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. 2024 Jan-Feb;49(1):138-143.
doi: 10.4103/ijcm.ijcm_141_23. Epub 2024 Jan 12.

No Child's Play: Under-five Child Feces Management in a Rural Area of Bengaluru Urban District, India

Anissa Mary Thomas Thattil  1 , Twinkle Agrawal  2 , Abdul Kader Surti  2 , Stallon Sebastian  2 , Kiyana Mirza  2 , George Jacob  2 , Farah Naaz Fathima  2
Affiliations

No Child's Play: Under-five Child Feces Management in a Rural Area of Bengaluru Urban District, India

Anissa Mary Thomas Thattil et al. Indian J Community Med. 2024 Jan-Feb.

Abstract

Background: Inappropriate feces disposal leads to environmental contamination, and increases the risk of exposure to children. We aimed to estimate the proportion of rural households with knowledge and practice of safe management of feces (SMoF) among under-five children and to identify associated factors.

Materials and methods: A cross-sectional study was conducted in eight villages in Bengaluru Urban district over 2 months, using a face-validated semi-structured interview schedule. SMoF was defined based on five criteria - defecation site, transport tool, feces disposal, cleaning of transport tool, and hand washing.

Results: Out of 320 under-five children surveyed, 15.7% were pre-ambulatory and 84.3% were ambulatory. The majority of the caregivers (92.5%) felt that children should defecate in the latrine and only 23.7% were aware that child feces were more infectious than adult feces. SMoF was only practiced by caregivers of ambulatory children (52.6%). Households with older caregivers (P = 0.01) and those living in a pucca house (P = 0.02) with a latrine inside (P = 0.04) were found to practice SMoF. Children of households that practiced unsafe disposal of child feces experienced more diarrheal episodes (P = 0.04). Caregivers >20 years were found to have better odds of SMoF [20-25 years (adjusted odds ratio, aOR: 9.02), 26-30 years (aOR: 12.17), >30 years (aOR: 8.93)] compared to those <20 years.

Conclusion: The proportion of households with knowledge and practice of SMoF was low. Awareness of SMoF is essential to reduce the incidence of diarrheal diseases and improve sanitation. Our findings also call for awareness building at schools and colleges.

Keywords: Child; defecation; feces; sanitation; under-five.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. The World Bank. Mortality rate. Under-five mortality rate. 2018. [[Last accessed on 2019 Jan 24]]. Available from: ttps://data.worldbank.org/indicator/SH.DYN.MORT?locations=IN .
    1. UNICEF. UNICEF. Under-five mortality. 2018. [[Last accessed on 2019 Jan 24]]. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2214109X14702803 .
    1. World Health Organization. WHO; 2017. [[Last accessed on 2019 Jan 24]]. Diarrhoeal disease. Available from: https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease .
    1. UNICEF. Water, Sanitation adnd Hygiene. 2017. [[Last accessed on 2019 Jan 24]]. Eliminate Open Defecation. Available from: https://www.unicef.org/india/frequently-asked-questions .
    1. UNICEF, Water and Sanitation Program, World Bank Group. Child feces disposal in India [Internet 2015] [[Last accessed on 2022 Dec 12]]. Available from: http://documents1.worldbank.org/curated/en/304261468000298814/pdf/96428-... .