探索印度西孟加拉农村的腹疾病负担和相关的WASH实践:一个解释性的顺序混合方法方法方法
Suman Kanungo1,2, Shubhajit Pahari3, Aritra Paul4
1Division of Epidemiology, ICMR - National Institute for Research in Bacterial Infections, Kolkata, India. sumankanungo@gmail.com.
糟糕的水,环境卫生和卫生 (WASH) 做法显著增加了西孟加拉邦的腹风险. 改善WASH基础设施和教育对于减少低收入地区儿童腹至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 腹疾病在低收入和中等收入国家构成了重大公共卫生挑战.
- 不足够的水,环境卫生和卫生 (WASH) 做法是导致腹疾病负担的主要驱动因素.
- 印度西孟加拉的农村面临着由腹疾病引起的大量社区影响.
研究的目的:
- 评估西孟加拉邦Bishnupur-II区的腹疾病的累积发病率.
- 为了确定与五岁以下儿童家庭中腹疾病相关的因素.
- 为减少腹发病率提供有针对性的干预措施的信息.
主要方法:
- 在2024年4月至6月期间,对1万户家庭进行了横截面人口普查调查.
- 与五岁以下儿童的母亲和关键卫生工作者进行后续的定性访谈.
- 对发病率和风险因素的定量分析,补充了对行为决定因素的定性见解.
主要成果:
- 在接受调查的家庭中,腹的6个月累计发病率为16.9%.
- 依赖供应商提供的饮用水 (AOR: 2.71) 和仅用于洗手的水 (AOR: 3.14) 显著增加了腹的几率.
- 大多数家庭 (78.6%) 没有消毒饮用水,这表明存在关键差距.
结论:
- 不良的WASH实践,包括缺乏水消毒和不充分的洗手,与腹发病率的增加密切相关.
- 意识差距,文化因素,财务限制和基础设施缺口阻碍了有效的卫生行为.
- 综合干预,结合健康教育,行为修改和改进的WASH基础设施,对于控制西孟加拉农村的腹疾病至关重要.
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