Department of Agro-socio-economics, Chibas, Université Quisqueya, Port-au-Prince, Haiti.
Groupe d'Etude sur les Sciences de la Durabilité, Université Quisqueya, Port-au-Prince, Haiti.
BMC Public Health. 2022 Nov 23;22(1):2156. doi: 10.1186/s12889-022-14619-2.
BACKGROUND: Open defecation (OD) remains an important public health challenge in Haiti. The practice poses a significantly high risk of disease transmission. Considering these negative health consequences, this paper aims to identify socio-economic and demographic factors that influence OD practice among households in Haiti. METHODS: The study used secondary data from 13,405 households from the Haiti Demographic and Health Survey 2016-2017. Descriptive statistics and bivariate analysis were used to find the preliminary results. Further, multivariate analysis was performed to confirm the findings. RESULTS: Around one quarter (25.3%) of Haitian households still defecate in the open, almost 10% in urban areas, and nearly 36% in rural areas. Multivariate analysis revealed that the age and sex of the household head, household size, number of children aged 1-14 years old in the household, education level, wealth index, access to mass media, place of residence, and region were significant predictors of OD practice among households in Haiti. CONCLUSION: To accelerate the elimination of OD by 2030 and therefore achieve sustainable open defecation-free status, the government of Haiti and its partners should consider wealth disparities among regions and mobilize mass media and community-based networks to raise awareness and promote education about sane sanitation practices. Furthermore, because the possibilities to build toilets differ between rural and urban areas, specific interventions must be spearheaded for each of these regions. The public program can subsidize individual toilets in rural areas with room to collect dry excreta for the preparation of fertilizers, while in urban areas collective toilets can be built in slums. Interventions should also prioritize households headed by women and young people, two underpriviledged socioeconomic groups in Haiti.
背景:在海地,露天排便仍然是一个重要的公共卫生挑战。这种做法会极大地增加疾病传播的风险。鉴于这些对健康的负面影响,本文旨在确定影响海地家庭露天排便行为的社会经济和人口统计学因素。
方法:本研究使用了 2016-2017 年海地人口与健康调查中 13405 户家庭的二手数据。采用描述性统计和双变量分析来得出初步结果,进一步进行多变量分析以验证研究结果。
结果:约四分之一(25.3%)的海地家庭仍在露天排便,近 10%在城市地区,近 36%在农村地区。多变量分析显示,家庭户主的年龄和性别、家庭规模、家中 1-14 岁儿童的数量、教育程度、财富指数、接触大众媒体、居住地点和地区是海地家庭露天排便行为的重要预测因素。
结论:为了在 2030 年前加速消除露天排便,并实现可持续的无露天排便状态,海地政府及其合作伙伴应考虑各地区的贫富差距,动员大众媒体和社区网络,提高对合理卫生习惯的认识和教育。此外,由于农村和城市地区建造厕所的可能性不同,必须针对这两个地区分别采取具体的干预措施。公共项目可以为农村地区的个人厕所提供补贴,为肥料的制备留出收集干粪便的空间,而在城市地区可以在贫民窟建造集体厕所。干预措施还应优先考虑妇女和青年家庭,这是海地两个处于不利社会经济地位的群体。
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