scholarly journals Households access to improved drinking water sources and toilet facilities in Ethiopia: a multilevel analysis based on 2016 Ethiopian Demographic and Health Survey

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042071
Author(s):  
Zewudu Andualem ◽  
Henok Dagne ◽  
Zelalem Nigussie Azene ◽  
Asefa Adimasu Taddese ◽  
Baye Dagnew ◽  
...  

ObjectiveThis study aimed to assess households access to improved drinking water sources and sanitation facilities and their associated factors in Ethiopia.DesignCross-sectional study.SettingEthiopia.ParticipantsHousehold heads.Primary outcomesAccess to improved drinking water sources and toilet facilities.MethodsWe conducted an in-depth secondary data analysis of 2016 Ethiopian Demographic and Health Survey. Data from a total of 16 650 households and 645 clusters were included in the analysis. The households were selected using a stratified two-stage cluster sampling technique. Multilevel binary logistic regression analyses were performed to identify factors associated with access to an improved drinking water source and toilet facilities. Adjusted OR with a 95% CI was reported with p value <0.05 was used to declare a significant association between the covariates and the outcome variables.ResultsThe proportions of households’ access to improved sources of drinking water and toilet facilities were 69.94% (95% CI: 69.23% to 70.63%) and 25.36% (95% CI: 24.69% to 26.03%), respectively. Households headed by women and households with a better wealth index were positively associated with access to improved drinking water sources. Whereas rural households, ≥30 min round trip to obtain drinking water and region were factors negatively associated with households access to improved drinking water sources. A higher probability of having access to improved toilet facilities: households with heads who had attained higher education, households having better access to improved sources of drinking water and households with better wealth index. While the following households were less likely to have access to improved toilet facilities: households with heads were widowed, households with four to six members, rural households and region.ConclusionThe study found that the proportions of households’ access to improved drinking water sources and toilet facilities in Ethiopia were relatively low, which demands the need to tailor strategies to increase the coverage of access to improved drinking water sources and toilet facilities.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdul-Aziz Seidu

Abstract Background Safe disposal of children’s faeces has always been one of the main challenges to good hygiene in Ghana. Although it has been proven that children’s faeces are more likely to spread diseases than adults’ faeces, people usually mistake them for harmlessness. This study, therefore, sought to determine the prevalence and factors associated with safe disposal of children’s faeces in Ghana. Methods Data from the 2014 Ghana Demographic and Health Survey was used for the analysis. A sample size of 2228 mother-child pairs were used for the study. The outcome variable was disposal of children stools. Both bivariate and multivariable logistic regression analyses were performed to identify the factors with safe child stool disposal. Results The prevalence of safe child stool disposal in Ghana was 24.5%. Women in the middle [Adjusted odds ratio (AOR) = 4.62; Confidence Interval (CI) = 3.00–7.10], Coastal Zone [AOR = 4.52; CI = 2.82–7.22], mothers whose children were aged 12–17 [AOR = 1.56; CI = 1.15–2.13] and 18–23 months [AOR = 1.75; CI = 1.29–2.39], and mothers whose household had improved type of toilet facility [AOR = 2.04; CI = 1.53–2.73] had higher odds of practicing safe children’s faeces disposal. However, women from households with access to improved source of drinking water [AOR = 0.62; CI = 0.45–2.7] had lower odds of practicing safe children’s faeces disposal. Conclusion Approximately only about 25 out of 100 women practice safe disposal of their children’s faeces in Ghana. The age of the child, ecological zone, the type of toilet facilities, and the type of drinking water source are associated with the disposal of child faeces. These findings have proven that only improved sanitation (i.e. drinking water and toilet facilities) are not enough for women to safely dispose of their children’s faeces. Therefore, in addition to provision of toilet facilities especially in the northern zone of Ghana, there is also the need to motivate and educate mothers on safe disposal of children’s stools especially those with children below 12 months. More so, mothers without access to improved toilet facility should also be educated on the appropriate ways to bury their children’s stools safely.


2020 ◽  
Vol 9 (3) ◽  
pp. 135-138
Author(s):  
Faiz Rasul Awan ◽  
Muhammad Safdar Baig ◽  
Atiq ur Rehman Khan

Background: Pakistan and Egypt bear more than 80% of the burden of disease as more than 12 million people are suffering from hepatitis B or C infection and there is addition of about 150000 new cases each year.Methods: We have used secondary data PDHS - Pakistan Demographic and Health Survey, DHS has become the gold standard of survey data in developing countries, a project by ORC Macro with financial support from the USAID for the International Development carried out as multistage, cluster sampling for its data collection on multiple questions, most pertinent from our study point view the maternal and child health related to knowledge attitude and practices of hepatitis and its prevention. Results:The final multivariate model six variables came out to be statistically significant with their adjusted odd's ration p-value and 95% confidence interval i.e., use of new disposable syringe every time for therapeutic injection purpose, the respondent being rich as wealth index, reading newspapers and magazines, watching television as source of information, area of residence being urban and with higher educational level came out to be most important variable which are making statistically significant difference for prevention of hepatitis among females of reproductive age group as our study population from Pakistan Demographic and Health Survey 2012-13. Conclusion: It is quite evident from the results of our study that use of new disposal syringes, being rich , being educated, having access to information resources like watching television, listening radio, reading newspaper & magazine and being as an urban dwellers are significant factor among women of reproductive age groups for prevention of hepatitis.


2019 ◽  
Vol 17 (3) ◽  
pp. 155-164
Author(s):  
Elsa Elsi ◽  
Sahat P Manalu ◽  
Dasuki Dasuki ◽  
Aria Kusuma

ABSTRACT One of SDG's 2030 targets is that households have access to drinking water. The phenomenon is some of community use bottled water/refill as drinking water. The aim of this article are knowing household proportion with improve clean water source and water collecting time that use bottled water/refill drinking water, and relation of clean water source characteristics with using bottle/refill drinking water. Research design is cross sectional. Dependent variable is household drinking water sources type, independents are household clean water source characteristics, and travel time collecting water. Bivariate data analysis was carried out to analyze the relationship between the proportion of bottled / refilled water users by households with adequate water sources and households that use inappropriate water sources. The results showed that proportion of households with unimproved drinking water sources, unimproved clean water source and unimproved water collecting time are greater using bottled/refill  drinking, each (7,6%) and (26,7%). There are statistic significances relation between household with unimproved drinking water source, unimproved travel time collecting water with using bottled/ relill drinking water (p = 0,000). Also found statistic significances between household with improved drinking water source, unimproved clean water source and unimproved travel time collecting water with using bottled/ relill drinking water (p = 0,000). Keywords: Bottled water, refill drinking water, improved water   ABSTRAK Salah satu target SDG’s 2030 adalah rumah tangga memiliki akses terhadap air minum. Sebagian masyarakat menggunakan air minum kemasan/ isi ulang sebagai air minum. Artikel ini bertujuan untuk mengetahui karakteristik pengguna air minum kemasan/isi ulang sebagai sumber air utama. Desain penelitian adalah potong lintang. Variabel terikat adalah jenis sumber air minum rumah tangga, sedangkan variabel bebas terdiri dari karakteristik sumber air utama dan waktu yang diperlukan untuk mengambil air. Analisis data secara bivariat dilakukan untuk menganalisis hubungan antara proporsi pengguna air minum kemasan/isi ulang oleh rumah tangga dengan sumber air layak dengan rumah tangga yang menggunakan sumber air tidak  layak.  Hasil menunjukkan bahwa proporsi pengguna air minum kemasan/isi ulang oleh  rumah tangga dengan sumber air minum yang belum layak  lebih tinggi diibandingkan dengan rumah tangga dengan sumber air minum layak, yaitu masing-masing (7,6%) dan (26,7%). Terdapat hubungan bermakna antara rumah tangga dengan sumber air minum belum layak, dengan waktu tempuh pengambilan air belum layak terhadap penggunaan air minum kemasan/ isi ulang (p=0,000).  Pada rumah tangga dengan  sumber air minum layak, sumber air utama belum layak dan waktu pengambilan belum layak juga ditemukan hubungan bermakna secara statistik terhadap penggunaan air minum kemasan/ isi ulang (p=0,000). Kata kunci: Air kemasan, air minum isi ulang, air layak


Author(s):  
Paulina Farías ◽  
Jesús Alejandro Estevez-García ◽  
Erika Noelia Onofre-Pardo ◽  
María Luisa Pérez-Humara ◽  
Elodia Rojas-Lima ◽  
...  

Water fluoride levels above the World Health Organization’s guideline (1.5 mg/L), common in overexploited aquifers, represent a health hazard. Our objective was to assess the health risks posed by exposure to fluoride in different drinking water sources in a contaminated basin in Mexico. Fluoride was measured in mutual drinking water sources and in the urine of 39 children and women. Risks were estimated through hazard quotient (HQ) by drinking water source. Dental fluorosis was assessed in the children. Mean fluoride water concentrations (mg/L) were: well, 4.2; waterhole, 2.7; bottled, 2.1; rainwater, 0.4. The mean urinary fluoride concentrations (specific gravity adjusted) were 2.1 mg/L and 3.2 mg/L in children and women, respectively. Our multiple linear regression model showed children’s urinary fluoride concentrations increased 0.96 mg/L for every 1 mg/L increase in water fluoride (p < 0.001). Dental fluorosis was diagnosed in 82% of the children, and their HQ according to drinking water source was: well, 1.5; waterhole, 1.1; bottled, 0.8; harvested rainwater, 0.3. The pervasive dental fluorosis indicates a toxic past fluoride exposure; urinary fluoride levels and HQs indicate high exposure and current health risks for most children. Drinking harvested rainwater will likely prevent most of the local fluoride exposure.


Author(s):  

Analysis of the 222Rn specific activity in water of three springs situated in Western outskirts of Yekaterinburg, out of the well that is the main drinking water source in the Palkinsky Torfyanning community, as well as the Yekaterinburg tap water has been carried out. Assessment of the radon content fluctuations over the period from January to November, 2013 in water of one of the sources under study has been done.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Maswati S. Simelane ◽  
Mduduzi Colani Shongwe ◽  
Kerry Vermaak ◽  
Eugene Zwane

Worldwide, millions of people still die from diseases associated with inadequate water supply, sanitation, and hygiene, despite the fact that the United Nations recognized access to clean drinking water and sanitation as a human right nearly a decade ago. The objective of this study was to describe the determinants of access to improved drinking water sources in Eswatini in 2010 and 2014. Using the Eswatini Multiple Indicator Cluster Surveys (EMICSs), data for 4,819 households in 2010 and 4,843 in 2014 were analyzed. Bivariate and multivariate complementary log-log regression analyses were conducted to identify the determinants of households’ access to improved drinking water sources. The study found that households’ access to improved drinking water sources significantly improved from 73.1% in 2010 to 77.7% in 2014 (p<0.0001). In 2010, households whose heads were aged 35–54 and 55 years had lower odds of having access to improved drinking water sources than those with younger ones. In 2014, female-headed households had lower odds, while, in 2010, sex of the household head was not associated with access to improved drinking water sources. In both years, an increase in the number of household members was negatively associated with access to improved drinking water sources compared to those with fewer members. In both years, the odds of access to improved drinking water sources increased with an increase in the wealth index of the household, and households located in urban areas had higher odds of access to improved drinking water sources compared to those in rural settings. In both years, households from the Shiselweni and Lubombo regions had lower odds of access to improved drinking water sources. The government and its partners should continue to upscale efforts aimed at increasing access to improved drinking water, especially in rural areas, to reduce the disparity that exists between urban and rural households.


2012 ◽  
Vol 10 (3) ◽  
pp. 358-370 ◽  
Author(s):  
Ekaterina Sokolova ◽  
Johan Åström ◽  
Thomas J. R. Pettersson ◽  
Olof Bergstedt ◽  
Malte Hermansson

The faecal contamination of drinking water sources can lead to waterborne disease outbreaks. To estimate a potential risk for waterborne infections caused by faecal contamination of drinking water sources, knowledge of the pathogen concentrations in raw water is required. We suggest a novel approach to estimate pathogen concentrations in a drinking water source by using microbial source tracking data and fate and transport modelling. First, the pathogen (norovirus, Cryptosporidium, Escherichia coli O157/H7) concentrations in faecal contamination sources around the drinking water source Lake Rådasjön in Sweden were estimated for endemic and epidemic conditions using measured concentrations of faecal indicators (E. coli and Bacteroidales genetic markers). Afterwards, the fate and transport of pathogens within the lake were simulated using a three-dimensional coupled hydrodynamic and microbiological model. This approach provided information on the contribution from different contamination sources to the pathogen concentrations at the water intake of a drinking water treatment plant. This approach addresses the limitations of monitoring and provides data for quantitative microbial risk assessment (QMRA) and risk management in the context of faecal contamination of surface drinking water sources.


Author(s):  
Yurike Kuewa ◽  
Herawati ◽  
Marselina Sattu ◽  
Anang S. Otoluwa ◽  
Erni Yusnita Lalusu ◽  
...  

Stunting merupakan sebuah masalah kesehatan dimana seorang bayi atau anak-anak mengalami hambatan dalam pertumbuhan tubuhnya, sehingga gagal memiliki tinggi yang ideal pada usianya. Tujuan penelitian ini adalah melihat hubungan sumber air minum, kepemilikan jamban, sarana pembuangan air limbah dan kepemilikan tempat sampah dengan kejadian stunting di Desa Jayabakti wilayah kerja Puskesmas Pagimana Tahun 2021.Jenis penelitian ini adalah Observasional analitik  dengan pendekatan Cross Sectional serta Teknik pengambilan sampel yang digunakan yaitu simple random sampling. Sampel dalam penelitian ini adalah ibu balita sebanyak 156 responden  Analisis data yang digunakan adalah analisis bivariat menggunakan uji Chi Squaree. Hasil penelitian menunjukan bahwa tidak terdapat hubungan antara sumber air minum, kepemilikan jamban, dan kepemilikan SPAL dengan kejadian stunting di Desa Jayabakti dengan nilai p value > 0,05. Sedangkan hasil analisis tabulasi kepemilikan tempat sampah di peroleh hasil p value = 0,006 (<0,05), dengan demikian terdapat hubungan antara kepemilikan tempat sampah dengan kejadian stunting. Sanitasi lingkungan secara tidak langsung mempengaruhi gizi balita. Sanitasi yang buruk dapat menimbulkan penyakit infeksi pada balita seperti diare dan kecacingan yang dapat menganggu proses pencernaan dalam proses penyerapan nutrisi, jika kondisi ini terjadi dalam waktu yang lama dapat mengakibatkan masalah stunting. Stunting is a health problem in which a baby or child experiences obstacles in their body growth, so they fail to have the ideal height for their age. The purpose of this study was to see the relationship between drinking water sources, latrine ownership, waste water disposal facilities and ownership of trash bins with stunting in Jayabakti Village, Pagimana Health Center working area in 2021. namely simple random sampling. The sample in this study were mothers of children under five as many as 156 respondents. The data analysis used was bivariate analysis using the Chi Squaree test. The results showed that there was no relationship between drinking water sources, latrine ownership, and SPAL ownership with stunting in Jayabakti Village with p value > 0.05. While the results of the tabulation analysis of the ownership of the trash can obtained the results of p value = 0.006 (<0.05), thus there is a relationship between the ownership of the trash can and the incidence of stunting. Environmental sanitation indirectly affects the nutrition of children under five. Poor sanitation can cause infectious diseases in toddlers such as diarrhea and worms which can interfere with the digestive process in the process of absorption of nutrients, if this condition occurs for a long time it can cause stunting problems.


2020 ◽  
Author(s):  
Naeem Akram

Abstract. Access to clean and safe drinking water is a basic human right. Poor quality of drinking water is directly associated with various waterborne diseases. The present study has attempted to analyze the household preferences for drinking water sources and the adoption of water purifying methods at home in Pakistan by using the household data of Pakistan Demographic and Health Survey 2017–18. It has been found that people living in rural areas, headed by aged ones and having large family sizes are significantly less likely to use safe drinking water sources and households having media exposure, education, women empowerment in household purchases and belonging to the rich segment of society are more likely to use safe drinking water source. Similarly, households belonging to urban areas, having a higher level of awareness (through education and media), belonging to wealthy families, women enjoying a higher level of empowerment and using piped water are more likely to adopt water-purifying methods at home. However, households using water from tube wells, wells, and boreholes and having higher family sizes are less likely to adopt water purifying methods at home.


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