Hygienic Child Feces Disposal Practice and Its Associated Factors among Mothers/Caregivers of Under Five Children in West Armachiho District, Northwest Ethiopia

Addis, Moges; Worku, Walelegn; Bogale, Laekemariam; Shimelash, Alebachew; Tegegne, Eniyew

doi:10.1177/11786302221114738

Cited by 4 publications

(3 citation statements)

References 25 publications

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“…Before being included in the review, each original study's quality was assessed using the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI). Our analysis revealed that, out of the 15 included studies, 86.7% had a low risk of bias [15,23,24,[26][27][28][29][30][31][32][33][34][35][36] and the remaining 13.3% had a moderate risk of bias [25,37] (S2 Table ).…”

Section: Included Study Qualitymentioning

confidence: 93%

“…In a total of 616 published studies were retrieved and from these 15 cross-sectional studies that met inclusion criteria and reported about the influence of improved latrine facility ownership on household child excreta disposal behaviors were included in this study [15,[23][24][25][26][27][28][29][30][31][32][33][34][35][36]. In process due to overlap about 166 studies were removed from the records.…”

Section: Study Selection Proceduresmentioning

confidence: 99%

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Does owning improved latrine facilities enhance the safe disposal of child feces in Africa? a systematic review and meta-analysis

Soboksa,

Olkeba,

Aregu

2024

PLoS ONE

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Introduction Improved sanitation refers to those that effectively avoid human contact with excreta in a hygienic manner. Having improved latrines is a key factor in adopting safe ways of disposing of child feces. However, previous studies in Africa that examined how owning improved latrine facilities associated with household child feces disposal practices has shown inconsistent results, and no systematic review of these findings has been done. Therefore, this study aims to synthesize the evidence on the significance of households having improved latrine facilities for safe child feces disposal practices among households with under five-year-old children in Africa. Methods The searched databases include: PubMed/Medline, Ovid/Embase, ScienceDirect, AJOL and the Cochrane Library. In the search process, Google Scholar and references of other studies were considered. This review included studies that were published in English without any time restrictions. The outcome of this study was an estimate of the association between the ownership of an improved latrine and the disposal practices of children’s feces. Two reviewers used the Excel data extraction tool to extract the relevant data from the studies that were included in the review. Using Stata version 16, a meta-analysis was performed with a random effects statistical model. The inverse index of variance (I2) was used to assess heterogeneity. Forest plots were used to show the pooled estimate with a 95% confidence interval. Publication bias was assessed using Egger’s test and a funnel plot. Results Out of the 616 studies that were retrieved, 15 were included in the systematic review analysis and 10 were included in the meta-analysis. All studies that were included are cross-sectional studies done in Ethiopia, Nigeria, Gambia, Malawi, Eswatini, Ghana, Zambia, and a study used data from sub-Saharan Africa. Improved latrine facilities significantly enhanced the practice of safe child feces disposal, as shown by the overall effect size (OR = 2.74; 95% CI = 1.24–1.35, I2 = 99.95%). In the subgroup analysis by sample size, the presence of improved latrines significantly enhanced safe child feces disposal in studies with sample sizes less than 1000 (OR = 3.24; 95% CI = 2.86–3.62, I2 = 61.38%), while there was no significant difference in studies with sample sizes greater than 1000 (OR = 2.67; 95% CI = 0.69–4.64, I2 = 99.97%). However, studies that involved children under 5 years old indicated that improved latrine facilities significantly enhanced the practice of safe child feces disposal (OR = 4.02; 95% CI = 2.03–6.09; I2 = 99.96%). Conclusions In this research study, we examined the ownership of improved latrine facilities among households with five-year-old children to enhance the disposal of child feces in a safer manner in Africa. The high heterogeneity among the studies and the cross-sectional design of the included studies limit the causal inference and generalizability of the findings. Therefore, meta-analyses of longitudinal and experimental studies are needed to confirm the causal relationship between improved latrine facilities and safe child feces disposal practices in Africa.

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Section: Included Study Qualitymentioning

confidence: 93%

Section: Study Selection Proceduresmentioning

confidence: 99%

Does owning improved latrine facilities enhance the safe disposal of child feces in Africa? a systematic review and meta-analysis

Soboksa,

Olkeba,

Aregu

2024

PLoS ONE

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“…26 Hygienic or safe disposal of children's stools is influenced by individual and contextual variables and has been demonstrated in a handful of studies. [27][28][29][30] In most of these studies, the practices of safe disposal of children's stools were low. In a recent survey of 15 SSA countries, it was found that only 58.73% of childbearing women safely disposed of their children's stools which varied from 26.38% in Chad to 85.90% in Rwanda.…”

Section: Introductionmentioning

confidence: 99%

Hygienic Disposal of Children’s Stools Practices Among Women of Children With Diarrhoea in Sub-Saharan Africa

Essuman,

Storph,

Ahinkorah

et al. 2023

Environ�Health�Insights

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Background: Diarrhoea stools contain infectious agents and pose a public health threat to children and members of the entire family when exposed to them. Therefore, their hygienic disposal is essential. Empirical data are needed to stir the needed public health interventions to encourage or enforce proper disposal practices to curb associated clinical issues. This study assessed the prevalence and correlates of hygienic stool disposal practices by mothers of children with diarrhoea in sub-Saharan Africa (SSA). Methods: The Demographic and Health Surveys (DHS) data of 16 sub-Saharan African countries from 2015 to 2021 involving 22 590 mother-child pairs were analysed. Multilevel binary logistic analysis was conducted to assess the individual- and household-level factors associated with the hygienic disposal of stool practices by mothers of children with diarrhoea. The results were presented using adjusted odds ratios (AOR) and 95% confidence intervals (CI) at a statistical significance of P < .05. Results: The overall prevalence of hygienic disposal of children’s stools among women of children with diarrhoea was 49.01% (95% CI: 48.40-49.62) and ranged from 15.70% in Liberia to 86.6% in Rwanda. The practice of hygienic disposal of stools of children with diarrhoea was likely to increase among mothers who are working (AOR: 1.19; 95% CI: 1.09-1.30), those with partners with primary level of education (AOR: 1.18; 95% CI: 1.06-1.31), Muslims (AOR: 1.69; 95% CI: 1.49-1.91) and widowed/divorced (AOR: 8.94, 95% CI: 3.55-22.53). Again, mothers in the richer (AOR: 1.23; 95% CI: 1.08-1.39) wealth index had increased odds of disposing of stools hygienically compared to those in the poorest wealth index. Women who were 20 years and above, to who belonged to Traditional Religions (AOR: 0.57; 95% CI: 0.43-0.74), and those with unimproved sources of water (AOR: 0.89; 95% CI: 0.82-0.98) and toilet facilities (AOR: 0.63; 95% CI: 0.58-0.69) were less likely to dispose of child’s diarrhoea stool hygienically than their counterparts. Conclusion: The study reveals that the unhygienic disposal of the stool of children with diarrhoea is prevalent in SSA and requires a concerted effort to curb it. Sanitation practices such as educating mothers about hygienic disposal of children’s stool and improving water and sanitation facilities are crucial in lowering the high prevalence of unhygienic disposal of the diarrhoeic stool of children. Additional country-level research is needed to assess children’s defecation behaviours and the disposal of diarrhoeic stools using different methodologies.

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Child feces disposal practices in humanitarian and non-humanitarian settings across 34 low- and middle-income countries

Beardsley,

Lebu,

Anthonj

et al. 2024

Science of The Total Environment

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Hygienic Child Feces Disposal Practice and Its Associated Factors among Mothers/Caregivers of Under Five Children in West Armachiho District, Northwest Ethiopia

Cited by 4 publications

References 25 publications

Does owning improved latrine facilities enhance the safe disposal of child feces in Africa? a systematic review and meta-analysis

Does owning improved latrine facilities enhance the safe disposal of child feces in Africa? a systematic review and meta-analysis

Hygienic Disposal of Children’s Stools Practices Among Women of Children With Diarrhoea in Sub-Saharan Africa

Child feces disposal practices in humanitarian and non-humanitarian settings across 34 low- and middle-income countries

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