scholarly journals Effect of a combined household-level piped water and sanitation intervention on reported menstrual hygiene practices and symptoms of urogenital infections in rural Odisha, India

Author(s):  
Belen Torondel ◽  
Jane Ferma ◽  
Suzanna C. Francis ◽  
Bethany A. Caruso ◽  
Parimita Routray ◽  
...  
2019 ◽  
Vol 48 (6) ◽  
pp. 1757-1767 ◽  
Author(s):  
Heather Reese ◽  
Parimita Routray ◽  
Belen Torondel ◽  
Sheela S Sinharoy ◽  
Samir Mishra ◽  
...  

Abstract Background Open defecation is widespread in rural India, and few households have piped water connections. While government and other efforts have increased toilet coverage in India, and evaluations found limited immediate impacts on health, longer-term effects have not been rigorously assessed. Methods We conducted a matched cohort study to assess the longer-term effectiveness of a combined household-level piped water and sanitation intervention implemented by Gram Vikas (an Indian NGO) in rural Odisha, India. Forty-five intervention villages were randomly selected from a list of those where implementation was previously completed at least 5 years before, and matched to 45 control villages. We conducted surveys and collected stool samples between June 2015 and October 2016 in households with a child <5 years of age (n = 2398). Health surveillance included diarrhoea (primary outcome), acute respiratory infection (ARI), soil-transmitted helminth infection, and anthropometry. Results Intervention villages had higher improved toilet coverage (85% vs 18%), and increased toilet use by adults (74% vs 13%) and child faeces disposal (35% vs 6%) compared with control villages. There was no intervention association with diarrhoea [adjusted OR (aOR): 0.94, 95% confidence interval (CI): 0.74–1.20] or ARI. Compared with controls, children in intervention villages had lower helminth infection (aOR: 0.44, 95% CI: 0.18, 1.00) and improved height-for-age z scores (HAZ) (+0.17, 95% CI: 0.03–0.31). Conclusions This combined intervention, where household water connections were contingent on community-wide household toilet construction, was associated with improved HAZ, and reduced soil-transmitted helminth (STH) infection, though not reduced diarrhoea or ARI. Further research should explore the mechanism through which these heterogenous effects on health may occur.


BMJ Open ◽  
2017 ◽  
Vol 7 (3) ◽  
pp. e012719 ◽  
Author(s):  
Heather Reese ◽  
Parimita Routray ◽  
Belen Torondel ◽  
Gloria Sclar ◽  
Maryann G Delea ◽  
...  

2021 ◽  
Vol 28 (1) ◽  
pp. 127-137
Author(s):  
Sumit Aggarwal ◽  
Deepti Ambalkar ◽  
Jayaprakasam Madhumathi ◽  
Vijay Badge ◽  
Arun Humne

Menstrual practices of adolescent girls in rural parts of India are greatly influenced by taboos and socio-cultural beliefs. In this study, the menstrual hygiene practices and beliefs of 122 adolescent girls between the ages of 13 and 19 years from rural Maharashtra were evaluated by personal interview and questionnaires. None of the girls had the right scientific knowledge about menstruation and were isolated during menstruation. They used cloth or home-made sanitary pads and were at risk of infections. There is a dire need for knowledge dissemination among school children and their families, increased awareness of menstrual hygiene and access to the requisite sanitary products in rural areas.


2022 ◽  
Vol 8 (4) ◽  
pp. 169-175
Author(s):  
Dinesh Kumar ◽  
Poonam Vaiyam ◽  
Ravikanta Singh Thakur

India has the highest proportion of adolescents and the highest adolescent pregnancy and childbirth rate in the tribal segment of the population. Very few studies have focused on the use of sanitary pad and quality of health care as menstrual hygiene practices. The data was collected among ‘Bharia’ women who identified as one of the particularly vulnerable tribal groups (PVTGs) in Madhya Pradesh. Towards comparing the use, source, and components of menstrual hygiene practices among adolescents and adult mothers, the sample included adolescent (10-19 years) and adult women 20-49 years of age. The relevant information was collected by trained female investigator with designed questionnaire from the respondents. Findings revealed that only 22.7% women are using sanitary pad during menstruation period in the studied tribe. It was seen the use of this absorbent (sanitary pad) for menstrual hygiene among the adolescents were found significantly higher (37.5%) than that of adult women (14.3%), whereas, the use of old cotton was found significantly higher (78.6%) among adult women. Awareness on menstrual hygiene about 50% adolescents and 64% adult women believed it is a curse of God. About 25% adolescents and 21.4% adult women believed menstruation is a natural process. The tribe has underprivileged menstrual hygiene practices owing to low awareness, illiteracy, and poverty. The special IEC education campaign with suitable strategy can be forced to optimum hygiene practices.


2014 ◽  
Vol 56 (6) ◽  
pp. 603 ◽  
Author(s):  
Doroteia Aparecida Höfelmann ◽  
Leila Posenato Garcia ◽  
Lúcia Rolim Santana de Freitas

Objective. To investigate prevalence of poor self-rated health and its association with individual and household-level characteristics among adults and elderly in Brazil. Materials and methods. Cross-sectional study with Brazilian National Household Sample Survey 2008 (n=257 816). Crude and multilevel-adjusted Poisson regression models were fitted. Results. After adjusted analysis, poor self-rated health was significantly associated with higher household income, living alone, not having piped water nor garbage collection, lower education, not having health insurance, female sex, higher age, being a current or previous smoker, physical inactivity, having chronic diseases, having physical impairment. Subjects living in rural areas also had higher prevalence of poor selfrated health. The factors most strongly associated with the outcome were physical impairment and reporting three or more chronic diseases. Conclusions. Socioeconomic, health related behaviors, and physical health were associated with poor self-rated health.


The menstruation cycle plays a major role in every women’s life, with this periodic cycle she undergoes a lot of stress and strains due to her mental and physiological balancing issues, because of the hormone changes. By the time of menstruation, she seeks some comfort with her, for this the sanitary napkins ran a greater part by avoiding the leakages of blood contaminant in her cloths. Some of the pads having wings or flaps that fold over the sides of underwear to protect against from leaks and stains. Also in some rural areas the women’s not much aware of maintaining the menstruation hygiene, they are using some rectangular fabric and can be washed then reused. In the hygiene part of menstruation women are unaware of determining the whole imbalance activities of maintaining cleanliness.


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