Neighbors' use of water and sanitation facilities can affect children's health: a cohort study in Mozambique using a spatial approach.

ABSTRACT:

Background

Impact evaluation of most water, sanitation and hygiene (WASH) interventions in health are user-centered. However, recent research discussed WASH herd protection - community WASH coverage could protect neighboring households. We evaluated the effect of water and sanitation used in the household and by household neighbors in children's morbidity and mortality using recorded health data.

Methods

We conducted a retrospective cohort including 61,333 children from a district in Mozambique during 2012-2015. We obtained water and sanitation household data and morbidity data from Manhiça Health Research Centre surveillance system. To evaluate herd protection, we estimated the density of household neighbors with improved facilities using a Kernel Density Estimator. We fitt

SUBMITTER: Grau-Pujol B 

PROVIDER: S-EPMC9109333 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature