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Neighbors' use of water and sanitation facilities can affect children's health: a cohort study in Mozambique using a spatial approach

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Neighbors' use of water and sanitation facilities can affect children's health: a cohort study in Mozambique using a spatial approach. / Grau-Pujol, Berta; Cano, Jorge; Marti-Soler, Helena et al.
In: BMC Public Health, Vol. 22, No. 1, 983, 16.05.2022.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Grau-Pujol, B, Cano, J, Marti-Soler, H, Casellas, A, Giorgi, E, Nhacolo, A, Saute, F, Giné, R, Quintó, L, Sacoor, C & Muñoz, J 2022, 'Neighbors' use of water and sanitation facilities can affect children's health: a cohort study in Mozambique using a spatial approach', BMC Public Health, vol. 22, no. 1, 983. https://doi.org/10.1186/s12889-022-13373-9

APA

Grau-Pujol, B., Cano, J., Marti-Soler, H., Casellas, A., Giorgi, E., Nhacolo, A., Saute, F., Giné, R., Quintó, L., Sacoor, C., & Muñoz, J. (2022). Neighbors' use of water and sanitation facilities can affect children's health: a cohort study in Mozambique using a spatial approach. BMC Public Health, 22(1), Article 983. https://doi.org/10.1186/s12889-022-13373-9

Vancouver

Grau-Pujol B, Cano J, Marti-Soler H, Casellas A, Giorgi E, Nhacolo A et al. Neighbors' use of water and sanitation facilities can affect children's health: a cohort study in Mozambique using a spatial approach. BMC Public Health. 2022 May 16;22(1):983. doi: 10.1186/s12889-022-13373-9

Author

Grau-Pujol, Berta ; Cano, Jorge ; Marti-Soler, Helena et al. / Neighbors' use of water and sanitation facilities can affect children's health : a cohort study in Mozambique using a spatial approach. In: BMC Public Health. 2022 ; Vol. 22, No. 1.

Bibtex

@article{e5c921772c35405a82e5fb7adbd0f820,
title = "Neighbors' use of water and sanitation facilities can affect children's health: a cohort study in Mozambique using a spatial approach",
abstract = "BackgroundImpact evaluation of most water, sanitation and hygiene (WASH) interventions in health are user-centered. However, recent research discussed WASH herd protection - community WASH coverage could protect neighboring households. We evaluated the effect of water and sanitation used in the household and by household neighbors in children's morbidity and mortality using recorded health data.MethodsWe conducted a retrospective cohort including 61,333 children from a district in Mozambique during 2012-2015. We obtained water and sanitation household data and morbidity data from Manhi{\c c}a Health Research Centre surveillance system. To evaluate herd protection, we estimated the density of household neighbors with improved facilities using a Kernel Density Estimator. We fitted negative binomial adjusted regression models to assess the minimum children-based incidence rates for every morbidity indicator, and Cox regression models for mortality.ResultsHousehold use of unimproved water and sanitation displayed a higher rate of outpatient visit, diarrhea, malaria, and anemia. Households with unimproved water and sanitation surrounded by neighbors with improved water and sanitation high coverage were associated with a lower rate of outpatient visit, malaria, anemia, and malnutrition.ConclusionHousehold and neighbors' access to improve water and sanitation can affect children's health. Accounting for household WASH and herd protection in interventions' evaluation could foster stakeholders' investment and improve WASH related diseases control. ",
keywords = "Water, Morbidity, Africa, Sanitation, Health care, community coverage, Spatial, Wasting, Wash, Herd Protection, Humans, Retrospective Studies, Cohort Studies, Water Supply, Child, Mozambique, Child Health",
author = "Berta Grau-Pujol and Jorge Cano and Helena Marti-Soler and Aina Casellas and Emanuele Giorgi and Ariel Nhacolo and Francisco Saute and Ricard Gin{\'e} and Lloren{\c c} Quint{\'o} and Charfudin Sacoor and Jose Mu{\~n}oz",
year = "2022",
month = may,
day = "16",
doi = "10.1186/s12889-022-13373-9",
language = "English",
volume = "22",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BMC",
number = "1",

}

RIS

TY - JOUR

T1 - Neighbors' use of water and sanitation facilities can affect children's health

T2 - a cohort study in Mozambique using a spatial approach

AU - Grau-Pujol, Berta

AU - Cano, Jorge

AU - Marti-Soler, Helena

AU - Casellas, Aina

AU - Giorgi, Emanuele

AU - Nhacolo, Ariel

AU - Saute, Francisco

AU - Giné, Ricard

AU - Quintó, Llorenç

AU - Sacoor, Charfudin

AU - Muñoz, Jose

PY - 2022/5/16

Y1 - 2022/5/16

N2 - BackgroundImpact evaluation of most water, sanitation and hygiene (WASH) interventions in health are user-centered. However, recent research discussed WASH herd protection - community WASH coverage could protect neighboring households. We evaluated the effect of water and sanitation used in the household and by household neighbors in children's morbidity and mortality using recorded health data.MethodsWe conducted a retrospective cohort including 61,333 children from a district in Mozambique during 2012-2015. We obtained water and sanitation household data and morbidity data from Manhiça Health Research Centre surveillance system. To evaluate herd protection, we estimated the density of household neighbors with improved facilities using a Kernel Density Estimator. We fitted negative binomial adjusted regression models to assess the minimum children-based incidence rates for every morbidity indicator, and Cox regression models for mortality.ResultsHousehold use of unimproved water and sanitation displayed a higher rate of outpatient visit, diarrhea, malaria, and anemia. Households with unimproved water and sanitation surrounded by neighbors with improved water and sanitation high coverage were associated with a lower rate of outpatient visit, malaria, anemia, and malnutrition.ConclusionHousehold and neighbors' access to improve water and sanitation can affect children's health. Accounting for household WASH and herd protection in interventions' evaluation could foster stakeholders' investment and improve WASH related diseases control.

AB - BackgroundImpact evaluation of most water, sanitation and hygiene (WASH) interventions in health are user-centered. However, recent research discussed WASH herd protection - community WASH coverage could protect neighboring households. We evaluated the effect of water and sanitation used in the household and by household neighbors in children's morbidity and mortality using recorded health data.MethodsWe conducted a retrospective cohort including 61,333 children from a district in Mozambique during 2012-2015. We obtained water and sanitation household data and morbidity data from Manhiça Health Research Centre surveillance system. To evaluate herd protection, we estimated the density of household neighbors with improved facilities using a Kernel Density Estimator. We fitted negative binomial adjusted regression models to assess the minimum children-based incidence rates for every morbidity indicator, and Cox regression models for mortality.ResultsHousehold use of unimproved water and sanitation displayed a higher rate of outpatient visit, diarrhea, malaria, and anemia. Households with unimproved water and sanitation surrounded by neighbors with improved water and sanitation high coverage were associated with a lower rate of outpatient visit, malaria, anemia, and malnutrition.ConclusionHousehold and neighbors' access to improve water and sanitation can affect children's health. Accounting for household WASH and herd protection in interventions' evaluation could foster stakeholders' investment and improve WASH related diseases control.

KW - Water

KW - Morbidity

KW - Africa

KW - Sanitation

KW - Health care

KW - community coverage

KW - Spatial

KW - Wasting

KW - Wash

KW - Herd Protection

KW - Humans

KW - Retrospective Studies

KW - Cohort Studies

KW - Water Supply

KW - Child

KW - Mozambique

KW - Child Health

U2 - 10.1186/s12889-022-13373-9

DO - 10.1186/s12889-022-13373-9

M3 - Journal article

VL - 22

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 983

ER -