Association of mother's handwashing practices and pediatric diarrhea: evidence from a multi-country study on community oriented interventions.
J Prev Med Hyg
; 60(2): E93-E102, 2019 Jun.
Article
en En
| MEDLINE
| ID: mdl-31312738
ABSTRACT
INTRODUCTION:
Improved hand hygiene in contexts with high levels of diarrheal diseases has shown to reduce diarrheal episodes in children under five years. A quasi-experimental multi-country study with matched comparisons was conducted in four rural districts/sub districts in Cambodia, Guatemala, Kenya and Zambia.METHODS:
Community oriented interventions including health promotion for appropriate hand washing was implemented in the intervention sites, through community health workers (CHW) and social accountability mechanisms. Community councils were strengthened/established in all study sites. Using household surveys, information on mother's handwashing practices and diarrhea incidence of children 2 weeks preceding the study was obtained. RESULTS ANDCONCLUSION:
Access to safe drinking water was reportedly higher for communities in Guatemala and Zambia (> 80%), than those in Cambodia and Kenya (< 63%), with significantly higher levels in intervention sites for Guatemala and Kenya. Improved sanitation was low (< 10%), for Kenya and Zambia, compared to Cambodia and Guatemala (> 40%); intervention sites reporting significantly higher levels, except for Zambia. Hand washing index; hand washing before food preparation, after defecation, attending to a child after defecation, and before feeding children was significantly higher for intervention sites in Cambodia, Guatemala and Kenya (Cambodia, 2.4 vs 2.2, p < 0.001, Guatemala, 3.0 vs 2.5, p < 0.001, Kenya, 2.6 vs 2.3, p < 0.001). Factors significantly associated with lower odds of diarrhea were; mother's marital status, higher educational status, one or more handwashing practices, wealthier quintiles, older (> 24 m), and female children. The findings suggest that caretaker handwashing with soap or ash has a protective effect on prevalence of diarrhea in children.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Desinfección de las Manos
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Diarrea Infantil
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Promoción de la Salud
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Madres
Tipo de estudio:
Qualitative_research
/
Risk_factors_studies
Límite:
Adolescent
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Adult
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Child, preschool
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Female
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Humans
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Infant
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Middle aged
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Newborn
País/Región como asunto:
Africa
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America central
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Asia
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Guatemala
Idioma:
En
Revista:
J Prev Med Hyg
Asunto de la revista:
SAUDE PUBLICA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Estados Unidos