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Are children's stools in Ghana disposed of safely? Evidence from the 2014 Ghana demographic and health survey.

作者信息

Seidu Abdul-Aziz

机构信息

Department of Population and Health, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Ghana.

College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.

出版信息

BMC Public Health. 2021 Jan 9;21(1):113. doi: 10.1186/s12889-021-10155-7.


DOI:10.1186/s12889-021-10155-7
PMID:33422043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7797132/
Abstract

BACKGROUND: Safe disposal of children's faeces has always been one of the main challenges to good hygiene in Ghana. Although it has been proven that children's faeces are more likely to spread diseases than adults' faeces, people usually mistake them for harmlessness. This study, therefore, sought to determine the prevalence and factors associated with safe disposal of children's faeces in Ghana. METHODS: Data from the 2014 Ghana Demographic and Health Survey was used for the analysis. A sample size of 2228 mother-child pairs were used for the study. The outcome variable was disposal of children stools. Both bivariate and multivariable logistic regression analyses were performed to identify the factors with safe child stool disposal. RESULTS: The prevalence of safe child stool disposal in Ghana was 24.5%. Women in the middle [Adjusted odds ratio (AOR) = 4.62; Confidence Interval (CI) = 3.00-7.10], Coastal Zone [AOR = 4.52; CI = 2.82-7.22], mothers whose children were aged 12-17 [AOR = 1.56; CI = 1.15-2.13] and 18-23 months [AOR = 1.75; CI = 1.29-2.39], and mothers whose household had improved type of toilet facility [AOR = 2.04; CI = 1.53-2.73] had higher odds of practicing safe children's faeces disposal. However, women from households with access to improved source of drinking water [AOR = 0.62; CI = 0.45-2.7] had lower odds of practicing safe children's faeces disposal. CONCLUSION: Approximately only about 25 out of 100 women practice safe disposal of their children's faeces in Ghana. The age of the child, ecological zone, the type of toilet facilities, and the type of drinking water source are associated with the disposal of child faeces. These findings have proven that only improved sanitation (i.e. drinking water and toilet facilities) are not enough for women to safely dispose of their children's faeces. Therefore, in addition to provision of toilet facilities especially in the northern zone of Ghana, there is also the need to motivate and educate mothers on safe disposal of children's stools especially those with children below 12 months. More so, mothers without access to improved toilet facility should also be educated on the appropriate ways to bury their children's stools safely.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a7/7797132/a6e244c78446/12889_2021_10155_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a7/7797132/a6e244c78446/12889_2021_10155_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43a7/7797132/a6e244c78446/12889_2021_10155_Fig1_HTML.jpg

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[1]
Are children's stools in Ghana disposed of safely? Evidence from the 2014 Ghana demographic and health survey.

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[2]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Individual and community level factors of safe child feces disposal among youngest children in East Africa: a multilevel modeling analysis using recent national demography and health survey data.

Arch Public Health. 2024-7-18

[2]
Does owning improved latrine facilities enhance the safe disposal of child feces in Africa? a systematic review and meta-analysis.

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[3]
Safe stool disposal and associated factors among mothers of children aged under-two years in Gambia: Evidence from Gambia Demographic Health Survey 2019/20.

PLoS One. 2023

[4]
Associated factors of safe child feces disposal in sub-Saharan Africa: Evidence from recent demographic and health surveys of 34 sub-Saharan countries.

PLoS One. 2023

[5]
Hygienic disposal of stools and risk of diarrheal episodes among children aged under two years: Evidence from the Ghana Demographic Health Survey, 2003-2014.

PLoS One. 2022

[6]
A multilevel analysis of individual and contextual factors associated with the practice of safe disposal of children's faeces in sub-Saharan Africa.

PLoS One. 2021

本文引用的文献

[1]
Prevalence and associated factors of safe and improved infant and young children stool disposal in Ethiopia: evidence from demographic and health survey.

BMC Public Health. 2019-7-22

[2]
Determinants of Open Defecation in the Wa Municipality of Ghana: Empirical Findings Highlighting Sociocultural and Economic Dynamics among Households.

J Environ Public Health. 2019-2-3

[3]
Unsafe disposal of feces of children <3 years among households with latrine access in rural Bangladesh: Association with household characteristics, fly presence and child diarrhea.

PLoS One. 2018-4-5

[4]
The management of the faeces passed by under five children: an exploratory, cross-sectional research in an urban community in Southwest Nigeria.

BMC Public Health. 2017-2-8

[5]
Prevalence and determinants of acute diarrhea among children younger than five years old in Jabithennan District, Northwest Ethiopia, 2014.

BMC Public Health. 2017-1-19

[6]
Disposal of children's stools and its association with childhood diarrhea in India.

BMC Public Health. 2017-1-5

[7]
Unsafe Disposal of Child Faeces: A Community-based Study in a Rural Block in West Bengal, India.

J Prev Med Public Health. 2016-9

[8]
Systematic review of evidence on the effectiveness of safe child faeces disposal interventions.

Trop Med Int Health. 2016-11

[9]
Factors associated with safe child feces disposal practices in Ethiopia: evidence from demographic and health survey.

Arch Public Health. 2015-10-26

[10]
Effectiveness of a rural sanitation programme on diarrhoea, soil-transmitted helminth infection, and child malnutrition in Odisha, India: a cluster-randomised trial.

Lancet Glob Health. 2014-10-9

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