Association between water, sanitation, and hygiene practices (Wash) and anthropometric nutritional status among selected under-five children in rural Noakhali, Bangladesh: A cross-sectional analysis

Susmita Ghosh*, Md. Ruhul Kabir, Majharul Islam, Zehad Bin Shadat, Fahim Sarkar Ishat, Riad Hasan, Ismail Hossain, Sayeda Saima Alam, Oumma Halima

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

This study aims to find out how WASH practices may be responsible for the development of diarrheal disease and poor physical growth of under-five children in rural Noakahli, Bangladesh. A case study was conducted among 110 households who had children aged between 0 and 59 months chosen by simple random method at Noakhali district, Bangladesh. Bivariate and multivariate logistic regression was employed to find the association. About 40.1% of children had diarrhea within 1 week prior to the study and 38.9% had skin problems of different kinds. A significant association between wasting and hand washing before feeding the baby (p < 0.006) was found; stunting and family income also showed association (p < 0.003). Bathing the baby regularly, cleaning toilets, and cleanliness of the baby was found to be strongly associated; not cleaning toilets was associated with a very high risk of getting diarrhea (AOR: 16.397 (1.075–250.013)). Moreover, the unavailability of soaps in toilets increased the risk of diarrheal diseases (COR: 3.933 (1.258–12.296)) in the study population. Malnutrition is highly prevalent in children living in the study area and needs to be addressed by considering the factors which affect this rate.

Original languageEnglish
Pages (from-to)141–151
Number of pages11
JournalJournal of Water Sanitation and Hygiene for Development
Volume11
Issue number1
DOIs
Publication statusPublished - 1 Jan 2021

Scopus Subject Areas

  • Development
  • Water Science and Technology
  • Waste Management and Disposal
  • Pollution
  • Public Health, Environmental and Occupational Health

User-Defined Keywords

  • Bangladesh
  • Hygiene and sanitation practice
  • Nutritional status
  • Under-five children

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