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1.
Environ Monit Assess ; 196(6): 532, 2024 May 10.
Article in English | MEDLINE | ID: mdl-38727964

ABSTRACT

WetSpass-M model and multi-technique baseflow separation (MTBS) were applied to estimate spatio-temporal groundwater recharge (GWR) to be used to comprehend and enhance sustainable water resource development in the data-scarce region. Identification of unit Hydrographs And Component flows from Rainfall, Evaporation, and Streamflow (IHACRES) techniques outperform the existing 13 MTBS techniques to separate baseflow depending on the correlation matrix; mean baseflow was 5.128 m3/s. The WetSpass-M model performance evaluated by Nash-Sutcliff Efficiency (NSE) was 0.95 and 0.89; R2 was 0.90 and 0.85 in comparison to observed and simulated mean monthly baseflow and runoff (m3/s), respectively. The estimated mean annual water balance was 608.2 mm for actual evapotranspiration, 221.42 mm for the surface runoff, 87.42 mm for interception rate, and 177.66 mm for GWR, with an error of - 3.29 mm/year. The highest annual actual evapotranspiration was depicted in areas covered by vegetation, whereas lower in the settlement. The peak annual interception rates have been noticed in areas covered with forests and shrublands, whereas the lowest in settlement and bare land. The maximum annual runoff was depicted in settlement and bare land, while the lowest was in forest-covered areas. The annual recharge rates were low in bare land due to high runoff and maximum in forest-covered areas due to low surface runoff. The watershed's downstream areas receive scanty annual rainfall, which causes low recharge and drought. The findings point the way ahead in terms of selecting the best approach across multi-technique baseflow separations.


Subject(s)
Environmental Monitoring , Groundwater , Water Movements , Groundwater/chemistry , Ethiopia , Environmental Monitoring/methods , Rain , Models, Theoretical , Water Supply/statistics & numerical data , Hydrology
2.
Environ Monit Assess ; 196(6): 518, 2024 May 07.
Article in English | MEDLINE | ID: mdl-38710968

ABSTRACT

The article presents a comprehensive framework for assessing the physical vulnerability of hand-dug wells within the Are Community, Southwestern Nigeria. The study spans from March to April 2023 and meticulously examines 90 wells, focusing on critical parameters such as well collar, well cover, and well lining information. The analysis reveals significant variations in well collar construction materials and dimensions, emphasizing the community's adaptive strategies. The Well Collar Height Index (WCi), Well Cover Index (WCOi), Well Lining Index (WLi), and the derived Vulnerability Index categorize wells into vulnerability classes, offering a nuanced understanding of susceptibility levels. Notably, the study identifies wells with Very High vulnerability that demand urgent attention, as well as wells with effective protective measures categorized as Very Low vulnerability. The article emphasizes the need for a nuanced understanding of local practices and materials, highlighting the variability in well collar construction. It discusses the implications of well cover conditions and the critical role of well linings in assessing groundwater vulnerability. The Vulnerability Index combines these parameters, guiding targeted interventions based on risk severity. The study lays the groundwork for future interventions to enhance the safety and sustainability of water sources within the Are Community. It recommends immediate comprehensive measures for highly vulnerable wells, ongoing monitoring, community engagement, and knowledge sharing. The future scope includes incorporating geochemical analysis, targeted interventions, regular maintenance, community training, and exploring alternative water sources for sustainable improvements.


Subject(s)
Environmental Monitoring , Water Wells , Nigeria , Environmental Monitoring/methods , Humans , Water Supply/statistics & numerical data , Groundwater/chemistry , Risk Assessment
3.
Sci Total Environ ; 929: 172539, 2024 Jun 15.
Article in English | MEDLINE | ID: mdl-38649039

ABSTRACT

Per- and polyfluoroalkyl substances (PFAS) are a class of man-made contaminants of human health concern due to their resistance to degradation, widespread environmental occurrence, bioaccumulation in living organisms, and potential negative health impacts. Private drinking water supplies may be uniquely vulnerable to PFAS contamination in impacted areas, as these systems are not protected under federal regulations and often include limited treatment or remediation, if contaminated, prior to use. The goal of this study was to determine the incidence of PFAS contamination in private drinking water supplies in two counties in Southwest Virginia, USA (Floyd and Roanoke) that share similar bedrock geologies, are representative of different state Department of Health risk categories, and to examine the potential for reliance on citizen-science based strategies for sample collection in subsequent efforts. Samples for inorganic ions, bacteria, and PFAS analysis were collected on separate occasions by participants and experts at the home drinking water point of use (POU) for comparison. Experts also collected outside tap samples for analysis of 30 PFAS compounds. At least one PFAS was detectable in 95 % of POU samples collected (n = 60), with a mean total PFAS concentration of 23.5 ± 30.8 ppt. PFOA and PFOS, two PFAS compounds which presently have EPA health advisories, were detectable in 13 % and 22 % of POU samples, respectively. On average, each POU sample contained >3 PFAS compounds, and one sample contained as many as 8 compounds, indicating that exposure to a mixture of PFAS in drinking water may be occurring. Although there were significant differences in total PFAS concentrations between expert and participant collected samples (Wilcoxon, alpha = 0.05), collector bias was inconsistent, and may be due to the time of day of sampling (i.e. morning, afternoon) or specific attributes of a given home. Further research is required to resolve sources of intra-sample variability.


Subject(s)
Drinking Water , Environmental Monitoring , Fluorocarbons , Water Pollutants, Chemical , Water Supply , Water Pollutants, Chemical/analysis , Drinking Water/chemistry , Fluorocarbons/analysis , Virginia , Water Supply/statistics & numerical data
4.
Sci Total Environ ; 927: 171946, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38527551

ABSTRACT

Argentina has a relevant international role as a producer of agricultural commodities. Buenos Aires is the province with the largest cultivated area of cereals and oilseeds of the country. Rainfed crops depend exclusively on green water, meaning a comparative advantage for Buenos Aires province. The green virtual water content in the crops produced in Buenos Aires has implications for water allocation at international level. A great amount of countries depends on the Argentinean rainfed agriculture. Therefore, it is important to understand the effects of climate variations on Argentinean crop production at local level and the role of rainfed crops in regional and international trade. We analysed the temporal and territorial variations of crops green water demand in a climatic variability context and their influence on the water footprint. The green water footprint of the main crops of Buenos Aires was assessed, including soybeans, maize, sunflower, wheat and barley, in different climatic conditions: for the period 2008-2018, which include a dry year, a humid year and an ordinary year. A dataset about the green water footprint at municipality level was provided, and the results were presented on maps for each crop and for the different climatic conditions. The relevance of green water of main crops in the world water-dependent supply chains was shown. This comprehensive green water footprint assessment provides a useful database for researchers, companies and policy makers in Argentina and beyond.


Subject(s)
Agriculture , Crops, Agricultural , Argentina , Climate Change , Climate , Water Supply/statistics & numerical data , Rain
5.
Nature ; 625(7994): 293-300, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38200299

ABSTRACT

Documenting the rate, magnitude and causes of snow loss is essential to benchmark the pace of climate change and to manage the differential water security risks of snowpack declines1-4. So far, however, observational uncertainties in snow mass5,6 have made the detection and attribution of human-forced snow losses elusive, undermining societal preparedness. Here we show that human-caused warming has caused declines in Northern Hemisphere-scale March snowpack over the 1981-2020 period. Using an ensemble of snowpack reconstructions, we identify robust snow trends in 82 out of 169 major Northern Hemisphere river basins, 31 of which we can confidently attribute to human influence. Most crucially, we show a generalizable and highly nonlinear temperature sensitivity of snowpack, in which snow becomes marginally more sensitive to one degree Celsius of warming as climatological winter temperatures exceed minus eight degrees Celsius. Such nonlinearity explains the lack of widespread snow loss so far and augurs much sharper declines and water security risks in the most populous basins. Together, our results emphasize that human-forced snow losses and their water consequences are attributable-even absent their clear detection in individual snow products-and will accelerate and homogenize with near-term warming, posing risks to water resources in the absence of substantial climate mitigation.


Subject(s)
Human Activities , Snow , Meteorology , Global Warming/prevention & control , Global Warming/statistics & numerical data , Temperature , Water Supply/statistics & numerical data
6.
Nature ; 625(7996): 715-721, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38267682

ABSTRACT

Groundwater resources are vital to ecosystems and livelihoods. Excessive groundwater withdrawals can cause groundwater levels to decline1-10, resulting in seawater intrusion11, land subsidence12,13, streamflow depletion14-16 and wells running dry17. However, the global pace and prevalence of local groundwater declines are poorly constrained, because in situ groundwater levels have not been synthesized at the global scale. Here we analyse in situ groundwater-level trends for 170,000 monitoring wells and 1,693 aquifer systems in countries that encompass approximately 75% of global groundwater withdrawals18. We show that rapid groundwater-level declines (>0.5 m year-1) are widespread in the twenty-first century, especially in dry regions with extensive croplands. Critically, we also show that groundwater-level declines have accelerated over the past four decades in 30% of the world's regional aquifers. This widespread acceleration in groundwater-level deepening highlights an urgent need for more effective measures to address groundwater depletion. Our analysis also reveals specific cases in which depletion trends have reversed following policy changes, managed aquifer recharge and surface-water diversions, demonstrating the potential for depleted aquifer systems to recover.


Subject(s)
Groundwater , Acceleration , Ecosystem , Groundwater/analysis , Water Supply/statistics & numerical data
8.
Disaster Med Public Health Prep ; 17: e447, 2023 07 31.
Article in English | MEDLINE | ID: mdl-37519243

ABSTRACT

OBJECTIVE: The study examined factors associated with food and water stockpiling (FWS) during the COVID-19 pandemic. METHODS: A secondary analysis of online survey data collected in two waves: April 2020 (wave 1) and June/July 2020 (wave 2), was conducted through REDCap web application. A total of 2,271 Non-Latino Black and Latino adults (mean age: 36.8 years (SD = 16.0); 64.3% female) living in Illinois were recruited. Participants self-reported if they stockpiled food and/or water (FWS) seven days prior to survey completion because of the pandemic. Logistic regression was used to determine if each variable was associated with the odds of reporting FWS. RESULTS: Nearly a quarter (23.3%) of participants reported FWS. The adjusted model revealed that odds of FWS increase as the number of household members increased (OR: 1.21; 95% CI: 1.05-1.41). Odds of FWS were lower among participants who were not self-quarantining compared to those self-quarantining all the time (OR: 0.32; 95% CI: 0.17 - 0.62). Furthermore, individuals with lower levels of concern about COVID-19 had lower odds of FWS than those extremely concerned. CONCLUSIONS: Household size, self-quarantine status, and concern about COVID-19 were significantly associated with FWS. These findings highlight the need to address the concerns of marginalized individuals to promote healthy behaviors.


Subject(s)
Black or African American , COVID-19 , Food Supply , Hispanic or Latino , Strategic Stockpile , Water Supply , Adult , Female , Humans , Male , COVID-19/epidemiology , COVID-19/ethnology , COVID-19/psychology , Health Behavior/ethnology , Hispanic or Latino/psychology , Hispanic or Latino/statistics & numerical data , Pandemics/statistics & numerical data , SARS-CoV-2 , Strategic Stockpile/statistics & numerical data , Black or African American/psychology , Black or African American/statistics & numerical data , Food Supply/statistics & numerical data , Water Supply/statistics & numerical data , Young Adult , Middle Aged , Illinois/epidemiology
10.
Infect Dis Poverty ; 12(1): 31, 2023 Apr 10.
Article in English | MEDLINE | ID: mdl-37032366

ABSTRACT

BACKGROUND: While 5% of 247 million global malaria cases are reported in Uganda, it is also a top refugee hosting country in Africa, with over 1.36 million refugees. Despite malaria being an emerging challenge for humanitarian response in refugee settlements, little is known about its risk factors. This study aimed to investigate the risk factors for malaria infections among children under 5 years of age in refugee settlements in Uganda. METHODS: We utilized data from Uganda's Malaria Indicator Survey which was conducted between December 2018 and February 2019 at the peak of malaria season. In this national survey, household level information was obtained using standardized questionnaires and a total of 7787 children under 5 years of age were tested for malaria using mainly the rapid diagnostic test. We focused on 675 malaria tested children under five in refugee settlements located in Yumbe, Arua, Adjumani, Moyo, Lamwo, Kiryadongo, Kyegegwa, Kamwenge and Isingiro districts. The extracted variables included prevalence of malaria, demographic, social-economic and environmental information. Multivariable logistic regression was used to identify and define the malaria associated risk factors. RESULTS: Overall, malaria prevalence in all refugee settlements across the nine hosting districts was 36.6%. Malaria infections were higher in refugee settlements located in Isingiro (98.7%), Kyegegwa (58.6%) and Arua (57.4%) districts. Several risk factors were significantly associated with acquisition of malaria including fetching water from open water sources [adjusted odds ratio (aOR) = 1.22, 95% CI: 0.08-0.59, P = 0.002], boreholes (aOR = 2.11, 95% CI: 0.91-4.89, P = 0.018) and water tanks (aOR = 4.47, 95% CI: 1.67-11.9, P = 0.002). Other factors included pit-latrines (aOR = 1.48, 95% CI: 1.03-2.13, P = 0.033), open defecation (aOR = 3.29, 95% CI: 1.54-7.05, P = 0.002), lack of insecticide treated bed nets (aOR = 1.15, 95% CI: 0.43-3.13, P = 0.003) and knowledge on the causes of malaria (aOR = 1.09, 95% CI: 0.79-1.51, P = 0.005). CONCLUSIONS: The persistence of the malaria infections were mainly due to open water sources, poor hygiene, and lack of preventive measures that enhanced mosquito survival and infection. Malaria elimination in refugee settlements requires an integrated control approach that combines environmental management with other complementary measures like insecticide treated bed nets, indoor residual spraying and awareness.


Subject(s)
Communicable Disease Control , Malaria , Refugees , Animals , Child, Preschool , Humans , Insecticide-Treated Bednets/supply & distribution , Malaria/diagnosis , Malaria/epidemiology , Malaria/prevention & control , Refugees/statistics & numerical data , Risk Factors , Uganda/epidemiology , Water , Infant, Newborn , Infant , Health Surveys , Prevalence , Water Supply/statistics & numerical data , Environmental Exposure/statistics & numerical data , Health Knowledge, Attitudes, Practice , Toilet Facilities/statistics & numerical data , Defecation , Hygiene/standards , Communicable Disease Control/methods , Communicable Disease Control/standards , Communicable Disease Control/statistics & numerical data
11.
Nature ; 615(7950): 87-93, 2023 03.
Article in English | MEDLINE | ID: mdl-36859582

ABSTRACT

Water resources sustainability in High Mountain Asia (HMA) surrounding the Tibetan Plateau (TP)-known as Asia's water tower-has triggered widespread concerns because HMA protects millions of people against water stress1,2. However, the mechanisms behind the heterogeneous trends observed in terrestrial water storage (TWS) over the TP remain poorly understood. Here we use a Lagrangian particle dispersion model and satellite observations to attribute about 1 Gt of monthly TWS decline in the southern TP during 2003-2016 to westerlies-carried deficit in precipitation minus evaporation (PME) from the southeast North Atlantic. We further show that HMA blocks the propagation of PME deficit into the central TP, causing a monthly TWS increase by about 0.5 Gt. Furthermore, warming-induced snow and glacial melt as well as drying-induced TWS depletion in HMA weaken the blocking of HMA's mountains, causing persistent northward expansion of the TP's TWS deficit since 2009. Future projections under two emissions scenarios verified by satellite observations during 2020-2021 indicate that, by the end of the twenty-first century, up to 84% (for scenario SSP245) and 97% (for scenario SSP585) of the TP could be afflicted by TWS deficits. Our findings indicate a trajectory towards unsustainable water systems in HMA that could exacerbate downstream water stress.


Subject(s)
Altitude , Climate Change , Desiccation , Forecasting , Water Supply , Humans , Asia , Climate Change/statistics & numerical data , Water Supply/statistics & numerical data , Tibet , Freezing , Snow , Satellite Imagery , Rain , Atlantic Ocean , Ice Cover , Conservation of Water Resources
12.
Water Res ; 233: 119806, 2023 Apr 15.
Article in English | MEDLINE | ID: mdl-36878178

ABSTRACT

Circular water management has the potential to close resource and material loops within and across value chains. In the water industry, circular municipal wastewater management through industrial urban symbiosis (IUS) is recognized as a solution to overcome water scarcity in urban environments. IUS involves collaboration between actors with different organizational backgrounds, which can lead to inherent risks of conflicting goals. This study explores how different values drive various organizations to participate in an emerging circular wastewater collaboration. The study comprises a literature review of 34 scientific articles and a case study of a potential circular wastewater system through IUS in Simrishamn, Sweden. It presents an interdisciplinary framework based on the total economic value concept and organizational archetypes for examining actor values in circular wastewater management. This framework provides a novel approach for assessing different values and how they may compete or align. It can also identify the absence of certain values, enabling the achievement of a minimum level of value coherence amongst different actors, and thereby increasing the sustainability and effectiveness of circular wastewater collaborations. Therefore, careful planning and stakeholder interaction, in accordance with economic value perspectives, can enhance the legitimacy and policy development of circular solutions.


Subject(s)
Conservation of Natural Resources , Waste Disposal, Fluid , Wastewater , Water Supply , Sweden , Wastewater/statistics & numerical data , Water , Water Supply/statistics & numerical data , Waste Disposal, Fluid/methods , Conservation of Natural Resources/methods
16.
Epidemiol. serv. saúde ; 31(3): e20211095, 2022. tab
Article in English, Portuguese | LILACS | ID: biblio-1404729

ABSTRACT

Objetivo: Avaliar a completitude do conjunto de dados do Sistema de Informação de Vigilância da Qualidade da Água para Consumo Humano (Sisagua) referente às informações sobre a cobertura de abastecimento de água para consumo humano no Brasil. Métodos: Estudo descritivo, sobre dados de 2014 a 2020. Foi calculada distribuição de frequência relativa de 35 variáveis. A completitude foi mensurada como excelente (≥ 95%), boa (90% a 94%), regular (70% a 89%), ruim (50% a 69%) e muito ruim (≤ 49%). Resultados: No período, foram identificados 861.250 registros de formas de abastecimento. O Sisagua, quanto à completitude dos dados, obteve uma classificação excelente para 25 variáveis, boa para duas, regular para três, ruim para uma e muito ruim para quatro. Conclusão: O sistema apresentou, em grande parte das variáveis, excelente completitude dos dados. Estudos dessa natureza contribuem para o aperfeiçoamento contínuo do Sisagua e possibilitam a identificação de inconsistências e fragilidades.


Objetivo: Evaluar la completitud del conjunto de datos del Sistema de Información para la Vigilancia de la Calidad del Agua para Consumo Humano (Sisagua), con relación a la información sobre la cobertura de abastecimiento de agua para consumo humano en Brasil. Métodos: Estudio descriptivo referido a datos de 2014 a 2020. Se calcularon distribuciones de frecuencias relativas de 35 variables. La completitud se midió como excelente (≥ 95%), buena (90% a 94%), regular (70% a 89%), mala (50% a 69%) y muy mala (≤ 49%). Resultados: En el período, hubo 861.250 registros de formas de suministro. Sisagua, en cuanto a la completitud de los datos, obtuvo una clasificación excelente para 25 variables, buena para dos, regular para tres, mala para una y muy mala para cuatro variables. Conclusión: El sistema presentó en la mayoría de las variables una excelente completitud de los datos. Estudios de esta naturaleza contribuyen a la mejoría continua de Sisagua y permiten identificar inconsistencias y debilidades.


Objective: To evaluate the completeness of dataset of the Drinking Water Quality Surveillance Information System (SISAGUA) regarding information on the coverage of water supply for human consumption in Brazil. Methods: This was a descriptive study on data between 2014 and 2020. A relative frequency distribution of 35 variables was calculated. Completeness was categorized as excellent (≥ 95%), good (90% to 94%), regular (70% to 89%), poor (50% to 69%) and very poor (≤ 49%). Results: In the period, there were 861,250 records of forms of water supply. With regard to data completeness, SISAGUA obtained an excellent classification for 25 variables, good for two, regular for three, poor for one and very poor for four variables. Conclusion: The system showed excellent data completeness for most of the variables. This type of study contributes to the continuous improvement of SISAGUA and enables the identification of inconsistencies and weaknesses.


Subject(s)
Humans , Water Supply/statistics & numerical data , Drinking Water/analysis , Environmental Health/statistics & numerical data , Health Information Systems , Brazil/epidemiology , Water Monitoring , Epidemiology, Descriptive , Data Accuracy
17.
Am J Trop Med Hyg ; 106(2): 479-485, 2021 12 06.
Article in English | MEDLINE | ID: mdl-34872060

ABSTRACT

Psychosocial stressors are indicative of challenges associated with the social and environmental conditions an individual is subjected to. In a bid to clearly understand the present gaps in school sanitation, this cross-sectional study aimed to identify the sanitation-related psychosocial stressors experienced by students in a Nigerian peri-urban community and their associated impacts. A three-stage sampling technique was used to select 400 students from 10 schools. The students to toilet ratio were 1,521:0 and 1,510:0 for the public-school boys and girls, respectively, and 74:1 and 70:1 for the private-school boys and girls, respectively. Furthermore, public-school students had a significantly higher average stress level (P < 0.001, η2p = 0.071) and a significantly higher proportion of students experiencing school absenteeism (P < 0.001; odds ratio [OR] = 4.8; 95% confidence interval [CI] = 2.7-8.2), missed classes (P < 0.001; OR = 5.8; CI = 2.8-12.0), long urine/fecal retention time (P < 0.001; OR = 2.9; CI = 1.8-4.7), open defecation practice (P < 0.001; OR = 4.2; CI = 2.5-7.1), and open defecation-related anxiety (P < 0.001; OR = 3.6; CI = 2.0-6.5). Moreover, the inability to practice menstrual hygiene management was significantly associated with student-reported monthly school absence among girls (P < 0.001; OR = 4.5; CI = 2.2-9.4). Overall, over 50% of the respondents had reportedly been subjected to at least 14 of the 17 stressors outlined. The most prevalent stressors identified were concerns about disease contraction, toilet cleanliness, toilet phobia, privacy, and assault/injury during open defecation/urination. In conclusion, results show that the absence of functional sanitation facilities purportedly has a grievous effect on the mental, physical, social, and academic well-being of the students. This was clearly seen among public-school students. Subsequent sanitation interventions need to be targeted at ameliorating identified stressors.


Subject(s)
Sanitation , Schools/standards , Stress, Psychological/etiology , Students/psychology , Adaptation, Psychological , Adolescent , Bathroom Equipment/standards , Bathroom Equipment/supply & distribution , Child , Cross-Sectional Studies , Female , Humans , Male , Nigeria , Parents/education , Sanitation/standards , Schools/classification , Water Supply/standards , Water Supply/statistics & numerical data , Young Adult
19.
PLoS One ; 16(10): e0258418, 2021.
Article in English | MEDLINE | ID: mdl-34653204

ABSTRACT

The Sudanese Government launched the National SDG-6 Plan and commences its implementation to achieve and sustain universal and equitable access to basic WASH services by 2030. It is critical to understand the geographical heterogeneity of Sudan and patterns in the inequality of access to safe drinking water and sanitation. Through such research, the disease control strategy can be optimized, and resource allocation can be prioritized. We explored spatial heterogeneity and inequality in access to improved water and sanitation across Sudan by mapping the coverage at both the state and district levels. We decomposed the inequality across Sudan into within-state, between-state, within-district, and between-state inequalities using the Theil L and Theil T indices. We calculated the Gini coefficient to assess the inequality of access to improved water and sanitation, based on the deviation of the Lorenz curve from the line of perfect equality. The study population was 105,167 students aged 8-13 at 1,776 primary schools across the country. Geographical heterogeneity was prominent in the Central Darfur, South Darfur, East Darfur, Kassala, West Kordofan, and Blue Nile States, all of which showed severe inequality in access to an improved latrine at the household level in terms of the Theil T or Theil L index. The overall inequality in the coverage of improved sanitation went beyond the warning limit of 0.4 for the Gini coefficient. The inequality in terms of the Theil L and Theil T indices, as well as the Gini coefficient, was always higher for improved sanitation than for improved water at the household level. Within-state inequality accounted for 66% or more of national inequalities in the distribution of improved sanitation and drinking water for both the Theil L and Theil T indices. This is the first study to measure geographical heterogeneity and inequalities in improved water and sanitation coverage across Sudan. The study may help to prioritize resource allocation to areas with the greatest water and sanitation needs.


Subject(s)
Sanitation/methods , Water Supply/methods , Adolescent , Child , Drinking Water/standards , Family Characteristics , Female , Geography , Healthcare Disparities , Humans , Male , Schools , Sudan , Water Supply/statistics & numerical data
20.
Nutrients ; 13(9)2021 Aug 29.
Article in English | MEDLINE | ID: mdl-34578895

ABSTRACT

Worldwide, ten and a half million children under five die every year, with 98% of these deaths in low- and middle-income countries, including Ethiopia. Undernutrition is a serious public health problem in Ethiopia and children are the most affected segments of the population. This study, therefore, sought to investigate the socio-economic, demographic, health and environmental factors associated with undernutrition among children aged 6-59 months in Ethiopia. Data were obtained from the 2016 Ethiopian Demographic and Health Survey. In this study, anthropometric data (height and weight) and other variables of 9461 children were measured. Descriptive statistics and multilevel logistic regression models were fitted. The descriptive results revealed that about 27.5% of the children aged between 6-59 months were undernourished. Place of residence, employment status of the mother, educational status of the mother, the mother's nutritional status, age of the child, birth order of children, source of drinking water, diarrhea and fever among children in the two weeks before the survey were the most important factors associated with undernutrition among children aged 6-59 months in Ethiopia. The findings indicate that it is useful to support health care and food security programs in rural areas to directly address food insecurity and undernutrition problems of the poor and exposed communities in rural parts of the country. The education sector must increase mothers' access to education in all areas to help identify the quality of healthcare and the required attention needed for their children. The health sector should increase their health education programs on the importance of exclusive breastfeeding.


Subject(s)
Family Characteristics , Health Status , Malnutrition/epidemiology , Nutritional Status , Age Factors , Birth Order , Child, Preschool , Educational Status , Ethiopia/epidemiology , Female , Humans , Infant , Male , Mothers/statistics & numerical data , Residence Characteristics , Risk Factors , Rural Population/statistics & numerical data , Socioeconomic Factors , Water Supply/statistics & numerical data
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