scholarly journals A Cross-sectional Epidemiological Survey on Drinking Water, Sanitation and Hygiene amongst Residents of Bamboutos Division, West Region Cameroon: A Knowledge, Attitude and Practice (KAP) Study

Author(s):  
R. Lontuo- Fogang ◽  
V. Khan Payne ◽  
Saah Fokou Cedric ◽  
H. Ntangmo Tsafack ◽  
R. Bamou

Background: Although Cameroon is the second country in Africa after the Democratic Republic of Congo in terms of water availability, access to good drinking water constitutes an every day’s struggle. A household survey was conducted to assess knowledge, attitudes and hygiene practices among households during collection, storage and preservation of potable water and evaluate some general hygiene/sanitation practices employed at the household level on daily basis in Bamboutos Division. Methods: A community-based descriptive cross-sectional survey was conducted in April 2019 in two Sub-Divisions of the Bamboutos Division. Respondents were interviewed using a structured questionnaire. Results: Out of the 460 households interviewed, 85.09% (n=371) could cite only one waterborne diseases with typhoid taking the lead (n=331; 89.22%); followed by cholera (n=191; 51.48%) and dysenteries (n=154; 41.51%). Most residents (n=361; 79%) had poor knowledge and practices on waterborne diseases when classified in to good/poor. Several water sources were declared by residents for drinking purposes with the springs (50%), wells (35%) and boreholes (30%) as their main sources while others (35%) mentioned rain water during the rainy season. Knowledge and practices in the prevention of WBD were found to be associated to education level while water source was found to predispose people to suffer from WBD. Most participants (n=452; 98.26%) said they washed their hands before and after eating (98.26%) and after visiting the toilets (n=358; 77.82%) with water and soap (n=403; 87.60%). Conclusion: The study indicated poor knowledge on WBD and poor practices in their prevention in Bamboutos Division. The use of a variety of water sources for drinking purposes implies that access to good quality water is a nightmare for the population of Bamboutos. Hence measures have to be put in place for the assessment of water quality and ensure the availability of potable water to everyone.

Author(s):  
Malika Esembeson ◽  
Rene Nkenyi ◽  
Ndefon Peter ◽  
Kamgno Joseph ◽  
Njunda Anna Longdoh

Background: Without readily available water in sufficient quantity, and pathogen-free, man's progress is hindered. Globally, 2 billion people use sources of drinking water that are faecally contaminated and not appropriate for consumption. In Cameroon and specifically in fako division, due to acute piped drinking water shortage, the population uses alternative sources (springs and boreholes). Waterborne diseases are the second and third leading weekly epidemiological disease under surveillance in Fako. To find out some predisposing factors of waterborne diseases in Fako , and  to meet up with Sustainable Development Goal (SDG): 6.1, by 2030, we sort to start with an assessment of the drinking water catchments in Fako, as we found paucity of studies. Methods: A community-based cross-sectional survey was conducted from January to May 2018 using quantitative and qualitative approaches. An adapted WHO checklist was used for observations around catchment, then a risk assessment was done with a semi quantitative approach. Qualitative data was collected through   Focus Group Discussions and In-depth interviews. Results: Of the 15 water catchments assessed, none of them met all WHO recommendations. We found that 60% have anthropogenic activities at less than 100meters from the catchments with progressive reduction in water volume and risk of contamination. Meanwhile 20% were open springs and consumers fetch water with feet and container deepen in source, while 13.3% were surface water. There was no integrated catchment management with stakeholders in Fako Division. Conclusion:  None of the catchments met WHO recommendations. An integrated drinking water management team and a periodic monitoring of these catchments is imperative.


2020 ◽  
Vol 9 (4) ◽  
pp. 7-10
Author(s):  
Shilpi Srivastava ◽  
Saurabh Kashyap ◽  
Ashish Rawat

Background: In the current scenario, the urbanization is happening at a faster pace and the economy is not able to match at par with urbanization, this In turn is causing problems of unavailability of safe and potable water along with proper sewage system, despecially in urban slums. As a result of the scenario many urban slums are still using poor quality pit latrines and even drawing water from nearby wells, water taps which are not complying with government norms. Space is also a big problem which is being faced by these slums, due to which there is a lack of enough spaces in the houses and nearby areas, therby causing overcrowding. Due to overcrowding, the space between houses, pit latrines, wells, taps and water bodies has decreased and thus the potential of contamination of water bodies by fecal microorganisms has increased drastically. Given the above knowledge, a study is much needed to estimate the presumptive and differential coliform count of water samples from the urban slum area in Lucknow. Subjects & Methods: A cross-sectional survey was conducted during the period of January to June 2019. Samples were collected from all the taps, hand pumps that were currently in use, along with potable water stored in households of Sarvodaya Nagar (an urban slum area), Lucknow and were processed in the Microbiology department of IIMS&R, Lucknow. Results: A total of 53(63%) samples were taken from Public supply, out of which 36(67. 9%) were found unsatisfactory and 17(32.0%) were intermediate, were found to be contaminated with Pseudomonas sp., E.coli, Thermotolerent E.coli, Klebsiella Spp. Citrobacter, Enterococcus and Pseudornonas Spp., E.coli, Thermotolerent E.coli, Klebsiella respectively. In the study more than half of the samples were taken from the Public water supply. Out of these about seventy percent were unsatisfactory and were found to be contaminated with Pseudomonas. Conclusion: The proper sanitation, regular treatment, supervision of water sources, arid regular bacteriological assessment of all water sources for drinking should be planned and conducted.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Célestin Ndosimao Nsibu ◽  
Célestin Manianga ◽  
Serge Kapanga ◽  
Esther Mona ◽  
Philippe Pululu ◽  
...  

Background. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services.Methods. Determinants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo. Sociocultural bottlenecks were assessed via focus groups discussion of married men and women.Results. In this survey, 28 of the 500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester. The first visit is positively influenced by the reproductive age (OR: 0.52, 95% CI(0.28–0.95),p<0.04), the educational level (OR: 0.41,95% CI(0.17–0.97),p<0.04), the nearby health center (OR: 0.43, 95% CI(0.2–0.92),p<0.03), and the presence of a male partner (OR: 10.48, 95% CI(2.1–52.23),p<0.001). The barriers to early booking were (i) the cost of service; (ii) the appearance or individual income; (iii) the geographical inaccessibility or distance to health facilities; (iv) social and religious prohibitions; (v) the stigmatization from other women when conceiving in the late ages or young or while still lactating (parity); (vi) the time for waiting for services.Conclusion. The early ANC attendance is delayed among poor women with little education and living alone.


2002 ◽  
Vol 129 (2) ◽  
pp. 315-323 ◽  
Author(s):  
J. N. S. EISENBERG ◽  
T. J. WADE ◽  
A. HUBBARD ◽  
D. I. ABRAMS ◽  
R. J. LEISER ◽  
...  

This manuscript extends our previously published work (based on data from one clinic) on the association between three drinking water-treatment modalities (boiling, filtering, and bottling) and diarrhoeal disease in HIV-positive persons by incorporating data from two additional clinics collected in the following year. We conducted a cross-sectional survey of drinking water patterns, medication usage, and episodes of diarrhoea among HIV-positive persons attending clinics associated with the San Francisco Community Consortium. We present combined results from our previously published work in one clinic (n = 226) with data from these two additional clinics (n = 458). In this combined analysis we employed logistic regression and marginal structural modelling of the data. The relative risk of diarrhoea for ‘always’ vs. ‘never’ drinking boiled water was 0.68 (95% CI 0.45–1.04) and for ‘always’ vs. ‘never’ drinking bottled water was 1.22 (95% CI 0.82–1.82). Drinking filtered water was unrelated to diarrhoea [1.03 (95% CI 0.78, 1.35) for ‘always’ vs. ‘never’ drinking filtered water]. Adjustment for confounding did not have any notable effect on the point estimates (0.61, 1.35 and 0.98 for boiled, bottled, and filtered water respectively, as defined above). The risk of diarrhoea was lower among those consuming boiled water but this finding was not statistically significant. Because of these findings, the importance of diarrhoea in immunocompromised individuals, and the limitations of cross-sectional data further prospective investigations of water consumption and diarrhoea among HIV-positive individuals are needed.


BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036892
Author(s):  
Lelisa Fekadu Assebe ◽  
Eyerusalem Kebede Negussie ◽  
Abdulrahman Jbaily ◽  
Mieraf Taddesse Taddesse Tolla ◽  
Kjell Arne Johansson

ObjectivesHIV and tuberculosis (TB) are major global health threats and can result in household financial hardships. Here, we aim to estimate the household economic burden and the incidence of catastrophic health expenditures (CHE) incurred by HIV and TB care across income quintiles in Ethiopia.DesignA cross-sectional survey.Setting27 health facilities in Afar and Oromia regions for TB, and nationwide household survey for HIV.ParticipantsA total of 1006 and 787 individuals seeking HIV and TB care were enrolled, respectively.Outcome measuresThe economic burden (ie, direct and indirect cost) of HIV and TB care was estimated. In addition, the CHE incidence and intensity were determined using direct costs exceeding 10% of the household income threshold.ResultsThe mean (SD) age of HIV and TB patient was 40 (10), and 30 (14) years, respectively. The mean (SD) patient cost of HIV was $78 ($170) per year and $115 ($118) per TB episode. Out of the total cost, the direct cost of HIV and TB constituted 69% and 46%, respectively. The mean (SD) indirect cost was $24 ($66) per year for HIV and $63 ($83) per TB episode. The incidence of CHE for HIV was 20%; ranges from 43% in the poorest to 4% in the richest income quintile (p<0.001). Similarly, for TB, the CHE incidence was 40% and ranged between 58% and 20% among the poorest and richest income quintiles, respectively (p<0.001). This figure was higher for drug-resistant TB (62%).ConclusionsHIV and TB are causes of substantial economic burden and CHE, inequitably, affecting those in the poorest income quintile. Broadening the health policies to encompass interventions that reduce the high cost of HIV and TB care, particularly for the poor, is urgently needed.


2019 ◽  
Vol 12 (4) ◽  
pp. 555-560 ◽  
Author(s):  
Diego Fano ◽  
Cinthya Vásquez-Velásquez ◽  
Julio Aguilar ◽  
Matthew O. Gribble ◽  
Jeffrey K. Wickliffe ◽  
...  

2010 ◽  
Vol 13 (9) ◽  
pp. 1472-1477 ◽  
Author(s):  
Sigrun Henjum ◽  
Ingrid Barikmo ◽  
Anne Karine Gjerlaug ◽  
Abderraháman Mohamed-Lehabib ◽  
Arne Oshaug ◽  
...  

AbstractObjectiveTo assess the prevalence of enlarged thyroid volume (Tvol) in Saharawi refugee children, and their urinary iodine concentration (UIC), and to identify possible sources of excess iodine intake.DesignA cross-sectional survey was performed during January–February 2007. Tvol was measured by ultrasound and iodine concentration was analysed in casual urine samples, in household drinking water and in milk samples from household livestock.SettingThe study was undertaken in four refugee camps in the Algerian desert.SubjectsThe subjects were 421 Saharawi children, 6–14 years old.ResultsEnlarged Tvol was found in 56 % (Tvol-for-age) and 86 % (Tvol-for-body-surface-area) of the children. The median (25th percentile–75th percentile, P25–P75) UIC was 565 (357–887) μg/l. The median (P25–P75) iodine concentration in household drinking water was 108 (77–297) μg/l. None of the children had UIC below 100 μg/l, 16 % had UIC between 100 and 299 μg/l, and 84 % had UIC above 300 μg/l. There was a positive association between Tvol and whether the household possessed livestock.ConclusionsThe children are suffering from endemic goitre and high UIC caused probably by an excessive intake of iodine. The excessive iodine intakes probably originate from drinking water and milk.


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


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