Perception and Disposal Practices of Toddler Feces by Mothers in Suburban Area of Kendari, Indonesia.
Journal
WHO South-East Asia journal of public health
ISSN: 2304-5272
Titre abrégé: WHO South East Asia J Public Health
Pays: India
ID NLM: 101589164
Informations de publication
Date de publication:
01 Jan 2024
01 Jan 2024
Historique:
received:
06
12
2023
accepted:
29
04
2024
medline:
21
8
2024
pubmed:
21
8
2024
entrez:
21
8
2024
Statut:
ppublish
Résumé
Unsafe child feces disposal (CFD) is another form of open defecation and can pose a risk of disease in children. More than 30% of Indonesian households practice unsafe CFD, yet, its determinants are unknown. This study aims to identify the contextual and behavioral determinants of CFD through the lens of the Risk, Attitude, Norm, Ability, and Self-regulation (RANAS) framework. The cross-sectional study was conducted in 349 households in the suburbs of Kendari City, Southeast Sulawesi Province, Indonesia, in mid-2023. About 64% of the respondents practiced unsafe CFD. Most respondents used diapers that were immediately thrown into the trash without cleaning (i.e., 60.2%). Logistic regression analysis found two significant contextual factors associated with safe CFD: having received sanitation-related information and toddler age, i.e., children below 5 years old. Perceived severity was the most influential psychological factor behind the CFD practice, followed by knowledge. This study suggests that informing caregivers about the negative health effects of practicing unsafe CFD, especially on their children, can be a positive trigger for them to practice safe CFD. In addition, the promotion of early toilet initiation and recycling programs for used diaper waste should also be conducted to ensure comprehensive CFD management.
Identifiants
pubmed: 39167133
doi: 10.4103/WHO-SEAJPH.WHO-SEAJPH_198_23
pii: 01696464-202413010-00006
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
29-34Informations de copyright
Copyright © 2024 Copyright: © 2024 WHO South-East Asia Journal of Public Health.
Références
UNICEF, WHO. Progress on Household Drinking Water, Sanitation and Hygiene 2000-2022: Special Focus on Gender. New York: UNICEF, WHO; 2023.
Addis M, Worku W, Bogale L, Shimelash A, Tegegne E. Hygienic child feces disposal practice and its associated factors among mothers/caregivers of under five children in West Armachiho district, Northwest Ethiopia. Environ Health Insights 2022;16:1–10.
Seidu AA, Ahinkorah BO, Kissah-Korsah K, Agbaglo E, Dadzie LK, Ameyaw EK, et al. A multilevel analysis of individual and contextual factors associated with the practice of safe disposal of children’s faeces in sub-Saharan Africa. PLoS One 2021;16:e0254774.
Sclar GD, Bauza V, Bisoyi A, Clasen TF, Mosler HJ. Contextual and psychosocial factors influencing caregiver safe disposal of child feces and child latrine training in rural Odisha, India. PLoS One 2022;17:e0274069.
Beardsley R, Cronk R, Tracy W, Fleming L, Ng’ambi M, Tidwell JB, et al. Factors associated with safe child feces disposal in Ethiopia, India, and Zambia. Int J Hyg Environ Health 2021;237:113832.
Cronin AA, Sebayang SK, Torlesse H, Nandy R. Association of safe disposal of child feces and reported Diarrhea in Indonesia: Need for stronger focus on a neglected risk. Int J Environ Res Public Health 2016;13:310.
Ministry of Health of the Republic of Indonesia. Results of the Basic Health Research Survey. Jakarta: Ministry of Health of the Republic of Indonesia; 2018.
Ayele Y, Yemane D, Redae G, Mekibib E. Child feces disposal practice and associated factors: A dilemma in Tigray, Northern Ethiopia. J Water Sanit Hyg Dev 2018;8:62–70.
Sahiledengle B. Self-reported healthcare waste segregation practice and its correlate among healthcare workers in hospitals of Southeast Ethiopia. BMC Health Serv Res 2019;19:591.
Ellis A, McClintic EE, Awino EO, Caruso BA, Arriola KR, Ventura SG, et al. Practices and perspectives on latrine use, child feces disposal, and clean play environments in Western Kenya. Am J Trop Med Hyg 2020;102:1094–103.
Agestika L, Sintawardani N, Hamidah U, Nyambe S, Yamauchi T. Pattern of child faeces management and disposable diaper usage among under-fives in an Urban Slum of Bandung, Indonesia. J Water Sanit Hyg Dev 2022;12:32–40.
Kementerian Kesehatan Republik Indonesia. Ministry of Health of the Republic of Indonesia. 2018 Riskesdas Report for Southeast Sulawesi Province. Publishing Agency of the Health Research and Development Agency. Jakarta; 2018. p. 306.
Kendari City Health Office. Data on Diarrhea and Stunting Diseases in 2020. Kendari; 2020
Bauza V, Reese H, Routray P, Clasen T. Child defecation and feces disposal practices and determinants among households after a combined household-level piped water and sanitation intervention in rural Odisha, India. Am J Trop Med Hyg 2019;100:1013–21.
Williams RN, Sclar GD, Routray P, Majorin F, Blais L, Caruso BA. A qualitative assessment of mothers’ perceptions and behaviors in response to an intervention designed to encourage safe child feces management practices in rural Odisha, India. J Water Sanit Hyg Dev 2022;12:375–86.
Demissie GD, Zerihun MF, Ekubagewargies DT, Yeshaw Y, Jemere T, Misganaw B, et al. Associated factors of safe child feces disposal in sub-Saharan Africa: Evidence from recent demographic and health surveys of 34 sub-Saharan countries. PLoS One 2023;18:e0281451.
Daniel D, Pande S, Rietveld L. Socio-economic and psychological determinants for household water treatment practices in indigenous – Rural Indonesia. Front Water 2021;3:1–13.
Mosler H, Contzen N. Systematic Behavior Change in Water Sanitation and Hygiene A Practical Guide Using the RANAS Approach. Ver. 1.1. Dübendorf, Switzerland: EAWAG; 2016. p. 99.
Daniel D, Sirait M, Pande S. A hierarchical Bayesian Belief Network model of household water treatment behaviour in a suburban area: A case study of Palu—Indonesia. PLoS One 2020;15:e0241904.
Stocker A, Mosler HJ. Contextual and sociopsychological factors in predicting habitual cleaning of water storage containers in rural Benin. Water Resour Res 2015;51:2000–8.
Biswas SK, Thomas ED, Masud J, Zohura F, Hasan T, Parvin T, et al. Formative research for the design of a baby water, sanitation, and hygiene mobile health program in Bangladesh (CHoBI7 mobile health program). Am J Trop Med Hyg 2021;104:357–71.
Sclar GD, Bauza V, Mosler HJ, Bisoyi A, Chang HH, Clasen TF. Study design and rationale for a cluster randomized trial of a safe child feces management intervention in rural Odisha, India. BMC Public Health 2022;22:106.
Płotka-Wasylka J, Makoś-Chełstowska P, Kurowska-Susdorf A, Treviño MJ, Guzmán SZ, Mostafa H, et al. End-of-life management of single-use baby diapers: Analysis of technical, health and environment aspects. Sci Total Environ 2022;836:155339.
Daniel D, Djohan D, Nastiti A. Interaction of factors influencing the sustainability of water, sanitation, and hygiene (WASH) services in rural Indonesia: Evidence from small surveys of wash-related stakeholders in Indonesia. Water 2021;13:314.