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Association of Safe Disposal of Child Feces and Reported Diarrhea in Indonesia: Need for Stronger Focus on a Neglected Risk

Author

Listed:
  • Aidan A. Cronin

    (UNICEF Indonesia, World Trade Center 6, Jalan Jenderal Sudirman Kav. 31, Jakarta 12920, Indonesia
    These authors contributed equally to this work.)

  • Susy Katikana Sebayang

    (Faculty of Public Health, Universitas Airlangga, Banyuwangi Campus, Jalan Wijaya Kusuma No 113, Banyuwangi 68414, Indonesia
    These authors contributed equally to this work.)

  • Harriet Torlesse

    (UNICEF Indonesia, World Trade Center 6, Jalan Jenderal Sudirman Kav. 31, Jakarta 12920, Indonesia
    These authors contributed equally to this work.)

  • Robin Nandy

    (UNICEF Indonesia, World Trade Center 6, Jalan Jenderal Sudirman Kav. 31, Jakarta 12920, Indonesia)

Abstract

Indonesia still faces several challenges in the areas of water, sanitation, and hygiene (WASH). Diarrhea remains a major killer of children and it is important to understand the local diarrhea transmission pathways to prioritise appropriate WASH interventions to reduce diarrhea burden. This study used a cross-sectional data set from a recent national household survey (the 2012 Indonesia Demographic and Health Survey) to examine the associations between diarrhea in children aged less than 24 months with WASH interventions and population characteristics. Unsafe disposal of child feces was strongly associated with an increased odds of child diarrhea (OR: 1.46; 95% CI: 1.18–1.82, p = 0.001). However, other WASH practices were not found to be associated. The findings underline the dangers of unsafe disposal of child feces and highlight the need for strengthening the related policies and program strategies and their implementation.

Suggested Citation

  • Aidan A. Cronin & Susy Katikana Sebayang & Harriet Torlesse & Robin Nandy, 2016. "Association of Safe Disposal of Child Feces and Reported Diarrhea in Indonesia: Need for Stronger Focus on a Neglected Risk," IJERPH, MDPI, vol. 13(3), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:3:p:310-:d:65585
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    References listed on IDEAS

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    1. Fiona Majorin & Matthew C Freeman & Sharmani Barnard & Parimita Routray & Sophie Boisson & Thomas Clasen, 2014. "Child Feces Disposal Practices in Rural Orissa: A Cross Sectional Study," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-7, February.
    2. Yeager, Beth A. C. & Huttly, Sharon R. A. & Bartolini, Rosario & Martha Rojas & Lanata, Claudio F., 1999. "Defecation practices of young children in a Peruvian shanty town," Social Science & Medicine, Elsevier, vol. 49(4), pages 531-541, August.
    3. Nicole Mellington & Lisa Cameron, 1999. "Female Education and Child Mortality in Indonesia," Bulletin of Indonesian Economic Studies, Taylor & Francis Journals, vol. 35(3), pages 115-144.
    4. Cameron, Lisa & Shah, Manisha & Olivia, Susan, 2013. "Impact evaluation of a large-scale rural sanitation project in Indonesia," Policy Research Working Paper Series 6360, The World Bank.
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