IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i9p4681-d544953.html
   My bibliography  Save this article

Association between WASH-Related Behaviors and Knowledge with Childhood Diarrhea in Tanzania

Author

Listed:
  • Natalie Bennion

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Generose Mulokozi

    (IMA World Health, Nyalali Curve, PO Box 9260, Plot 1657, Dar es Salaam, Tanzania)

  • Emily Allen

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Margaret Fullmer

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Gwen Kleinhenz

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Kirk Dearden

    (IMA World Health, 1730 M St NW #1100, Washington, DC 20036, USA)

  • Mary Linehan

    (IMA World Health, 1730 M St NW #1100, Washington, DC 20036, USA)

  • Scott Torres

    (RTI International, 701 13th St NW #750, Washington, DC 20005, USA)

  • Joshua West

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Benjamin Crookston

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Cougar Hall

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

Abstract

Background: Diarrhea remains a major cause of morbidity and mortality among children in Tanzania. The purpose of this study was to explore associations between diarrheal disease and water, sanitation, and hygiene (WASH) related behaviors and determine care-seeking predictors for diarrheal disease. Methods: Data from 9996 female primary caregivers were collected as part of a larger integrated nutrition program. Logistic regression was used to measure associations between predictor and dependent variables and diarrheal and care-seeking outcomes. Results: Knowledge of the importance of handwashing after assisting a child who has defecated (OR 0.79, CI 0.72–0.87), before preparing food (OR 0.88, CI 0.80–0.97), and before feeding a child (OR 0.89, CI 0.81–0.99) were each associated with not having a child with diarrhea in the past two weeks. Fathers or male caregivers (OR 0.65, CI 0.48–0.89) were less likely to seek medical care for a child with diarrhea. No associations were found between WASH-related knowledge or behavior and seeking medical care for a child with diarrhea. Conclusions: Findings indicate that knowledge of handwashing importance was significant in washing hands after assisting a child who has defecated, before preparing food, and prior to feeding a child. These findings demonstrate the value of parental involvement to lower morbidity and mortality among children.

Suggested Citation

  • Natalie Bennion & Generose Mulokozi & Emily Allen & Margaret Fullmer & Gwen Kleinhenz & Kirk Dearden & Mary Linehan & Scott Torres & Joshua West & Benjamin Crookston & Cougar Hall, 2021. "Association between WASH-Related Behaviors and Knowledge with Childhood Diarrhea in Tanzania," IJERPH, MDPI, vol. 18(9), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4681-:d:544953
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/9/4681/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/9/4681/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. Briceno, Bertha & Coville, Aidan & Martinez , Sebastian, 2015. "Promoting handwashing and sanitation : evidence from a large-scale randomized trial in rural Tanzania," Policy Research Working Paper Series 7164, The World Bank.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Paul H. McClelland & Claire T. Kenney & Federico Palacardo & Nicholas L. S. Roberts & Nicholas Luhende & Jason Chua & Jennifer Huang & Priyanka Patel & Leonardo Albertini Sanchez & Won J. Kim & John K, 2022. "Improved Water and Waste Management Practices Reduce Diarrhea Risk in Children under Age Five in Rural Tanzania: A Community-Based, Cross-Sectional Analysis," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
    2. Kirk Dearden & Generose Mulokozi & Mary Linehan & Dennis Cherian & Scott Torres & Joshua West & Benjamin Crookston & Cougar Hall, 2023. "The Impact of a Large-Scale Social and Behavior Change Communication Intervention in the Lake Zone Region of Tanzania on Knowledge, Attitudes, and Practices Related to Stunting Prevention," IJERPH, MDPI, vol. 20(2), pages 1-13, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dario Meili & Vasco Schelbert & Mahbub-Ul Alam & Prince Antwi-Agyei & Sheillah Simiyu & Kwaku Amaning Adjei & Bismark Dwumfour-Asare & Mahbubur Rahman & Christoph Lüthi & Isabel Günther, 2022. "Indicators for Sanitation Quality in Low-Income Urban Settlements: Evidence from Kenya, Ghana, and Bangladesh," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 162(2), pages 683-720, July.
    2. Zadeh, S. M. & Drechsel, Pay & Salcedo, F. P., 2023. "Water quality and the Sustainable Development Goals," IWMI Books, Reports H052240, International Water Management Institute.
    3. Bridgman, Grace & von Fintel, Dieter, 2022. "Stunting, double orphanhood and unequal access to public services in democratic South Africa," Economics & Human Biology, Elsevier, vol. 44(C).
    4. 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.
    5. Hisaki KONO & Minhaj MAHMUD & Yasuyuki SAWADA & Nahoko MITSUYAMA & Tomomi TANAKA, "undated". "Nudging by Beauty:Improving Women's Health Decisions and Well-Being in the Field," Discussion papers e-23-009, Graduate School of Economics , Kyoto University.
    6. Alberto Chong & Virgilio Galdo, 2021. "Direct and indirect effects of a massive piped water expansion on child‐related outcomes," Review of Development Economics, Wiley Blackwell, vol. 25(3), pages 1576-1600, August.
    7. Nathaniel Scherer & Islay Mactaggart & Chelsea Huggett & Pharozin Pheng & Mahfuj-ur Rahman & Adam Biran & Jane Wilbur, 2021. "The Inclusion of Rights of People with Disabilities and Women and Girls in Water, Sanitation, and Hygiene Policy Documents and Programs of Bangladesh and Cambodia: Content Analysis Using EquiFrame," IJERPH, MDPI, vol. 18(10), pages 1-19, May.
    8. Tadadjeu, Sosson & Njangang, Henri & Ningaye, Paul & Nourou, Mohammadou, 2020. "Linking natural resource dependence and access to water and sanitation in African countries," Resources Policy, Elsevier, vol. 69(C).
    9. Shyma Jose & Ashok Gulati & Kriti Khuran, 2020. "Achieving Nutritional Security in India: Vision 2030," Indian Council for Research on International Economic Relations (ICRIER) Report 20-r-05, Indian Council for Research on International Economic Relations (ICRIER), New Delhi, India.
    10. Abramovsky, Laura & Augsburg, Britta & Lührmann, Melanie & Oteiza, Francisco & Rud, Juan Pablo, 2023. "Community matters: Heterogeneous impacts of a sanitation intervention," World Development, Elsevier, vol. 165(C).
    11. Amanda Beatty & Evan Borkum & William Leith & Marisa Henry & Margo Berends & Clair Null & Nicholas Ingwersen, "undated". "MCC Indonesia Nutrition Project Impact Evaluation Final Report," Mathematica Policy Research Reports 177dad81487243d59a9fefbcf, Mathematica Policy Research.
    12. Daniel B. Odo & Ian A. Yang & Luke D. Knibbs, 2021. "A Systematic Review and Appraisal of Epidemiological Studies on Household Fuel Use and Its Health Effects Using Demographic and Health Surveys," IJERPH, MDPI, vol. 18(4), pages 1-31, February.
    13. Jesse D. Contreras & Joseph N.S. Eisenberg, 2019. "Does Basic Sanitation Prevent Diarrhea? Contextualizing Recent Intervention Trials through a Historical Lens," IJERPH, MDPI, vol. 17(1), pages 1-35, December.
    14. Zelalem G. Terfa & Sayem Ahmed & Jahangir Khan & Louis W. Niessen & on behalf of the IMPALA Consortium, 2022. "Household Microenvironment and Under-Fives Health Outcomes in Uganda: Focusing on Multidimensional Energy Poverty and Women Empowerment Indices," IJERPH, MDPI, vol. 19(11), pages 1-17, May.
    15. Naomi E Clarke & Clare E F Dyer & Salvador Amaral & Garyn Tan & Susana Vaz Nery, 2021. "Improving Uptake and Sustainability of Sanitation Interventions in Timor-Leste: A Case Study," IJERPH, MDPI, vol. 18(3), pages 1-13, January.
    16. Zadeh, S. M. & Drechsel, Pay & Salcedo, F. P., 2023. "Water quality and the Sustainable Development Goals," Book Chapters,, International Water Management Institute.
    17. Sérgio Siqueira de Amorim Júnior & Mariana Antonio de Souza Pereira & Marjuli Morishigue & Reginaldo Brito da Costa & Denilson de Oliveira Guilherme & Fernando Jorge Correa Magalhães Filho, 2022. "Circular Economy in the Biosolids Management by Nexus Approach: A View to Enhancing Safe Nutrient Recycling—Pathogens, Metals, and Emerging Organic Pollutants Concern," Sustainability, MDPI, vol. 14(22), pages 1-19, November.
    18. Youngmee Tiffany Jung & Ryan James Hum & Wendy Lou & Yu-Ling Cheng, 2017. "Effects of neighbourhood and household sanitation conditions on diarrhea morbidity: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-17, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4681-:d:544953. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.