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首页> 外文期刊>International Journal of Environmental Research and Public Health >Towards Effective and Socio-Culturally Appropriate Sanitation and Hygiene Interventions in the Philippines: A Mixed Method Approach
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Towards Effective and Socio-Culturally Appropriate Sanitation and Hygiene Interventions in the Philippines: A Mixed Method Approach

机译：在菲律宾寻求有效和社会文化适当的卫生和卫生干预措施：混合方法

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Inadequate water, sanitation and hygiene (WASH) represent an important health burden in the Philippines. The non-governmental organisation Fit for School intends to complement its handwashing programme in schools with sanitation interventions. The objectives of this mixed-method study therefore were to describe WASH practices and their impact on childhood diarrhoea in the Philippines, and to examine socio-cultural and environmental factors underlying defecation and anal cleansing practices in Northern Mindanao. We quantified the effect of WASH practices on diarrhoea through logistic regression models, using the Philippine Demographic and Health Survey 2008. When adjusting for non-modifiable factors, susceptibility and socioeconomic factors, WASH factors failed to show a statistically significant effect. Focus group discussions were held with women in urban and rural Northern Mindanao, and findings analysed using thematic analysis. Defecation and anal cleansing behaviours were constrained by the physical environment, particularly the lack of clean, safe, comfortable and private facilities. Individual determinants of behaviour were influenced by habit and motivations such as disgust, with some evidence of planned behaviour. Where available, water was the preferred material for anal cleansing. This study combines nationally-representative quantitative data with local in-depth qualitative insights, constituting critical formative research in the development of effective and appropriate interventions.
机译：水，卫生设施和卫生设施不足（WASH）在菲律宾构成了重要的健康负担。非政府组织“适合学校”计划通过卫生干预措施补充学校的洗手计划。因此，这项混合方法研究的目的是描述菲律宾的WASH做法及其对儿童腹泻的影响，并研究棉兰老岛北部排便和肛门清洁做法背后的社会文化和环境因素。我们使用2008年菲律宾人口与健康调查，通过logistic回归模型量化了WASH做法对腹泻的影响。在对不可修改的因素，易感性和社会经济因素进行调整时，WASH因素未能显示出统计学上的显着效果。与棉兰老岛北部城市和农村地区的妇女举行了焦点小组讨论，并使用主题分析对调查结果进行了分析。粪便和肛门清洁行为受到身体环境的限制，尤其是缺乏清洁，安全，舒适和私人的设施。行为的个体决定因素受习惯和动机（例如厌恶）的影响，其中有一些计划性行为的证据。如果有的话，水是肛门清洁的首选材料。这项研究将具有国家代表性的定量数据与本地深入的定性见解相结合，构成了制定有效和适当干预措施的关键性形成性研究。

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