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Environment
Effect of Water, Sanitation and Hygiene Intervention in Reducing self-reported Waterborne Diseases in Rural Bangladesh
AKM Masud Rana
December - 2009

An experimental study was done in 50 sub-districts in rural areas of Bangladesh where WASH programme is in place since middle of 2006. A total of 29,885 households were selected randomly for this study through multi-stage 30 clusters sampling design. The intervention included promotional activities to install tubewells, sanitary latrines and health education for improving hygienic behaviour. Ultra poor received grant for sanitary latrine in the villages where sanitation coverage reached >80%. Findings reveal that overall prevalence of waterborne diseases reduced from 10% at baseline to 7% at follow-up (p<0.001). Among under-five children it reduced from 22% to 13% (p<0.001). Although, prevalence was higher among women that men at baseline (p<0.001) no significant difference was noted between them during follow-up. This study underlines that to reduce waterborne disease water, sanitation and higiene intervention plays important role. Attenuation of waterborne diseases might impact on child mortality and economic status of the households where out-of-pocket medical expenditure is pervasive.

 
 
 

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