Hygienic Child Feces Disposal Practice and Its Associated Factors Among Mothers/Caregivers of Under Five Children in West Armachiho District, Northwest Ethiopia

Overview

Journal Environ Health Insights

Publisher Sage Publications

Specialty Environmental Health

Date 2022 Aug 1

PMID 35910283

Authors

Moges Addis

Walelegn Worku

Laekemariam Bogale

Alebachew Shimelash

Eniyew Tegegne

Affiliations

Soon will be listed here.

Abstract

Background: Children's feces are 5 times more dangerous than that of adults. Unhygienic disposal of child feces has been reported as one of the major sanitation problems in Sub-Saharan African countries. However, there is a scanty of information in the study area and evidences are insufficient in Ethiopia. Therefore, this study intends to assess child feces disposal practices and associated factors among Mothers/Caregivers of Under Five Children in West Armachiho District, Northwest Ethiopia.

Methods: A community-based cross-sectional study was conducted in the West Armachho district from March 10, 2019 to April 10, 2019 by using a multistage cluster sampling method. Binary and multivariable logistic regression models were employed to identify factors associated to child faces disposal practice. The adjusted odds ratio with a 95% confidence interval and a -value of ⩽.05 were used to declare statistical significance.

Result: The proportion of safe child feces disposal practice was 37.8% (95% CI: 34.6-40.89). Child feces disposal practice was significantly associated with the age of the child (AOR = 5.07, 95% CI: 2.52-10.21), the educational status of fathers (AOR = 2.34, 95% CI: 1.05-5.25), getting health education (AOR = 2.77, 95% CI: 1.84-4.16), utilization of basic type of latrine (AOR = 2.79, 95% CI: 1.55-5.02), knowledge of feces disposal technology options (AOR = 2.58, 95% CI: 1.88-3.96), and media exposure about child feces (AOR = 1.88, 95% CI: 1.22-2.99).

Conclusion: The practice of safe CFD was low. Age of the child, fathers' educational status, receiving health education, basic type of latrine, feces disposal technology options used, and media exposure were independent predictors of safe CFD practice. Interventions need to be designed targeting safe CFD practices taking into account different media outlets and advocacy of improved sanitation technology use by policy makers.

Citing Articles

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

Soboksa N, Olkeba B, Aregu M PLoS One. 2024; 19(5):e0303754.

PMID: 38753650 PMC: 11098413. DOI: 10.1371/journal.pone.0303754.

Hygienic Disposal of Children's Stools Practices Among Women of Children With Diarrhoea in Sub-Saharan Africa.

Essuman M, Storph R, Ahinkorah B, Budu E, Yaya S Environ Health Insights. 2023; 17:11786302231204764.

PMID: 37899844 PMC: 10605691. DOI: 10.1177/11786302231204764.

References

Aluko O, Afolabi O, Olaoye E, Adebayo A, Oyetola S, Abegunde O . 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; 17(1):178. PMC: 5299761. DOI: 10.1186/s12889-017-4078-1. View

Garn J, Sclar G, Freeman M, Penakalapati G, Alexander K, Brooks P . The impact of sanitation interventions on latrine coverage and latrine use: A systematic review and meta-analysis. Int J Hyg Environ Health. 2016; 220(2 Pt B):329-340. PMC: 5414716. DOI: 10.1016/j.ijheh.2016.10.001. View

de Onis M, Branca F . Childhood stunting: a global perspective. Matern Child Nutr. 2016; 12 Suppl 1:12-26. PMC: 5084763. DOI: 10.1111/mcn.12231. View

Seidu A, Ahinkorah B, Kissah-Korsah K, Agbaglo E, Dadzie L, Ameyaw E . 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; 16(8):e0254774. PMC: 8328335. DOI: 10.1371/journal.pone.0254774. View

Phaswana-Mafuya N, Shukla N . Factors that could motivate people to adopt safe hygienic practices in the Eastern Cape Province, South Africa. Afr Health Sci. 2005; 5(1):21-8. PMC: 1831901. View

Bartram J, Cairncross S . Hygiene, sanitation, and water: forgotten foundations of health. PLoS Med. 2010; 7(11):e1000367. PMC: 2976722. DOI: 10.1371/journal.pmed.1000367. View

Freeman M, Garn J, Sclar G, Boisson S, Medlicott K, Alexander K . The impact of sanitation on infectious disease and nutritional status: A systematic review and meta-analysis. Int J Hyg Environ Health. 2017; 220(6):928-949. DOI: 10.1016/j.ijheh.2017.05.007. View

Ps P, Sahoo S, Biswas D, Dasgupta A . Unsafe Disposal of Child Faeces: A Community-based Study in a Rural Block in West Bengal, India. J Prev Med Public Health. 2016; 49(5):323-328. PMC: 5066419. DOI: 10.3961/jpmph.16.020. View

Traore E, Cousens S, Curtis V, Mertens T, Tall F, Traore A . Child defecation behaviour, stool disposal practices, and childhood diarrhoea in Burkina Faso: results from a case-control study. J Epidemiol Community Health. 1994; 48(3):270-5. PMC: 1059958. DOI: 10.1136/jech.48.3.270. View

10.

Kimani J, Ettarh R, Warren C, Bellows B . Determinants of health insurance ownership among women in Kenya: evidence from the 2008-09 Kenya demographic and health survey. Int J Equity Health. 2014; 13:27. PMC: 3973618. DOI: 10.1186/1475-9276-13-27. View

11.

Busienei P, Ogendi G, Mokua M . Open Defecation Practices in Lodwar, Kenya: A Mixed-Methods Research. Environ Health Insights. 2019; 13:1178630219828370. PMC: 6381438. DOI: 10.1177/1178630219828370. View

12.

Brown J, Cairncross S, Ensink J . Water, sanitation, hygiene and enteric infections in children. Arch Dis Child. 2013; 98(8):629-34. PMC: 3717778. DOI: 10.1136/archdischild-2011-301528. View

13.

Islam M, Ercumen A, Ashraf S, Rahman M, Shoab A, Luby S . 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; 13(4):e0195218. PMC: 5886761. DOI: 10.1371/journal.pone.0195218. View

14.

Miller-Petrie M, Voigt L, McLennan L, Cairncross S, Jenkins M . Infant and Young Child Feces Management and Enabling Products for Their Hygienic Collection, Transport, and Disposal in Cambodia. Am J Trop Med Hyg. 2015; 94(2):456-465. PMC: 4751965. DOI: 10.4269/ajtmh.15-0423. View

15.

Curtis V, Kanki B, Cousens S, Diallo I, Kpozehouen A, Sangare M . Evidence of behaviour change following a hygiene promotion programme in Burkina Faso. Bull World Health Organ. 2001; 79(6):518-27. PMC: 2566434. View

16.

Beardsley R, Cronk R, Tracy W, Fleming L, Ngambi M, Tidwell J . Factors associated with safe child feces disposal in Ethiopia, India, and Zambia. Int J Hyg Environ Health. 2021; 237:113832. DOI: 10.1016/j.ijheh.2021.113832. View

17.

Azage M, Haile D . Factors associated with safe child feces disposal practices in Ethiopia: evidence from demographic and health survey. Arch Public Health. 2015; 73:40. PMC: 4620604. DOI: 10.1186/s13690-015-0090-z. View

18.

Sahiledengle B . 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; 19(1):970. PMC: 6647302. DOI: 10.1186/s12889-019-7325-9. View

19.

Bartram J, Brocklehurst C, Fisher M, Luyendijk R, Hossain R, Wardlaw T . Global monitoring of water supply and sanitation: history, methods and future challenges. Int J Environ Res Public Health. 2014; 11(8):8137-65. PMC: 4143854. DOI: 10.3390/ijerph110808137. View

20.

Majorin F, Torondel B, Routray P, Rout M, Clasen T . Identifying Potential Sources of Exposure Along the Child Feces Management Pathway: A Cross-Sectional Study Among Urban Slums in Odisha, India. Am J Trop Med Hyg. 2017; 97(3):861-869. PMC: 5590566. DOI: 10.4269/ajtmh.16-0688. View