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Disposal of children's stools and its association with childhood diarrhea in India

Rahul Bawankule1, Abhishek Singh2, Kaushalendra Kumar3

  • 1International Institute for Population Sciences, Mumbai, India.

BMC Public Health
|January 7, 2017
PubMed

Insights

Unsafe disposal of children's stool in India affects 79% of children, increasing diarrhea risk by 11%. Eliminating unsafe practices is crucial for reducing childhood diarrhea and improving sanitation programs.

Area of Science:

  • Public Health
  • Environmental Health
  • Pediatrics

Background:

  • Childhood stool disposal is a neglected aspect of sanitation programs globally.
  • Unsafe disposal practices increase children's vulnerability to diseases transmitted via the fecal-oral route.

Purpose of the Study:

  • To determine the prevalence of unsafe children's stool disposal in India.
  • To identify factors associated with unsafe stool disposal.
  • To examine the link between unsafe stool disposal and childhood diarrhea.

Main Methods:

  • Utilized data from the third National Family Health Survey (NFHS-3) (2005-06).
  • Employed binary logistic regression to analyze factors associated with unsafe stool disposal.
  • Applied binary logistic regression to assess the association between unsafe stool disposal and childhood diarrhea.

Main Results:

  • 79% of children's stools in India were disposed of unsafely, with significant urban-rural disparities.
  • Maternal illiteracy, limited media exposure, child's age, religion, caste, wealth, toilet access, and residence type were associated with unsafe disposal.
  • Unsafe stool disposal was linked to an 11% higher odds of diarrhea in children (95% CI: 1.01-1.21).

Conclusions:

  • A significant association exists between children's stool disposal practices and diarrhea incidence.
  • Reducing childhood diarrhea in India necessitates the complete elimination of unsafe stool disposal methods.
  • Current sanitation programs must prioritize safe disposal of children's stools.
Abstract

Keywords:
Childhood diarrheaChildren’s stool disposalIndia

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