Ashraf, Sania Islam, Mahfuza Unicomb, Leanne Rahman, Mahbubur Winch, Peter J Arnold, Benjamin F Benjamin-Chung, Jade Ram, Pavani K Colford, John M Luby, Stephen P
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Acute respiratory infections cause mortality in young children. We assessed the effects of water, sanitation, hygiene (WASH) and nutritional interventions on childhood ARI. Geographic clusters of pregnant women from rural Bangladesh were randomly assigned to receive 1) chlorinated drinking water and safe storage (W); 2) upgraded sanitation (S); 3) ...
Bhatt, N Budhathoki, SS Lucero-Prisno, DEI Shrestha, G Bhattachan, M Thapa, J Sunny, AK Upadhyaya, P Ghimire, A Pokharel, PK
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Introduction Open defecation is ongoing in Nepal despite the rise in efforts for increasing latrine coverage and its use. Understanding the reasons for open defecation would complement the ongoing efforts to achieve the ‘open defecation free’ status in Nepal. This study aimed at exploring different motivations of people who practice open defecation...
Jain, Anoop Fernald, Lia CH Smith, Kirk R Subramanian, SV
In 2017, the Joint Monitoring Programme estimated that 520 million people in India were defecating in the open every day. This is despite efforts made by the government, Non-Governmental Organizations (NGOs), and multilaterals to improve latrine coverage throughout India. We hypothesize that this might be because current interventions focus mostly ...
Martínez-Santos, P Martín-Loeches, M García-Castro, N Solera, D Díaz-Alcaide, S Montero, E García-Rincón, J
© 2017 Elsevier GmbH On-site sanitation is generally advocated as a means to eradicate the health hazards associated with open defecation. While this has provided a welcome upgrade to the livelihoods of millions of people in low-income countries, improved sanitation facilities are increasingly becoming a threat to domestic groundwater-based supplie...
Budhathoki, SS Shrestha, G Bhattachan, M Singh, SB Jha, N Pokharel, PK
BACKGROUND: A little more than 1/3rd of the rural households in Nepal have improved latrine facility. The government of Nepal is working towards making an open defecation free area all over Nepal. There is no data found in literature searches regarding the status of latrines and its utilisation in Nepal. This study aims to estimate the coverage and...
Odagiri, Mitsunori Schriewer, Alexander Daniels, Miles E Wuertz, Stefan Smith, Woutrina A Clasen, Thomas Schmidt, Wolf-Peter Jin, Yujie Torondel, Belen Misra, Pravas R
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Efforts to eradicate open defecation and improve sanitation access are unlikely to achieve health benefits unless interventions reduce microbial exposures. This study assessed human fecal contamination and pathogen exposures in rural India, and the effect of increased sanitation coverage on contamination and exposure rates. In a cross-sectional stu...
Christensen, Garret Dentz, Holly N Pickering, Amy J Bourdier, Tomoé Arnold, Benjamin F Colford, John M Null, Clair
In preparation for a larger trial, the Water, Sanitation, and Hygiene (WASH) Benefits pilot study enrolled 72 villages and 499 subjects in two closely related randomized trials of WASH interventions in rural western Kenya. Intervention households received hardware and promotion for one of the following: water treatment, sanitation and latrine impro...
Sara, Stephen Graham, Jay
Diarrheal diseases account for 7% of deaths in children under five years of age in Tanzania. Improving sanitation is an essential step towards reducing these deaths. This secondary analysis examined rural Tanzanian households sanitation behaviors and attitudes in order to identify barriers and drivers to latrine adoption. The analysis was conducted...
Patil, Sumeet R Arnold, Benjamin F Salvatore, Alicia L Briceno, Bertha Ganguly, Sandipan Colford, John M Gertler, Paul J
BackgroundPoor sanitation is thought to be a major cause of enteric infections among young children. However, there are no previously published randomized trials to measure the health impacts of large-scale sanitation programs. India's Total Sanitation Campaign (TSC) is one such program that seeks to end the practice of open defecation by changing ...
Nelson, Kali B Karver, Jonathan Kullman, Craig Graham, Jay P
BackgroundThe practice of sharing sanitation facilities does not meet the current World Health Organization/UNICEF definition for what is considered improved sanitation. Recommendations have been made to categorize shared sanitation as improved sanitation if security, user access, and other conditions can be assured, yet limited data exist on user ...