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Interim evaluation of a large scale sanitation, hygiene and water improvement programme on childhood diarrhea and respiratory disease in rural Bangladesh

Author

Listed:
  • Huda, Tarique Md. Nurul
  • Unicomb, Leanne
  • Johnston, Richard B.
  • Halder, Amal K.
  • Yushuf Sharker, Md. Abu
  • Luby, Stephen P.

Abstract

Started in 2007, the Sanitation Hygiene Education and Water Supply in Bangladesh (SHEWA-B) project aims to improve the hygiene, sanitation and water supply for 20 million people in Bangladesh, and thus reduce disease among this population. This paper assesses the effectiveness of SHEWA-B on changing behaviors and reducing diarrhea and respiratory illness among children < 5 years of age. We assessed behaviors at baseline in 2007 and after 6 months and 18 months by conducting structured observation of handwashing behavior in 500 intervention and 500 control households. In addition we conducted spot checks of water and sanitation facilities in 850 intervention and 850 control households. We also collected monthly data on diarrhea and respiratory illness from 500 intervention and 500 control households from October 2007 to September 2009. Participants washed their hands with soap < 3% of the time around food related events in both intervention and control households at baseline and after 18 months. Washing both hands with soap or ash after cleaning a child's anus increased from 22% to 36%, and no access to a latrine decreased from 10% to 6.8% from baseline to 18 months. The prevalence of diarrhea and respiratory illness, among children <5 years of age were similar in intervention and control communities throughout the study. This large scale sanitation, hygiene and water improvement programme resulted in improvements in a few of its targeted behaviors, but these modest behavior changes have not yet resulted in a measurable reduction in childhood diarrhea and respiratory illness.

Suggested Citation

  • Huda, Tarique Md. Nurul & Unicomb, Leanne & Johnston, Richard B. & Halder, Amal K. & Yushuf Sharker, Md. Abu & Luby, Stephen P., 2012. "Interim evaluation of a large scale sanitation, hygiene and water improvement programme on childhood diarrhea and respiratory disease in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 75(4), pages 604-611.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:4:p:604-611
    DOI: 10.1016/j.socscimed.2011.10.042
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    References listed on IDEAS

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    1. Curtis, Valerie & Kanki, Bernadette & Mertens, Thierry & Traore, Etienne & Diallo, Ibrahim & Tall, François & Cousens, Simon, 1995. "Potties, pits and pipes: Explaining hygiene behaviour in Burkina Faso," Social Science & Medicine, Elsevier, vol. 41(3), pages 383-393, August.
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    Cited by:

    1. Friedrich, Max N.D. & Kappler, Andreas & Mosler, Hans-Joachim, 2018. "Enhancing handwashing frequency and technique of primary caregivers in Harare, Zimbabwe: A cluster-randomized controlled trial using behavioral and microbial outcomes," Social Science & Medicine, Elsevier, vol. 196(C), pages 66-76.
    2. Patricia Augier & Marion Dovis & Charles Lai-Tong, 2016. "Better Access to Water, Better Children's Health: A Mirage?," Oxford Development Studies, Taylor & Francis Journals, vol. 44(1), pages 70-92, January.
    3. Derek Headey & Giordano Palloni, 2019. "Water, Sanitation, and Child Health: Evidence From Subnational Panel Data in 59 Countries," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 729-752, April.
    4. Aboud, Frances E. & Singla, Daisy R., 2012. "Challenges to changing health behaviours in developing countries: A critical overview," Social Science & Medicine, Elsevier, vol. 75(4), pages 589-594.
    5. Patil, Sumeet R. & Arnold, Benjamin F. & Salvatore, Alicia & Briceno, Bertha & Colford, Jr., John M. & Gertler, Paul J., 2013. "A randomized, controlled study of a rural sanitation behavior change program in Madhya Pradesh, India," Policy Research Working Paper Series 6702, The World Bank.
    6. Aaron Lawson & Marie Vaganay-Miller, 2019. "The Effectiveness of a Poster Intervention on Hand Hygiene Practice and Compliance When Using Public Restrooms in a University Setting," IJERPH, MDPI, vol. 16(24), pages 1-12, December.
    7. Reshmaan Hussam & Abu S. Shonchoy & Chikako Yamauchi & Kailash Pandey, 2021. "Translating Information into Action: A Public Health Experiment in Bangladesh," Working Papers 2127, Florida International University, Department of Economics.
    8. Emmy De Buck & Hans Van Remoortel & Karin Hannes & Thashlin Govender & Selvan Naidoo & Bert Avau & Axel Vande Veegaete & Alfred Musekiwa & Vittoria Lutje & Margaret Cargo & Hans‐Joachim Mosler & Phili, 2017. "Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 13(1), pages 1-447.

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