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Association between WASH-Related Behaviors and Knowledge with Childhood Diarrhea in Tanzania

Author

Listed:
  • Natalie Bennion

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Generose Mulokozi

    (IMA World Health, Nyalali Curve, PO Box 9260, Plot 1657, Dar es Salaam, Tanzania)

  • Emily Allen

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Margaret Fullmer

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Gwen Kleinhenz

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Kirk Dearden

    (IMA World Health, 1730 M St NW #1100, Washington, DC 20036, USA)

  • Mary Linehan

    (IMA World Health, 1730 M St NW #1100, Washington, DC 20036, USA)

  • Scott Torres

    (RTI International, 701 13th St NW #750, Washington, DC 20005, USA)

  • Joshua West

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Benjamin Crookston

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Cougar Hall

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

Abstract

Background: Diarrhea remains a major cause of morbidity and mortality among children in Tanzania. The purpose of this study was to explore associations between diarrheal disease and water, sanitation, and hygiene (WASH) related behaviors and determine care-seeking predictors for diarrheal disease. Methods: Data from 9996 female primary caregivers were collected as part of a larger integrated nutrition program. Logistic regression was used to measure associations between predictor and dependent variables and diarrheal and care-seeking outcomes. Results: Knowledge of the importance of handwashing after assisting a child who has defecated (OR 0.79, CI 0.72–0.87), before preparing food (OR 0.88, CI 0.80–0.97), and before feeding a child (OR 0.89, CI 0.81–0.99) were each associated with not having a child with diarrhea in the past two weeks. Fathers or male caregivers (OR 0.65, CI 0.48–0.89) were less likely to seek medical care for a child with diarrhea. No associations were found between WASH-related knowledge or behavior and seeking medical care for a child with diarrhea. Conclusions: Findings indicate that knowledge of handwashing importance was significant in washing hands after assisting a child who has defecated, before preparing food, and prior to feeding a child. These findings demonstrate the value of parental involvement to lower morbidity and mortality among children.

Suggested Citation

  • Natalie Bennion & Generose Mulokozi & Emily Allen & Margaret Fullmer & Gwen Kleinhenz & Kirk Dearden & Mary Linehan & Scott Torres & Joshua West & Benjamin Crookston & Cougar Hall, 2021. "Association between WASH-Related Behaviors and Knowledge with Childhood Diarrhea in Tanzania," IJERPH, MDPI, vol. 18(9), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4681-:d:544953
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    References listed on IDEAS

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    1. Derek Headey & Giordano Palloni, 2019. "Water, Sanitation, and Child Health: Evidence From Subnational Panel Data in 59 Countries," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 729-752, April.
    2. Briceno, Bertha & Coville, Aidan & Martinez , Sebastian, 2015. "Promoting handwashing and sanitation : evidence from a large-scale randomized trial in rural Tanzania," Policy Research Working Paper Series 7164, The World Bank.
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    Cited by:

    1. Paul H. McClelland & Claire T. Kenney & Federico Palacardo & Nicholas L. S. Roberts & Nicholas Luhende & Jason Chua & Jennifer Huang & Priyanka Patel & Leonardo Albertini Sanchez & Won J. Kim & John K, 2022. "Improved Water and Waste Management Practices Reduce Diarrhea Risk in Children under Age Five in Rural Tanzania: A Community-Based, Cross-Sectional Analysis," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
    2. Kirk Dearden & Generose Mulokozi & Mary Linehan & Dennis Cherian & Scott Torres & Joshua West & Benjamin Crookston & Cougar Hall, 2023. "The Impact of a Large-Scale Social and Behavior Change Communication Intervention in the Lake Zone Region of Tanzania on Knowledge, Attitudes, and Practices Related to Stunting Prevention," IJERPH, MDPI, vol. 20(2), pages 1-13, January.

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