Mapping spatial inequality: unsafe child feces disposal practices across 707 districts in India

  • 0Department of Migration & Urban Studies, International Institute for Population Sciences, Mumbai, 400088, India. margubur48@gmail.com.

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Summary

This summary is machine-generated.

Unsafe child feces disposal shows significant spatial disparities in India, concentrated in eastern and northeastern districts. Household wealth and sanitation access are key drivers of these unsafe practices.

Area Of Science

  • Public Health
  • Spatial Epidemiology
  • Environmental Health

Background

  • Unsafe child feces disposal poses a significant public health risk, contributing to adverse child health outcomes.
  • Previous research has not fully explored the spatial variations and underlying factors of unsafe child feces disposal across India.

Purpose Of The Study

  • To investigate the spatial distribution of unsafe child feces disposal practices in Indian districts.
  • To identify the key determinants influencing these practices and quantify regional disparities.

Main Methods

  • Utilized National Family Health Survey-5 (2019-2021) data for spatial analysis.
  • Employed Univariate and Bivariate Local Indicators of Spatial Association (LISA) for pattern identification.
  • Applied Spatial Error Model (SEM) and Fairlie decomposition to analyze determinants and disparities.

Main Results

  • Identified 170 hotspot districts for unsafe child feces disposal, predominantly in Odisha, Jharkhand, Bihar, Assam, and Tamil Nadu.
  • Maternal education, household wealth, sanitation access, and religious affiliation emerged as significant determinants.
  • Household wealth contributed 65.3% to the disparity in unsafe disposal practices, followed by sanitation access (17.1%).

Conclusions

  • Pronounced spatial inequalities in unsafe child feces disposal exist across Indian districts.
  • Targeted interventions addressing sanitation, maternal education, and media outreach are crucial for promoting safe disposal practices.

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