Dihub International Journal of Hygiene and Environmental Health Science Direct |
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Brac University |
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Institutional Repository |
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en_US |
| topic |
Child feces disposal Diarrhoea Under-five children WASH |
| spellingShingle |
Child feces disposal Diarrhoea Under-five children WASH Dey, Nepal C Parvez, Mahmood Islam, Mir Raihanul Mistry, Sabuj K Levine, David I Effectiveness of a community-based water, sanitation, and hygiene (WASH) intervention in reduction of diarrhoea among under-five children: Evidence from a repeated cross-sectional study (2007–2015) in rural Bangladesh |
| description |
This article was published in The Science Direct [© 2019 Elsevier GmbH. All rights reserved.] and the definite version is available at: https://doi.org/10.1016/j.ijheh.2019.08.006 The Journal's website is at: https://www.sciencedirect.com/science/article/abs/pii/S1438463919304389?via%3Dihub |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Dey, Nepal C Parvez, Mahmood Islam, Mir Raihanul Mistry, Sabuj K Levine, David I |
| format |
Journal Article |
| author |
Dey, Nepal C Parvez, Mahmood Islam, Mir Raihanul Mistry, Sabuj K Levine, David I |
| author_sort |
Dey, Nepal C |
| title |
Effectiveness of a community-based water, sanitation, and hygiene (WASH) intervention in reduction of diarrhoea among under-five children: Evidence from a repeated cross-sectional study (2007–2015) in rural Bangladesh |
| title_short |
Effectiveness of a community-based water, sanitation, and hygiene (WASH) intervention in reduction of diarrhoea among under-five children: Evidence from a repeated cross-sectional study (2007–2015) in rural Bangladesh |
| title_full |
Effectiveness of a community-based water, sanitation, and hygiene (WASH) intervention in reduction of diarrhoea among under-five children: Evidence from a repeated cross-sectional study (2007–2015) in rural Bangladesh |
| title_fullStr |
Effectiveness of a community-based water, sanitation, and hygiene (WASH) intervention in reduction of diarrhoea among under-five children: Evidence from a repeated cross-sectional study (2007–2015) in rural Bangladesh |
| title_full_unstemmed |
Effectiveness of a community-based water, sanitation, and hygiene (WASH) intervention in reduction of diarrhoea among under-five children: Evidence from a repeated cross-sectional study (2007–2015) in rural Bangladesh |
| title_sort |
effectiveness of a community-based water, sanitation, and hygiene (wash) intervention in reduction of diarrhoea among under-five children: evidence from a repeated cross-sectional study (2007–2015) in rural bangladesh |
| publisher |
Science Direct |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16504 https://doi.org/10.1016/j.ijheh.2019.08.006 |
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