Tuyet-Hanh Tran Thi, Long Tran Khanh, Van Minh Hoang, Huong Le Thi Thanh
Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, North Tu Liem District, Hanoi, Viet Nam.
AIMS Public Health. 2016 Oct 24;3(4):880-890. doi: 10.3934/publichealth.2016.4.880. eCollection 2016.
This study aims to characterize household trends in access to improved water sources and sanitaton in Chi Linh Town, Hai Duong Province, Vietnam, and to identify factors affecting those trends.
Data were extracted from the Chi Linh Health and Demographic Surveillance System (CHILILAB HDSS) database from 2004-2014, which included household access to improved water sources, household access to improved sanitation, and household demographic data. Descriptive statistical analysis and multinominal logistic regression were used. The results showed that over a 10-year period (2004-2014), the proportion of households with access to improved water and improved sanitation increased by 3.7% and 28.3%, respectively. As such, the 2015 Millennium Development Goal targets for safe drinking water and basic sanitation were met. However, 13.5% of households still had unimproved water and sanitation. People who are retired, work in trade or services, or other occupations were 1.49, 1.97, and 1.34 times more likely to have access to improved water and sanitation facilities than farming households, respectively ( < 0.001). Households living in urban areas were 1.84 times more likely than those living in rural areas to have access to improved water sources and improved sanitation facilities (OR =1.84; 95% CI = 1.73-1.96). Non-poor households were 2.12 times more likely to have access to improved water sources and improved sanitation facilities compared to the poor group (OR = 2.12; 95% CI = 2.00-2.25). More efforts are required to increase household access to both improved water and sanitation in Chi Linh Town, focusing on the 13.5% of households currently without access. Similar to situations observed elsewhere in Vietnam and other low- and middle- income countries, there is a need to address socio-economic factors that are associated with inadequate access to improved water sources and sanitation facilities.
本研究旨在描述越南海阳省池林镇家庭获取改善水源和卫生设施的趋势特征，并确定影响这些趋势的因素。
数据取自2004年至2014年的池林健康与人口监测系统（CHILILAB HDSS）数据库，其中包括家庭获取改善水源情况、家庭获取改善卫生设施情况以及家庭人口数据。采用描述性统计分析和多项逻辑回归分析。结果显示，在10年期间（2004年至2014年），获取改善水源和改善卫生设施的家庭比例分别增加了3.7%和28.3%。因此，实现了2015年千年发展目标中安全饮用水和基本卫生设施的目标。然而，仍有13.5%的家庭水源和卫生设施未得到改善。退休人员、从事贸易或服务业或其他职业的人员获取改善水源和卫生设施的可能性分别是农户的1.49倍、1.97倍和1.34倍（<0.001）。居住在城市地区的家庭获取改善水源和改善卫生设施的可能性比居住在农村地区的家庭高1.84倍（OR =1.84；95%置信区间 = 1.73 - 1.96）。非贫困家庭获取改善水源和改善卫生设施的可能性是贫困家庭的2.12倍（OR = 2.12；95%置信区间 = 2.00 - 2.25）。需要做出更多努力来增加池林镇家庭获取改善水源和卫生设施的机会，重点关注目前仍未获取的13.5%的家庭。与越南其他地方以及其他中低收入国家观察到的情况类似，有必要解决与获取改善水源和卫生设施不足相关的社会经济因素。
