ArticleBMC infectious diseases2016
Hygienic practices and diarrheal illness among persons living in at-risk settings in Kabul, Afghanistan: a cross-sectional study.
Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Global epidemiology of diarrhea among internally displaced populations and refugee camp populations an evidence-based systematic review and meta-analysis.BMC public health · 2025Pooled it
- A multicenter hospital-based analysis of cystic Echinococcosis in Afghanistan: Filling a National data gap.PLoS neglected tropical diseases · 2026Observational
- Demography of Haemorrhoids in Jamhuriat Hospital, Kabul.International journal of general medicine · 2024Article
- Outcome of acute bacterial meningitis among children in Kandahar, Afghanistan: A prospective observational cohort study.PloS one · 2022Observational
- How is hygiene behaviour affected by conflict and displacement? A qualitative case study in Northern Iraq.PloS one · 2022Article
- Resilience actions of Internally Displaced Persons (IDPs) living in camp-like settings: a Northern Nigeria case study.Journal of migration and health · 2022Article
- The association of religion with maternal and child health outcomes in South Asian countries.PloS one · 2022Article
- The Availability of Improved Sanitation Facilities and Its Associated Factors in the 12Journal of environmental and public health · 2021Article
- Water supply, sanitation and hygiene interventions and childhood diarrhea in Kersa and Omo Nada districts of Jimma Zone, Ethiopia: a comparative cross-sectional study.Journal of health, population, and nutrition · 2019Article
- Stress and Health of Internally Displaced Female Yezidis in Northern Iraq.Journal of immigrant and minority health · 2019Article
- Hygienic Behaviors and Risks for Ascariasis among College Students in Kabul, Afghanistan.The American journal of tropical medicine and hygiene · 2017Article
- Trends of vaccine-preventable diseases in Afghanistan from the Disease Early Warning System, 2009-2015.PloS one · 2017Article
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSustained civil and military conflict, resulting in large numbers of internally displaced persons (IDP), in combination with rapid urbanization has strained public health and sanitation within cities in Afghanistan. In order to examine the association between preventive sanitary behaviors and diarrhea within two high risk settings located within Kabul, Afghanistan, this study aimed to evaluate the prevalence of hygienic practices and diarrheal illness in an IDP camp and an urban slum.
methodsIn this cross sectional study, a convenience sample of residents of an IDP camp and an urban slum in Kabul, Afghanistan, was used. Participants were asked to describe their hygienic practices and interviewers independently documented household sanitation. The knowledge and attitudes about and practice of hygienic activities to prevent diarrhea were compared between the two settings.
resultsTwo hundred participants, 100 from each setting, were enrolled. Knowledge, attitudes, and practices regarding hygienic activities to prevent diarrhea were greater among the slum dwellers than the IDP. Fewer than half of participants washed their hands with soap before eating or after eating: 31 % of slum dwellers washed before eating compared to 11 % of IDPs (P = 0.0050), and 25 % of slum dwellers washed after defecating compared to 4 % of IDPs (P = 0.0020). The IDPs were more likely to share a latrine (P = 0.0144) and less likely to disinfect their latrine than slum dwellers. Diarrhea in the household within the past 3 months was more common in the IDP camp (54 %) than the slum (20 %) (P = 0.0020).
conclusionsEven though certain sanitary and hygienic practices were more common among slum dwellers than IDPs, the lack of hygienic activities in both setting indicates that interventions to change behavior, like increasing the availability of soap and encouraging hand washing, are needed. Any initiative will have to be developed in the context of pervasive illiteracy among persons in both of these settings.
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