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  11. Housing And Child Health In Sub-saharan Africa: A Cross-sectional Analysis.

Housing and child health in sub-Saharan Africa: A cross-sectional analysis.

Lucy S Tusting1, Peter W Gething2, Harry S Gibson2

  • 1Department of Disease Control, London School of Hygiene & Tropical Medicine, London, United Kingdom.

Plos Medicine
|March 24, 2020

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View abstract on PubMed

Summary
This summary is machine-generated.

Improved housing in sub-Saharan Africa is linked to better child health outcomes, including reduced risks of malaria, diarrhea, stunting, and anemia. These findings highlight housing improvements as a key strategy for child survival in the region.

Area of Science:

  • Global Health
  • Environmental Health
  • Pediatrics

Background:

  • Housing is a critical determinant of well-being, yet often overlooked in global health initiatives.
  • Rapid economic development in Africa is leading to housing improvements, necessitating an understanding of their health impacts.
  • This study investigates the association between housing conditions and child health in sub-Saharan Africa (SSA).

Purpose of the Study:

  • To test the hypothesis that improved housing is associated with better health in children in sub-Saharan Africa.
  • To quantify the relationship between housing quality and various child health outcomes.

Main Methods:

  • Cross-sectional analysis of data from 824,694 children across 33 countries in SSA (2001-2017).
  • Housing categorized as improved or unimproved based on UN criteria (water, sanitation, living area, building materials).

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  • Conditional logistic regression and random-effects meta-analysis used to assess associations with child health outcomes (malaria, diarrhea, ARI, stunting, wasting, underweight, anemia), adjusting for covariates.

    • Main Results:

    • Improved housing was associated with 8%-18% lower odds of malaria, diarrhea, stunting, wasting, underweight, and anemia in children.
    • No significant association was found between improved housing and acute respiratory infections (ARIs).
    • Insecticide-treated net use showed a significant association with reduced malaria risk, while water source and sanitation alone were not linked to diarrhea.

    Conclusions:

    • Poor housing conditions are linked to adverse child health outcomes, increasing mortality risk in SSA.
    • Improvements in housing quality, encompassing water, sanitation, and building materials, show potential protective effects against infectious diseases and growth impairments.
    • Enhancing housing represents a significant opportunity to improve child health and survival across sub-Saharan Africa.