Impact of integrated WASH and maternal and child health interventions on diarrhea disease prevalence in a resource-constrained setting in Kenya.

IF 3.6 Q1 TROPICAL MEDICINE
Betty Muriithi, Ernest Apondi Wandera, Rie Takeuchi, Felix Mutunga, Cyrus Kathiiko, Mary Wachira, Joseph Tinkoi, Mirasine Meiguran, Pius Akumu, Valeria Ndege, Ryoichiro Mochizuki, Satoshi Kaneko, Kouichi Morita, Collins Ouma, Yoshio Ichinose
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Abstract

Background: Water, sanitation and hygiene (WASH) and child health interventions are proven simple and cost-effective strategies for preventing diarrhea and minimizing excess mortality. Individually, they are able to prevent diarrhea though sub-optimally, and their effectiveness when combined may be higher. This study examined the effect of integrated WASH and maternal and child health (MCH) interventions on prevalence of diarrhea, in a resource-limited setting in Kenya.

Methods: A controlled intervention was implemented in Narok County. The interventions included WASH interventions integrated with promotion of MCH. A structured questionnaire was used to collect data on targeted indicators before and after the interventions. Data were analyzed using descriptive statistics and Chi-square to establish the impact of the interventions.

Results: A total of 431and 424 households and 491 and 487 households in intervention and control sites, respectively, participated in the baseline and endline surveys. Following implementation of the interventions, prevalence of diarrhea decreased by 69.1% (95% CI: 49.6-87.1%) and 58.6% (95% CI: 26.6-82.4%) in the intervention and control site, respectively. Treatment of drinking water and animal husbandry practices were significantly associated with diarrhea post-interventions.

Conclusions: Integrating WASH interventions with other diarrhea control strategies and contextualizing them to meet site-specific needs may effectively prevent diarrhea.

在肯尼亚资源有限的环境中,讲卫生运动和妇幼保健综合干预措施对腹泻疾病流行的影响。
背景:事实证明,水、环境卫生和个人卫生(WASH)以及儿童健康干预措施是预防腹泻和最大限度降低超额死亡率的简单而经济有效的策略。单独使用这些干预措施可以预防腹泻,但效果并不理想,如果将它们结合起来,效果可能会更好。本研究考察了在肯尼亚资源有限的环境中,综合讲卫生运动和妇幼保健(MCH)干预措施对腹泻发病率的影响:方法:在纳罗克县实施了一项对照干预措施。方法:在纳罗克县实施了一项对照干预措施,干预措施包括讲卫生运动干预措施与促进妇幼保健相结合。采用结构化问卷收集干预前后的目标指标数据。使用描述性统计和卡方对数据进行分析,以确定干预措施的影响:共有 431 和 424 个家庭参加了基线和终点调查,干预点和对照点分别有 491 和 487 个家庭参加。干预措施实施后,干预点和对照点的腹泻发病率分别下降了 69.1%(95% CI:49.6-87.1%)和 58.6%(95% CI:26.6-82.4%)。饮用水处理和畜牧业做法与干预后的腹泻显著相关:结论:将饮水、环卫和讲卫生运动干预措施与其他腹泻控制策略相结合,并根据具体地点的需求加以调整,可有效预防腹泻。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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