Title Sense and Manner of WASH and Their Coalition With Disease and Nutritional Status of Under-five Children in Rural Bangladesh: A Cross-Sectional Study
Authors Kuddus, Mohammad Abdul , Sunny, Atiqur Rahman , Sazzad, Sharif Ahmed , Hossain, Monayem , Rahman, Mizanur , Mithun, Mahmudul Hasan , Hasan, Sayed Eqramul , Ahmed, Khandaker Jafor , Zandonadi, Renata Puppin , Han, Heesup , ARIZA MONTES, JOSÉ ANTONIO, Vega-Munoz, Alejandro , Raposo, Antonio
External publication No
Means Front Public Health
Scope Article
Nature Científica
JCR Quartile 1
SJR Quartile 1
JCR Impact 5.20000
SJR Impact 1.12500
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85131337434&doi=10.3389%2ffpubh.2022.890293&partnerID=40&md5=f0caccfbe3f089199f0c508e28b048fd
Publication date 17/05/2022
ISI 000804125900001
Scopus Id 2-s2.0-85131337434
DOI 10.3389/fpubh.2022.890293
Abstract This study aimed to assess the knowledge and practice of caregivers and their relationship to the disease and nutritional status of children under 5 years of age in rural areas of Sylhet, Bangladesh. A total of 110 households with at least a child aged 6 to 59 months were selected by simple random method from 10 rural communities of three Upazila of Sylhet from September 2019 to February 2020. Descriptive statistics were used to assess the "Water Access, Sanitation, and Hygiene" (WASH) knowledge and practice, and multivariate chi-square analyses were performed to assess associations among diseases and nutritional status with WASH following a structured questionnaire. The study found a significant association between WASH with childhood disease and nutritional status, and 65% of children were found to be in a diseased state and 35% of children were found in a no exposure of disease state within the last 6 months. The findings sketched that mother with poor WASH knowledge and practice was at greater risk for disease outbreaks, disease frequency, and duration. The highest incidence of diarrhea was 17% in children aged 12 to 23 months. A significant effect of WASH was also found in children\'s nutritional status, which was reflected in the ratio of stunted, underweight, and wasted children. Integrated convergent work focusing on providing clean water within the household, stopping open defecation, promoting handwashing, behavior change, and poverty alleviation is needed to improve the situation. Health, nutrition, and livelihood programs should be uninterrupted, and mothers or caregivers should be encouraged to participate in these programs.
Keywords WASH; hygiene; sanitation; under-five children; Bangladesh; nutritional status
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