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Health Outcomes of an Integrated Behaviour-Centred Water, Sanitation, Hygiene and Food Safety Intervention-A Randomised before and after Trial.
Morse, Tracy; Tilley, Elizabeth; Chidziwisano, Kondwani; Malolo, Rossanie; Musaya, Janelisa.
Afiliación
  • Morse T; Centre for Water, Environment, Sustainability and Public Health, Department of Civil and Environmental Engineering, University of Strathclyde, Glasgow G1 1XJ, UK.
  • Tilley E; Centre for Water, Sanitation, Health and Appropriate Technology Development (WASHTED), University of Malawi (Polytechnic), Blantyre, Malawi.
  • Chidziwisano K; Department of Environmental Health, University of Malawi (Polytechnic), Blantyre, Malawi.
  • Malolo R; Swiss Federal Institute of Aquatic Science and Technology (Eawag), CH-8600 Duebendorf, Switzerland.
  • Musaya J; Centre for Water, Environment, Sustainability and Public Health, Department of Civil and Environmental Engineering, University of Strathclyde, Glasgow G1 1XJ, UK.
Article en En | MEDLINE | ID: mdl-32294881
ABSTRACT
Diarrhoeal disease in children under five in low income settings has been associated with multiple environmental exposure pathways, including complementary foods. Conducted from February to December 2018 in rural Malawi, this before and after trial with a control used diarrhoeal disease as a primary outcome, to measure the impact of a food hygiene intervention (food hygiene + handwashing) relative to a food hygiene and water, sanitation and hygiene (WASH) intervention (food hygiene + handwashing + faeces management + water management). The 31-week intervention was delivered by community-based coordinators through community events (n = 2), cluster group meetings (n = 17) and household visits (n = 14). Diarrhoeal disease was self-reported and measured through an end line survey, and daily diaries completed by caregivers. Difference-in-differences results show a 13-percentage point reduction in self-reported diarrhoea compared to the control group. There were also significant increases in the presence of proxy measures in each of the treatment groups (e.g., the presence of soap). We conclude that food hygiene interventions (including hand washing with soap) can significantly reduce diarrhoeal disease prevalence in children under five years in a low-income setting. Therefore, the promotion of food hygiene practices using a behaviour-centred approach should be embedded in nutrition and WASH policies and programming.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Saneamiento / Higiene / Diarrea / Inocuidad de los Alimentos Tipo de estudio: Clinical_trials / Etiology_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Child / Child, preschool / Humans País/Región como asunto: Africa Idioma: En Revista: Int J Environ Res Public Health Año: 2020 Tipo del documento: Article País de afiliación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Saneamiento / Higiene / Diarrea / Inocuidad de los Alimentos Tipo de estudio: Clinical_trials / Etiology_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Child / Child, preschool / Humans País/Región como asunto: Africa Idioma: En Revista: Int J Environ Res Public Health Año: 2020 Tipo del documento: Article País de afiliación: Reino Unido