ArticleEnvironmental health : a global access science source2011
Impact of tubewell access and tubewell depth on childhood diarrhea in Matlab, Bangladesh.
Article in Environmental health : a global access science source, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Influence of Temperature and Precipitation on the Effectiveness of Water, Sanitation, and Handwashing Interventions against Childhood Diarrheal Disease in Rural Bangladesh: A Reanalysis of the WASH Benefits Bangladesh Trial.Environmental health perspectives · 2024Trial
- Deep Tubewell Use and Child Diarrhea in Rural Bangladesh: Results from a Prospective Community Surveillance Study.Environmental health perspectives · 2026Article
- Pathogen-specific predicting factors of childhood diarrhoea and their seasonality: evaluation from Rohingya refugees and host population in Cox's Bazar, Bangladesh.Journal of global health · 2026Article
- Knowledge and Practice in the Assessment of Frequent Landscape Diseases in Cattle Populations Along the Madhumati River, Gopalganj, Bangladesh.Veterinary medicine and science · 2025Article
- Exploration of trace elements in groundwater and associated human health risk in Chattogram City of Bangladesh.Heliyon · 2024Article
- Article
- Deep tubewell use is associated with increased household microbial contamination in rural Bangladesh: Results from a prospective cohort study among households in rural Bangladesh.Environmental pollution (Barking, Essex : 1987) · 2023Article
- Moringa as a household water purification method - community perception and pilot study in Guinea-Bissau.BMC public health · 2022Article
- The economic burden of diarrhea in children under 5 years in Bangladesh.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021Article
- Considering Alternate Pathways of Drinking-Water Contamination: Evidence of Risk Substitution from Arsenic Mitigation Programs in Rural Bangladesh.International journal of environmental research and public health · 2020Article
- Tube Well Use as Protection Against Rotavirus Infection During the Monsoons in an Urban Setting.The Journal of infectious diseases · 2020Article
- Deep tubewell microbial water quality and access in arsenic mitigation programs in rural Bangladesh.The Science of the total environment · 2019Article
- Safe distances between groundwater-based water wells and pit latrines at different hydrogeological conditions in the Ganges Atrai floodplains of Bangladesh.Journal of health, population, and nutrition · 2016Article
- Influence of Climate Extremes and Land Use on Fecal Contamination of Shallow Tubewells in Bangladesh.Environmental science & technology · 2016Article
- Association of climate variability and childhood diarrhoeal disease in rural Bangladesh, 2000-2006.Epidemiology and infection · 2014Article
- Arsenic exposure and cell-mediated immunity in pre-school children in rural Bangladesh.Toxicological sciences : an official journal of the Society of Toxicology · 2014Article
- Transition overtime in household latrine use in rural Bangladesh: a longitudinal cohort study.BMC public health · 2014Article
- Protective benefits of deep tube wells against childhood diarrhea in Matlab, Bangladesh.American journal of public health · 2013Article
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8 authors.
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Abstract
backgroundDuring the past three decades in Bangladesh, millions of tubewells have been installed to reduce the prevalence of diarrheal disease. This study evaluates the impacts of tubewell access and tubewell depth on childhood diarrhea in rural Bangladesh.
methodsA total of 59,796 cases of diarrhea in children under 5 were recorded in 142 villages of Matlab, Bangladesh during monthly community health surveys between 2000 and 2006. The location and depth of 12,018 tubewells were surveyed in 2002-04 and integrated with diarrhea and other data in a geographic information system. A proxy for tubewell access was developed by calculating the local density of tubewells around households. Logistic regression models were built to examine the relationship between childhood diarrhea, tubewell density and tubewell depth. Wealth, adult female education, flood control, population density and the child's age were considered as potential confounders.
resultsBaris (patrilineally-related clusters of households) with greater tubewell density were associated with significantly less diarrhea (OR (odds ratio) = 0.87, 95% confidence interval (CI): 0.85-0.89). Tubewell density had a greater influence on childhood diarrhea in areas that were not protected from flooding. Baris using intermediate depth tubewells (140-300 feet) were associated with more childhood diarrhea (OR = 1.24, 95% CI: 1.19-1.29) than those using shallow wells (10-140 feet). Baris using deep wells (300-990 feet) had less diarrheal disease than those using shallow wells, however, the difference was significant only when population density was low (< 1000 person/km(2)) or children were at the age of 13-24 months.
conclusionsIncreased access to tubewells is associated with a lower risk of childhood diarrhea. Intermediate- depth wells are associated with more childhood diarrhea compared to shallower or deeper wells. These findings may have implications for on-going efforts to reduce exposure to elevated levels of arsenic contained in groundwater that is pumped in this study area primarily from shallow tubewells.
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