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首页> 外文期刊>International Journal of Environmental Research and Public Health >Understanding the Challenges of Improving Sanitation and Hygiene Outcomes in a Community Based Intervention: A Cross-Sectional Study in Rural Tanzania
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Understanding the Challenges of Improving Sanitation and Hygiene Outcomes in a Community Based Intervention: A Cross-Sectional Study in Rural Tanzania

机译：了解基于社区的干预措施中改善卫生和卫生结果的挑战：坦桑尼亚农村地区的跨部门研究

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摘要

Good sanitation and clean water are basic human rights yet they remain elusive to many rural communities in Sub-Saharan Africa (SSA). We carried out a cross sectional study to examine the impact of a four-year intervention aimed at improving access to water and sanitation and reducing waterborne disease, especially diarrhea in children under five years old. The study was carried out in April and May 2015 in Busangi, Chela and Ntobo wards of Kahama District of Tanzania. The interventions included education campaigns and improved water supply, and sanitation. The percentage of households (HHs) with access to water within 30 min increased from 19.2 to 48.9 and 17.6 to 27.3 in the wet and dry seasons, respectively. The percentage of HHs with hand washing facilities at the latrine increased from 0% to 13.2%. However, the incidence of diarrhea among children under five years increased over the intervention period, RR 2.91 95% CI 2.71–3.11, p < 0.0001. Availability of water alone may not influence the incidence of waterborne diseases. Factors such as water storage and usage, safe excreta disposal and other hygiene practices are critical for interventions negating the spread of water borne diseases. A model that articulates the extent to which these factors are helpful for such interventions should be explored.
机译：良好的卫生条件和清洁用水是基本人权，但对于撒哈拉以南非洲（SSA）的许多农村社区而言，它们仍然遥不可及。我们进行了一项横断面研究，研究了一项为期四年的干预措施的影响，该干预措施旨在改善饮水和卫生条件，减少水传播疾病，尤其是五岁以下儿童的腹泻。这项研究于2015年4月和2015年5月在坦桑尼亚Kahama区的Busangi，Chela和Ntobo病区进行。干预措施包括开展教育运动，改善供水和卫生条件。在雨季和旱季，在30分钟内可使用水的家庭比例分别从19.2增至48.9和17.6增至27.3。带有洗手设施的洗手间的百分比从0％增加到13.2％。但是，在干预期间，五岁以下儿童的腹泻发生率有所增加，RR 2.91 95％CI 2.71–3.11，p <0.0001。仅水的供应可能不会影响水传播疾病的发生。诸如水的存储和使用，安全的排泄物处理和其他卫生习惯等因素对于消除水传播疾病传播的干预措施至关重要。应该探索一个模型，阐明这些因素在何种程度上有助于此类干预。

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