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Water, Sanitation, and Hygiene (WASH) Practices and Outreach Services in Settlements for Rohingya Population in Cox’s Bazar, Bangladesh, 2018–2021

Author

Listed:
  • ASG Faruque

    (Nutrition and Clinical Services Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh
    These authors contributed equally to this work.)

  • Baharul Alam

    (Nutrition and Clinical Services Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh
    These authors contributed equally to this work.)

  • Baitun Nahar

    (Nutrition and Clinical Services Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh)

  • Irin Parvin

    (Nutrition and Clinical Services Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh)

  • Ashok Kumar Barman

    (Nutrition and Clinical Services Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh)

  • Soroar Hossain Khan

    (Nutrition and Clinical Services Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh)

  • M Nasif Hossain

    (Nutrition and Clinical Services Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh)

  • Yulia Widiati

    (UNICEF Bangladesh, Cox’s Bazar Field Office, Cox’s Bazar 4700, Bangladesh)

  • ASM Mainul Hasan

    (UNICEF Bangladesh, Cox’s Bazar Field Office, Cox’s Bazar 4700, Bangladesh)

  • Minjoon Kim

    (UNICEF Bangladesh Country Office, Dhaka 1207, Bangladesh)

  • Martin Worth

    (UNICEF Bangladesh, Cox’s Bazar Field Office, Cox’s Bazar 4700, Bangladesh)

  • Maya Vandenent

    (UNICEF Bangladesh Country Office, Dhaka 1207, Bangladesh)

  • Tahmeed Ahmed

    (Nutrition and Clinical Services Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh
    Office of Executive Director, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh)

Abstract

(1) Background: This study aimed to investigate the existing water, sanitation, and hygiene (WASH) policy and practice of the study population and strengthen the evidence base by documenting changes in the WASH policy and practice over 3 years of the Rohingya refugee humanitarian crisis, Cox’s Bazar, Bangladesh. (2) Methods: A cross-sectional surveillance design was followed; the sampling of the study population included the Rohingya refugee population and neighborhood host nationals who required hospitalization soon after seeking care and enrolled into the diarrheal disease surveillance in diarrhea-treatment centers. Throughout the study period of 3 years, a total of 4550 hospitalized individuals constituted the study participants. (3) Results: Among the hospitalized Rohingya refugee population; the use of public tap water increased significantly from 38.5% in year 1 to 91% in year 3. The use of deep tube well water significantly changed from 31.3% to 8.2%, and the use of shallow tube well water reduced significantly from 25.8% to 0.4%. Households using water seal latrine were 13.3% in year 1 and increased significantly to 31.7% in year 3. ORS consumption at home changed significantly from 61.5% in the first year to 82.1% in third year. Multivariable analysis demonstrated patients’ age groups at 5 to 14 years, and 15 years and more, drinking non-tube well water, soap use after using toilet, use of non-sanitary toilet facility, father’s and mother’s lack of schooling, and some and severe dehydration were significantly associated with the Rohingya refugee population enrolled into the diarrheal disease surveillance. (4) Conclusion: The findings indicate significant advances in WASH service delivery as well as outreach activities by aid agencies for the Rohingya refugee population living in settlements.

Suggested Citation

  • ASG Faruque & Baharul Alam & Baitun Nahar & Irin Parvin & Ashok Kumar Barman & Soroar Hossain Khan & M Nasif Hossain & Yulia Widiati & ASM Mainul Hasan & Minjoon Kim & Martin Worth & Maya Vandenent & , 2022. "Water, Sanitation, and Hygiene (WASH) Practices and Outreach Services in Settlements for Rohingya Population in Cox’s Bazar, Bangladesh, 2018–2021," IJERPH, MDPI, vol. 19(15), pages 1-16, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9635-:d:881026
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    References listed on IDEAS

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    1. Abul Hasnat Milton & Mijanur Rahman & Sumaira Hussain & Charulata Jindal & Sushmita Choudhury & Shahnaz Akter & Shahana Ferdousi & Tafzila Akter Mouly & John Hall & Jimmy T. Efird, 2017. "Trapped in Statelessness: Rohingya Refugees in Bangladesh," IJERPH, MDPI, vol. 14(8), pages 1-8, August.
    2. Edgar Cambaza & Edson Mongo & Elda Anapakala & Robina Nhambire & Jacinto Singo & Edsone Machava, 2019. "Outbreak of Cholera Due to Cyclone Kenneth in Northern Mozambique, 2019," IJERPH, MDPI, vol. 16(16), pages 1-9, August.
    3. Mehereen Akhter & Sayed Mohammad Nazim Uddin & Nazifa Rafa & Sanjida Marium Hridi & Chad Staddon & Wayne Powell, 2020. "Drinking Water Security Challenges in Rohingya Refugee Camps of Cox’s Bazar, Bangladesh," Sustainability, MDPI, vol. 12(18), pages 1-26, September.
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