TY - JOUR
T1 - Determinants of disposal of child faeces in latrines in urban slums of Odisha, India
T2 - A cross-sectional study
AU - Majorin, Fiona
AU - Nagel, Corey L.
AU - Torondel, Belen
AU - Routray, Parimita
AU - Rout, Manaswini
AU - Clasen, Thomas F.
N1 - Funding Information:
Funding: This work was supported by the Bill & Melinda Gates Foundation (OPP1008048).
Publisher Copyright:
© The Author(s) 2019. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Background: Even among households that have access to improved sanitation, children’s faeces often do not end up in a latrine, the international criterion for safe disposal of child faeces. Methods: We collected data on possible determinants of safe child faeces disposal in a cross-sectional study of 851 children <5 y of age from 694 households in 42 slums in two cities in Odisha, India. Caregivers were asked about defecation and faeces disposal practices for all the children <5 y of age in the household. Results: Only a quarter (25.5%) of the 851 children’s faeces were reported to be disposed of in a latrine. Even fewer (22.3%) of the 694 households reported that the faeces of all children <5 y of age in the home ended up in the latrine the last time the child defecated. In multivariate analysis, factors associated with being a safe disposal household were education and religion of the primary caregiver, number of children <5 y of age in the household, wealth, type and location of the latrine used by the household, household members >5 y of age using the latrine for defecation and mobility of children <5 y of age in the household. Conclusions: Few households reported disposing of all of their children’s faeces in a latrine. Improving latrine access and specific behaviour change interventions may improve this practice.
AB - Background: Even among households that have access to improved sanitation, children’s faeces often do not end up in a latrine, the international criterion for safe disposal of child faeces. Methods: We collected data on possible determinants of safe child faeces disposal in a cross-sectional study of 851 children <5 y of age from 694 households in 42 slums in two cities in Odisha, India. Caregivers were asked about defecation and faeces disposal practices for all the children <5 y of age in the household. Results: Only a quarter (25.5%) of the 851 children’s faeces were reported to be disposed of in a latrine. Even fewer (22.3%) of the 694 households reported that the faeces of all children <5 y of age in the home ended up in the latrine the last time the child defecated. In multivariate analysis, factors associated with being a safe disposal household were education and religion of the primary caregiver, number of children <5 y of age in the household, wealth, type and location of the latrine used by the household, household members >5 y of age using the latrine for defecation and mobility of children <5 y of age in the household. Conclusions: Few households reported disposing of all of their children’s faeces in a latrine. Improving latrine access and specific behaviour change interventions may improve this practice.
KW - Child faeces
KW - Cross-sectional study
KW - India
KW - Sanitation
KW - WASH
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U2 - 10.1093/trstmh/try142
DO - 10.1093/trstmh/try142
M3 - Article
C2 - 30668852
AN - SCOPUS:85066865484
VL - 113
SP - 263
EP - 272
JO - Transactions of the Royal Society of Tropical Medicine and Hygiene
JF - Transactions of the Royal Society of Tropical Medicine and Hygiene
SN - 0035-9203
IS - 5
ER -