Impact of integrated WASH and maternal and child health interventions on diarrhea disease prevalence in a resource-constrained setting in Kenya.

Autor: Muriithi B; Institute of Tropical Medicine, Nagasaki University-Kenya Medical Research Institute, P.O. Box 19993-00202, Nairobi, Kenya., Wandera EA; Institute of Tropical Medicine, Nagasaki University-Kenya Medical Research Institute, P.O. Box 19993-00202, Nairobi, Kenya. wandesh2000@yahoo.com.; Centre for Virus Research, Kenya Medical Research Institute, Nairobi, Kenya. wandesh2000@yahoo.com., Takeuchi R; Department of Public Health, International University of Health and Welfare, Otawara, Japan., Mutunga F; Institute of Tropical Medicine, Nagasaki University-Kenya Medical Research Institute, P.O. Box 19993-00202, Nairobi, Kenya., Kathiiko C; Institute of Tropical Medicine, Nagasaki University-Kenya Medical Research Institute, P.O. Box 19993-00202, Nairobi, Kenya., Wachira M; Institute of Tropical Medicine, Nagasaki University-Kenya Medical Research Institute, P.O. Box 19993-00202, Nairobi, Kenya., Tinkoi J; World Vision Kenya, Nairobi, Kenya., Meiguran M; World Vision Kenya, Nairobi, Kenya., Akumu P; World Vision Kenya, Nairobi, Kenya., Ndege V; World Vision Kenya, Nairobi, Kenya., Mochizuki R; World Vision Japan, Tokyo, Japan., Kaneko S; Institute of Tropical Medicine, Nagasaki University-Kenya Medical Research Institute, P.O. Box 19993-00202, Nairobi, Kenya., Morita K; Institute of Tropical Medicine, Nagasaki University-Kenya Medical Research Institute, P.O. Box 19993-00202, Nairobi, Kenya., Ouma C; Department of Biomedical Sciences and Technology, Maseno University, Maseno, Kenya., Ichinose Y; Institute of Tropical Medicine, Nagasaki University-Kenya Medical Research Institute, P.O. Box 19993-00202, Nairobi, Kenya.
Jazyk: angličtina
Zdroj: Tropical medicine and health [Trop Med Health] 2024 Aug 30; Vol. 52 (1), pp. 56. Date of Electronic Publication: 2024 Aug 30.
DOI: 10.1186/s41182-024-00616-1
Abstrakt: Background: Water, sanitation and hygiene (WASH) and child health interventions are proven simple and cost-effective strategies for preventing diarrhea and minimizing excess mortality. Individually, they are able to prevent diarrhea though sub-optimally, and their effectiveness when combined may be higher. This study examined the effect of integrated WASH and maternal and child health (MCH) interventions on prevalence of diarrhea, in a resource-limited setting in Kenya.
Methods: A controlled intervention was implemented in Narok County. The interventions included WASH interventions integrated with promotion of MCH. A structured questionnaire was used to collect data on targeted indicators before and after the interventions. Data were analyzed using descriptive statistics and Chi-square to establish the impact of the interventions.
Results: A total of 431and 424 households and 491 and 487 households in intervention and control sites, respectively, participated in the baseline and endline surveys. Following implementation of the interventions, prevalence of diarrhea decreased by 69.1% (95% CI: 49.6-87.1%) and 58.6% (95% CI: 26.6-82.4%) in the intervention and control site, respectively. Treatment of drinking water and animal husbandry practices were significantly associated with diarrhea post-interventions.
Conclusions: Integrating WASH interventions with other diarrhea control strategies and contextualizing them to meet site-specific needs may effectively prevent diarrhea.
(© 2024. The Author(s).)
Databáze: MEDLINE
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