Getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework
This article was published in Tropical Medicine and International Health [ © 2015 Blackwell Publishing Inc.] and the definite version is available at: http://onlinelibrary.wiley.com/doi/10.1111/tmi.12439/abstract
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© 2015 Blackwell Publishing Ltd
2017
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| Accesso online: | http://hdl.handle.net/10361/7458 http://doi.org/10.1111/tmi.12439 |
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10361-74582018-03-15T05:16:12Z Getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework M. R. Campbell, Oona Benova, Lenka Gon, Giorgia Afsana, Kaosar Cumming, Oliver James P Grant School of Public Health, BRAC University Hygiene Life course Maternal health Perinatal health Reproductive health Sanitation Water This article was published in Tropical Medicine and International Health [ © 2015 Blackwell Publishing Inc.] and the definite version is available at: http://onlinelibrary.wiley.com/doi/10.1111/tmi.12439/abstract Objective: To explore linkages between water, sanitation and hygiene (WASH) and maternal and perinatal health via a conceptual approach and a scoping review. Methods: We developed a conceptual framework iteratively, amalgamating three literature-based lenses. We then searched literature and identified risk factors potentially linked to maternal and perinatal health. We conducted a systematic scoping review for all chemical and biological WASH risk factors identified using text and MeSH terms, limiting results to systematic reviews or meta-analyses. The remaining 10 complex behavioural associations were not reviewed systematically. Results: The main ways poor WASH could lead to adverse outcomes are via two non-exclusive categories: 1. 'In-water' associations: (a) Inorganic contaminants, and (b) 'water-system' related infections, (c) 'water-based' infections, and (d) 'water borne' infections. 2. 'Behaviour' associations: (e) Behaviours leading to water-washed infections, (f) Water-related insect-vector infections, and (g-i) Behaviours leading to non-infectious diseases/conditions. We added a gender inequality and a life course lens to the above framework to identify whether WASH affected health of mothers in particular, and acted beyond the immediate effects. This framework led us to identifying 77 risk mechanisms (67 chemical or biological factors and 10 complex behavioural factors) linking WASH to maternal and perinatal health outcomes. Conclusion: WASH affects the risk of adverse maternal and perinatal health outcomes; these exposures are multiple and overlapping and may be distant from the immediate health outcome. Much of the evidence is weak, based on observational studies and anecdotal evidence, with relatively few systematic reviews. New systematic reviews are required to assess the quality of existing evidence more rigorously, and primary research is required to investigate the magnitude of effects of particular WASH exposures on specific maternal and perinatal outcomes. Whilst major gaps exist, the evidence strongly suggests that poor WASH influences maternal and reproductive health outcomes to the extent that it should be considered in global and national strategies Published 2017-01-02T10:23:36Z 2017-01-02T10:23:36Z 2015 Article Campbell, O. M. R., Benova, L., Gon, G., Afsana, K., & Cumming, O. (2015). Getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: A conceptual framework. Tropical Medicine and International Health, 20(3), 252-267. doi:10.1111/tmi.12439 13602276 http://hdl.handle.net/10361/7458 http://doi.org/10.1111/tmi.12439 en http://onlinelibrary.wiley.com/doi/10.1111/tmi.12439/abstract © 2015 Blackwell Publishing Ltd |
| institution |
Brac University |
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Institutional Repository |
| language |
English |
| topic |
Hygiene Life course Maternal health Perinatal health Reproductive health Sanitation Water |
| spellingShingle |
Hygiene Life course Maternal health Perinatal health Reproductive health Sanitation Water M. R. Campbell, Oona Benova, Lenka Gon, Giorgia Afsana, Kaosar Cumming, Oliver Getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework |
| description |
This article was published in Tropical Medicine and International Health [ © 2015 Blackwell Publishing Inc.] and the definite version is available at: http://onlinelibrary.wiley.com/doi/10.1111/tmi.12439/abstract |
| author2 |
James P Grant School of Public Health, BRAC University |
| author_facet |
James P Grant School of Public Health, BRAC University M. R. Campbell, Oona Benova, Lenka Gon, Giorgia Afsana, Kaosar Cumming, Oliver |
| format |
Article |
| author |
M. R. Campbell, Oona Benova, Lenka Gon, Giorgia Afsana, Kaosar Cumming, Oliver |
| author_sort |
M. R. Campbell, Oona |
| title |
Getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework |
| title_short |
Getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework |
| title_full |
Getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework |
| title_fullStr |
Getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework |
| title_full_unstemmed |
Getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework |
| title_sort |
getting the basic rights - the role of water, sanitation and hygiene in maternal and reproductive health: a conceptual framework |
| publisher |
© 2015 Blackwell Publishing Ltd |
| publishDate |
2017 |
| url |
http://hdl.handle.net/10361/7458 http://doi.org/10.1111/tmi.12439 |
| work_keys_str_mv |
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1814307396513693696 |