scholarly journals Contextual Determinants of General Household Hygiene Conditions in Rural Indonesia

Author(s):  
D. Daniel

Household hygiene is critical to prevent pathogen transmission at the household level. Assessing household hygiene conditions and their determinants are needed to improve hygiene conditions, especially in rural and less developed areas where the housing conditions are relatively worse than they are in urban areas. This study used data from 278 household interviews and observations in rural areas in the district of East Sumba, province East Nusa Tenggara, Indonesia. The data were analyzed using statistical methods. In general, the household hygiene conditions in the study need to be improved. The main potential sources of pathogen transmission were from the surrounding environment, i.e., non-permanent floor and garbage, and personal hygiene, i.e., handwashing facilities with water and soap were only observed in the homes of four out of ten respondents. The presence of livestock roaming freely in the house’s yard was another source of contamination. Easy access to water and wealth significantly influenced the hygiene conditions. Implementing low-cost interventions, i.e., cleaning the house of garbage and animal feces and cleaning nails, should be the priority in immediate intervention, while providing easier access to water supply, especially during the dry season, could be a long-term intervention. This paper also argues that analyzing household hygiene conditions or practices should be complemented by analyzing contextual determinants of the hygiene conditions or practices, so that we can develop more precise intervention by considering the local or household context.

2007 ◽  
Vol 35 (69_suppl) ◽  
pp. 35-44 ◽  
Author(s):  
Samuel J. Clark ◽  
Mark A. Collinson ◽  
Kathleen Kahn ◽  
Kyle Drullinger ◽  
Stephen M. Tollman

Aim: To examine the hypothesis that circular labour migrants who become seriously ill while living away from home return to their rural homes to convalesce and possibly to die. Methods: Drawing on longitudinal data collected by the Agincourt health and demographic surveillance system in rural northeastern South Africa between 1995 and 2004, discrete time event history analysis is used to estimate the likelihood of dying for residents, short-term returning migrants, and long-term returning migrants controlling for sex, age, and historical period. Results: The annual odds of dying for short-term returning migrants are generally 1.1 to 1.9 times (depending on period, sex, and age) higher than those of residents and long-term returning migrants, and these differences are generally highly statistically significant. Further supporting the hypothesis is the fact that the proportion of HIV/TB deaths among short-term returning migrants increases dramatically as time progresses, and short-term returning migrants account for an increasing proportion of all HIV/TB deaths. Conclusions: This evidence strongly suggests that increasing numbers of circular labour migrants of prime working age are becoming ill in the urban areas where they work and coming home to be cared for and eventually to die in the rural areas where their families live. This shifts the burden of caring for them in their terminal illness to their families and the rural healthcare system with significant consequences for the distribution and allocation of health care resources.


2021 ◽  
pp. 3827-3833
Author(s):  
Basma H. Bedair ◽  
Suhaila D. Salman ◽  
Azhaar F. Abtan

Demodex spp. mites are external obligate parasites; they are transmitted between hosts through direct contact, and may induce several dermatological symptoms when found in large numbers. However, these symptoms may be similar to other commonly known diseases; this often leads dermatologists to neglect the pathogenic role of these mites. Therefore, a better diagnosis is recommended in order to avoid mistreatment. The aim of this study was to investigate the correlation between Demodex mites and dermatological diseases. Infestation rates in patients suffering from acne, rosacea, folliculitis, and psoriasis were compared with asymptomatic patients, along with the mites’ relation to gender, age, personal hygiene, time of year, and residency. These mites were mainly found in patients with rosacea (66.67%) followed by acne (64.41%), while they were only observed in 48.15% of asymptomatic patients, 40.00% in folliculitis, and 0.00% in psoriasis. The statistical analysis showed a significant relationship between infestation and the previously mentioned dermatological diseases (P<0.01). The infestation rates increased significantly with age, reaching 83.33% in patients above 60 years old, and especially during cold months with higher humidity rates. These mites were also more predominantly found in urban areas (56.10%), followed by rural areas (48.45%). However, there was no significant relationship according to gender or personal hygiene.


2019 ◽  
Vol 22 (4) ◽  
pp. 329-334
Author(s):  
Noora Saad Faraj Al-Dulaimi ◽  
Samara Saad Faraj Al-Dulaimi

Providing a clean and high quality drinking water to both rural as well as urban areas is a great challenge by itself, adding to it the large volume requirements of such water at high population areas means a very high cost for such industry because mainly of the cost of expensive commercially available adsorbent used in this process. This led inhabitants of the remote and/or rural areas to use less quality water with all its risks and health challenges. In this study, a locally collected rice husk is tested to be used as an alternative adsorbent to the expensive common commercial ones. Parameters like adsorbent dosage, initial concentration of turbidity, and pH level were tested to investigate their effects on the process. Treatment of synthetic turbid water was done after changing these parameters to measure the effect of each parameter alone and the results showed a set of parameters that can be used to achieve high efficiency of turbidity removal. The study concluded that rice husk can be used as a well cheap alternative adsorbent to reduce the river water turbidity due to its availability and low cost with a decent removal efficiency approaching 95%.


PEDIATRICS ◽  
1979 ◽  
Vol 63 (3) ◽  
pp. 388-388
Author(s):  
D. Morley

Although three quarters of the population in most developing countries live in rural areas, three quarters of the spending on medical care is in urban areas, where three quarters of the doctors live. Three quarters of the deaths are caused by conditions that can be prevented at low cost, but three quarters of the medical budget is spent on curative services, many of them provided for the elite at high cost.


Water ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 298 ◽  
Author(s):  
Sayed Mohammad Nazim Uddin ◽  
Jean Lapegue ◽  
Jutta Gutberlet ◽  
Jan Franklin Adamowski ◽  
Caetano C. Dorea ◽  
...  

The use of closed-loop sanitation systems (CLSS), or reuse-oriented sanitation systems, has increased in recent years, and such systems have been successfully implemented in many parts of the world. However, no research has explored Traditional CLSS (T-CLSS) for a long-term humanitarian situation. This study explores the strengths, weaknesses, opportunities and threats (SWOT) of T-CLSS in peri-urban and rural contexts in three different provinces in Afghanistan (the first study of its kind in Afghanistan). Participatory research tools, such as transect walks, focus group discussions, smart community gatherings and interactive workshops, were applied to assess the SWOT associated with T-CLSS. The results indicate that T-CLSS has been practiced historically in both peri-urban and rural areas using local and traditional knowledge, skills and technologies. The socio-cultural acceptance of the system in both rural and peri-urban areas is an important strength of this established system. However, due to chronic development challenges in the study regions, T-CLSS may possibly lead to exposure to microbial contaminants. It is recommended that the feasibility of an improved CLSS be assessed and implemented in light of the issues that are inherent in the use of T-CLSS in Afghanistan.


2015 ◽  
Vol 19 (10) ◽  
pp. 1723-1730 ◽  
Author(s):  
Kalle Hirvonen ◽  
Alemayehu Seyoum Taffesse ◽  
Ibrahim Worku Hassen

AbstractObjectiveTo revisit seasonality by assessing how household diets vary across agricultural seasons in rural and urban Ethiopia. The role of seasonality on the sources and intake of energy (per capita) and household dietary diversity score (HDDS) was analysed.DesignThe use of nationally representative household-level data collected each month over one year to study the seasonal changes in the sources and intake of energy and HDDS.SettingEleven regions of Ethiopia, including rural and urban settings.SubjectsTotal of 27 835 households were interviewed between July 2010 and July 2011 in all eleven regions of the country. On average each month saw 2300 household interviews, yielding nationally representative data for each calendar month.ResultsFor rural households, the mean daily per capita energy intake was 10 288 kJ (2459 kcal) in February (post-harvest period) and lower in the lean season: 9703 kJ (2319 kcal) in June (P<0·05) and 9552 kJ (2283 kcal) in July (P<0·001). HDDS for rural households was highest in February (6·73) and lowest in June (5·98; P<0·001) but high again in July (6·57). Urban energy intake was also lower in the lean season but HDDS varied less by season. Considerable seasonal variation was also found in energy sources in rural areas, less so in urban areas.ConclusionsHousehold diets in Ethiopia remain subjected to significant seasonal stress. HDDS and food security measured using energy intake do not always agree. Preferably, HDDS and energy intake data should be used together to assess food security.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S276-S276
Author(s):  
Sarah Mawhorter ◽  
Jennifer A Ailshire

Abstract Housing prices have risen in urban areas across the US since 2000, with only a brief interruption after the housing crisis of 2008. At the same time, prosperous urban areas have pulled away from declining urban and rural areas. Older adults are more likely to be affected by both increases and divergence of housing prices: owners may not be able to afford rising property taxes (though they benefit from increasing home equity), and renters are especially vulnerable. Housing affordability constraints may also affect the places where older adults can afford to move. In this paper, we compare the residential mobility patterns of adults aged 50+ living in high-cost, mid-cost, and low-cost areas from 2000-2014, using data from the Health and Retirement Study with county-level US Census and American Community Survey contextual data, as well as the Zillow Home Value Index. We find that both homeowners and renters living in high-cost areas remain in place at higher rates compared with those living in mid-cost and low-cost areas. Among those who move, older adults living in high-cost regions move towards mid-cost and low-cost regions more often than the reverse. The differences are particularly pronounced for renters. The overall outcome is a net movement of older adults away from high-cost areas towards mid-cost and low-cost areas. These shifts have consequences for the well-being of older adults facing budget constraints that may limit the areas where they can afford to live or move, and broader implications for the future of urban areas.


Author(s):  
Herbert Weinblatt ◽  
Erik Minge ◽  
Scott Petersen

Vehicle classification data are an important component of traffic-monitoring programs. Although most vehicle classification conducted in the United States is axle based, some applications could be supplemented or replaced by length-based data. The typically higher deployment cost and reliability issues associated with collecting axle-based data as compared with length-based data present a challenge. This paper reports on analyses of alternative length-based vehicle classification schemes and appropriate length bin boundaries. The primary analyses use data from a set of 13 Long-Term Pavement Performance weigh-in-motion sites, all in rural areas; additional analyses are conducted with data from 11 Michigan Department of Transportation weigh-in-motion sites located in rural and small urban areas and one site located in an urbanized area. For most states, the recommended length-based vehicle classification scheme is a four-bin scheme (motorcycles, short, medium, and long) with an optional very long bin recommended for use by states in which significant numbers of longer combination vehicles operate.


Author(s):  
Mohammed Ali Alshahethi ◽  
Wadhah Hassan Edrees ◽  
Nabil Mohammed Mogalli ◽  
Ali Ahmed Al-Halani ◽  
Wadee Abdullah Al-Shehari ◽  
...  

Objective: The widespread prevalence of Giardiasis is a public health problem worldwide, and it is also common among Yemeni children. Hence, this work aims to identify the prevalent Giardia lamblia infection and risk factors among children admitted to health care centers in Amran governorate in Yemen. Methods: Three hundred and thirty-four stool samples were collected from infected children between March and July 2019 and the parasite is identified by light-microscope according to standard parasitology methods. Also, relevant data was obtained using a designed questionnaire. Results: The results showed that 181 cases (54.2%) were infected with G. lamblia infection. 57.5% of the infected children were from urban areas, while 42.5% of the cases were from rural areas. The highest incidence of G. lamblia was 60.3% among males compared to 47.5% among females. The results for age, residents and male children aged 8-14 years in both urban and rural areas recorded the highest prevalence of G. lamblia infection while the lowest was among females between 1 and 7 years and 8-14 years old, respectively, in the rural and urban area. Conclusion: In conclusion, as described in this work, multisectoral efforts are needed that include hygiene practices, personal hygiene habits, the provision of safe drinking water and the provision of sanitation systems to efficiently reduce this infection from all governorates of Yemen. Peer Review History: Received 22 May 2020; Revised 14 June; Accepted 3 July, Available online 15 July 2020 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file Average Peer review marks at initial stage: 6.0/10 Average Peer review marks at publication stage: 7.5/10 Reviewer(s) detail: Name: Prof. Dr. Hassan A.H. Al-Shamahy Affiliation: Sana'a University, Yemen E-mail: [email protected]   Name: Dr. Mahmoud S. Abdallah Affiliation: University of Sadat city, Egypt E-mail: [email protected]   Comments of reviewer(s): Similar Articles: PREVALENCE OF MALOCCLUSION AMONG YEMENI CHILDREN OF PRIMARY SCHOOLS COCCIDIAN INTESTINAL PARASITES AMONG CHILDREN IN AL-TORBAH CITY IN YEMEN: IN COUNTRY WITH HIGH INCIDENCE OF MALNUTRITION OCCLUSAL CHARACTERISTICS OF THE PRIMARY DENTITION AMONG A SAMPLE OF YEMENI PRE-SCHOOL CHILDREN EVALUATION OF THE IMMUNE RESPONSE TO POLIO VACCINE IN MALNOURISHED CHILDREN IN SANA'A CITY


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Dieter Heylen ◽  
Michael Day ◽  
Bettina Schunack ◽  
Josephus Fourie ◽  
Michel Labuschange ◽  
...  

Abstract Background Arthropod-borne pathogens and their vectors are present throughout Africa. They have been well-studied in livestock of sub-Saharan Africa, but poorly in companion animals. Given the socio-economic importance of companion animals, the African Small Companion Animal Network (AFSCAN), as part of the WSAVA Foundation, initiated a standardized multi-country surveillance study. Methods Macro-geographic variation in ectoparasite (ticks and fleas) and pathogen communities in dogs was assessed through molecular screening of approximately 100 infested dogs in each of six countries (Ghana, Kenya, Nigeria, Tanzania, Uganda and Namibia), both in rural and urban settings. The most important intrinsic and extrinsic risk factors within the subpopulation of infested dogs were evaluated. Results Despite the large macro-geographic variation in the dogs screened, there was no consistent difference between East and West Africa in terms of the diversity and numbers of ticks. The highest and lowest numbers of ticks were found in Nigeria and Namibia, respectively. Most often, there was a higher diversity of ticks in rural habitats than in urban habitats, although the highest diversity was observed in an urban Uganda setting. With the exception of Namibia, more fleas were collected in rural areas. We identified tick species (including Haemaphysalis spinulosa) as well as zoonotic pathogens (Coxiella burnetti, Trypanosoma spp.) that are not classically associated with companion animals. Rhipicephalus sanguineus was the most abundant tick, with a preference for urban areas. Exophilic ticks, such as Haemaphysalis spp., were more often found in rural areas. Several multi-host ticks occurred in urban areas. For R. sanguineus, housing conditions and additional pets were relevant factors in terms of infestation, while for a rural tick species (Haemaphysalis elliptica), free-roaming dogs were more often infested. Tick occurrence was associated to the use of endoparasiticide, but not to the use of ectoparasiticide. The most prevalent tick-borne pathogen was Hepatozoon canis followed by Ehrlichia canis. High levels of co-parasitism were observed in all countries and habitats. Conclusions As dogs share a common environment with people, they have the potential to extend the network of pathogen transmission to humans. Our study will help epidemiologists to provide recommendations for surveillance and prevention of pathogens in dogs and humans. Graphical abstract


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