Clean water, sanitation and diarrhoea in Indonesia: Effects of household and community factors

作者: Ahmad Komarulzaman , Jeroen Smits , Eelke de Jong

DOI: 10.1080/17441692.2015.1127985

关键词: Incidence (epidemiology)Under-fiveImproved sanitationSanitationMultilevel modelWater resource managementDiarrheaWater supplyEnvironmental healthHygieneMedicine

摘要: Diarrhoea is an important health issue in low- and middle-income countries, including Indonesia. We applied a multilevel regression analysis on the Indonesian Demographic Health Survey to examine effects of drinking water sanitation facilities at household community level diarrhoea prevalence among children under five (n = 33,339). The role circumstances was explored by studying interactions between variables other risk factors. reported 4820 (14.4%) children, who average were younger, poorer living environment. At level, piped significantly associated with (OR = 0.797, 95% CI: 0.692-0.918), improved had no direct effect (OR = 0.992, 0.899-1.096) treatment not related incidence (OR = 1.106, 0.994-1.232). coverage (OR = 1.002, 0.950-1.057) but lower (OR = 0.917, 0.843-0.998). Our interaction showed that protective better increased level. This illustrates importance improving both simultaneously.

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