Recent sanitation and health research

Evidence-based approaches to childhood stunting in low and middle income countries: a systematic review. Archives of Diseases in Childhood, May 2017.

Nutrition education and counselling, growth monitoring and promotion, immunisation, water, sanitation and hygiene and social safety net programmes appear to be the most commonly included interventions of an effective package in most low and middle income countries settings. Single interventions reduced stunting only in countries with specific disease burden. Intervention worked best when country, community and programme context were taken into account.

Escherichia coli contamination of child complementary foods and association with domestic hygiene in rural Bangladesh. Tropical Medicine International Health, May 2017.

We found high E. coli contamination in 12% of complementary food samples in rural Bangladeshi households, which is similar to studies from other low-income settings. Lack of water near the food preparation area, longer storage duration, storing food uncovered, temperatures >25 °C in the food storage area, flies captured in food preparation area and hand contact with food while serving were all factors that significantly contributed to high levels of E. coli contamination throughout the year, independent of season. The presence of animals in the compound was associated with an increase in E. coli counts. These findings provide guidance for designing targeted food hygiene interventions.

Impact of the Integration of Water Treatment, Hygiene, Nutrition, and Clean Delivery Interventions on Maternal Health Service Use. (Abstract/order) American Jnl of Tropical Med & Hyg, May 2017.

For women who lived ≤ 2.5 km from the health facility, the estimated odds of health facility delivery (OR = 2.4, 95% CI = 1.5–4.1) and postnatal care visit (OR = 1.6, 95% CI = 1.0–2.6) were higher than for those who lived > 2.5 km away. Compared with baseline, a higher percentage of survey participants at follow-up were able to demonstrate proper handwashing (P = 0.001); water treatment behavior did not change. This evaluation suggested that hygiene, nutritional, clean delivery incentives, higher education level, and geographical contiguity to health facility were associated with increased use of maternal health services by pregnant women



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