Alam N, Wojtyniak B, Henry F J, Rahaman M M
International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka.
Int J Epidemiol. 1989 Mar;18(1):242-7. doi: 10.1093/ije/18.1.242.
This study examines the effect of maternal personal and domestic hygiene on the incidence of diarrhoea in children aged 6-23 months from rural areas around Teknaf, Bangladesh. The intervention area received augmented water supply through handpumps and health education while the control area received no project inputs. From July 1980 to June 1983, diarrhoea incidence was recorded weekly while mothers' personal and domestic hygiene was observed yearly. Annual incidence of diarrhoea in 314 children from the intervention area and 309 children from the control area was analysed in relation to maternal personal and domestic hygiene, controlling for education and occupation of household head and household size. Results show that, in both areas, use of handpump water for drinking and washing, removal of child's faeces from the yard, and maternal handwashing before handling food and after defaecation of self and child, observed together, decreased yearly diarrhoea incidence in children by more than 40% compared to children living in households where none or only one of these practices was observed.
本研究调查了孟加拉国特克纳夫周边农村地区6至23个月大儿童的母亲个人卫生及家庭卫生对儿童腹泻发病率的影响。干预地区通过手压泵增加了供水并开展了健康教育，而对照地区未得到项目投入。1980年7月至1983年6月期间，每周记录腹泻发病率，同时每年观察母亲的个人卫生及家庭卫生情况。分析了干预地区314名儿童和对照地区309名儿童的腹泻年发病率与母亲个人卫生及家庭卫生的关系，并对户主的教育程度、职业和家庭规模进行了控制。结果显示，在两个地区，与家中未采取或仅采取其中一项措施的儿童相比，同时采取饮用和使用手压泵供水洗手、清理院子里孩子的粪便、母亲在处理食物前以及自己和孩子排便后洗手这些措施，可使儿童的腹泻年发病率降低40%以上。
