Does safe disposal of child faeces matter? An assessment of access to improved sanitation and child faeces disposal behaviour and diarrhoea in rural Nepal

International Health
Prabhat LamichhaneAjay Mahal

Abstract

Improper disposal of child faeces is a major source of faecal pathogens that cause diarrhoeal disease. However, this has received relatively less attention in sanitation evaluation literature, which has tended to focus on sanitation provision, implicitly assuming that child faeces disposal behaviour also improves with sanitation. We examined the impact of improved sanitation without safe disposal (households with improved sanitation but not disposing of child faeces in improved sanitation) and improved sanitation with safe disposal (households with improved sanitation and disposal of child faeces in improved sanitation) on diarrhoeal prevalence in rural Nepal. Data from the Nepal Demographic Health Survey 2011 for 3377 children <5 y of age were used to answer the research question using quasi-experimental methods. Improved sanitation with safe disposal was associated with a 3.3 percentage point (standard error [SE] 0.016) to 6.6 percentage point (SE 0.023) lower prevalence of diarrhoea among children <5 y of age compared with matched households without access to improved sanitation. No effect was observed for households having improved sanitation without safe disposal compared with matched households without access to improved ...Continue Reading

References

Sep 26, 2008·Transactions of the Royal Society of Tropical Medicine and Hygiene·Aya YajimaAntonio Montresor
Jun 6, 2009·Italian Journal of Pediatrics·Seter SiziyaEmmanuel Rudatsikira
Mar 4, 2014·PloS One·Fiona MajorinThomas Clasen
Mar 16, 2016·International Journal of Environmental Research and Public Health·Aidan A CroninRobin Nandy
Nov 3, 2016·Tropical Medicine & International Health : TM & IH·Tomohiko MoritaChristine Marie George

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