Behavioural and environmental determinants of childhood diarrhoea in Chikwawa, Malawi
Behavioural and environmental determinants of childhood diarrhoea in Chikwawa, Malawi
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DOI：
10.1016/j.desal.2008.05.120
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发表时间：
2009-11-15
期刊：
影响因子：
9.9
通讯作者：
Namangale, J. J.
中科院分区：
文献类型：
--
作者：
Masangwi, S. J.;Morse, T. D.;Namangale, J. J.
苏格兰Chikwawa健康倡议（SCHI）正在马拉维南部地区Chikwawa的四个村庄开展健康干预措施，旨在在主要疾病和死亡原因方面取得可衡量的成果。2006年7月进行了一次基线调查，除其他有关领域外，还调查了腹泻风险、水源和使用、环境卫生和个人卫生习惯。本文分析了家庭水源、卫生设施和卫生习惯及其对儿童腹泻的影响。97%的家庭报告说，他们获得了改善的供水，超过了到2015年达到70%的千年发展目标。相比之下，只有48%的人报告说，他们的卫生设施得到了改善，因此落后于到2015年达到74%的千年发展目标目标。贝叶斯逻辑回归分析显示，来自没有厕所设施的家庭的儿童比那些拥有此类设施的儿童更容易患腹泻（比值比（OR）：1.72，95% CI：1.18，2.51）。另一方面，来自使用私人水龙头的家庭的儿童患腹泻的可能性低于使用公共水龙头的儿童（OR = 0.16，95%CI：0.08，0.32）。每个成员使用自己的盆（OR = 0.37，95%CI：0.20，0.70）或自来水（OR = 0.10，95%CI：0.02，0.53）洗手的人比那些使用杯子从容器中倒水的人更不容易患腹泻。
The Scotland Chikwawa Health Initiative (SCHI) is carrying out health interventions aimed at achieving measurable results in major causes of disease and death in four villages in Chikwawa, a southern district in Malawi. A baseline survey was carried out in July 2006 in which, among other areas of interest, diarrhoea risks, water sources and use, sanitation and hygiene practices were investigated. This paper analyses domestic water sources, sanitation, and hygiene practice and their impact on child diarrhoea. 97% of the households reported having access to improved water supply surpassing the Millennium Development Goals (MDGs) of 70% by 2015. In contrast, only 48% reported having access to improved sanitation thus lagging behind the MDGs targets of 74% by 2015. A Bayesian logistic regression analysis showed that children from households with no toilet facilities were more likely to have suffered from diarrhoea than those who own such facilities (odds ratio (OR): 1.72, 95% CI: 1.18, 2.51). On the other hand children from households that use private taps were less likely to have suffered diarrhoea than those that use public taps (OR = 0.16, 95% CI: 0.08, 0.32). Those where each member uses own basin (OR = 0.37, 95% CI: 0.20, 0.70) or running water on a tap (OR = 0.10, 95% CI: 0.02, 0.53) for washing hands were less likely to have suffered diarrhoea than those that use cups to pour water from containers.