Effects of poor water, sanitation, and hygiene on child health in Godawari Municipality, Lalitpur, Nepal, with special reference to diarrheal disease and nutritional status: a cohort study 10.55131/jphd/2022/200313

Main Article Content

Marina Vaidya Shrestha
Bishnu Prasad Choulagai
Abhinav Vaidya
Shankar Khanal
Shiva Raj Adhikari
Bandana Pradhan

Abstract

Malnutrition is one of the global burdens of disease affecting children under-five in the developing world and has a bidirectional relation with diarrhea. This study aimed to determine the water, sanitation, and hygiene (WASH) effects on diarrhea and to assess its relationship with the nutritional status among exposed and non-exposed children under the age of five years. A prospective cohort of 434 children under-five was recruited and followed up for 12 months in Lalitpur. Socio-demographic, clinical, and anthropometric measurements of the participants were recorded using the World Health Organization (WHO) AnthroPlus. The observed incidence of diarrheal illness was 1.81 episodes per child/year (95% Confifence Interval (CI):1.75–1.87). Among poor WASH exposures, 63 (29.2%) children had diarrhea and among non-exposures, 59 (27.1%) had diarrhea. A total of 183 children (42.2%) had linear growth retardation (stunted), and 270 (62.2%) were malnourished. Hazards of diarrhea among exposed groups were 1.235 (95% CI: 0.785-1.943) times higher than in non-exposed groups. Based on the findings, it is recommended that the government and health organizations should plan Safe WASH activities or interventions for local communities. Moreover, they should encourage social support and promote behavioral change for adopting safe WASH practices.

Article Details

How to Cite
1.
Shrestha MV, Choulagai BP, Vaidya A, Khanal S, Adhikari SR, Pradhan B. Effects of poor water, sanitation, and hygiene on child health in Godawari Municipality, Lalitpur, Nepal, with special reference to diarrheal disease and nutritional status: a cohort study: 10.55131/jphd/2022/200313. J Public Hlth Dev [Internet]. 2022 Sep. 9 [cited 2024 Apr. 13];20(3):163-74. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/258512
Section
Original Articles
Author Biographies

Marina Vaidya Shrestha, Central Department of Public health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

Central Department of Public health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

Department of Community Medicine,Kathmanadu Medical College,Kathmandu University.

Bishnu Prasad Choulagai, Central Department of Public health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

Central Department of Public health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

Abhinav Vaidya, Department of Community Medicine,Kathmanadu Medical College,Kathmandu University, Nepal

Department of Community Medicine,Kathmanadu Medical College,Kathmandu University., Nepal 

Shankar Khanal, Central Department of Statistics. Tribhuvan University, Kathmandu, Nepal.

Central Department of Statistics. Tribhuvan University, Kathmandu, Nepal.

Shiva Raj Adhikari, Central Department of Economics, Tribhuvan University, Kirtipur, Kathmandu, Nepal.

Central Department of Economics, Tribhuvan University, Kirtipur, Kathmandu, Nepal.

Bandana Pradhan, Central Department of Public health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

Central Department of Public health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

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