ArticleInternational journal of public health2018
Water system unreliability and diarrhea incidence among children in Guatemala.
Article in International journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effectiveness of infrastructural interventions to improve access to safe drinking water in Latin America and the Caribbean on the burden of diarrhoea in children <5 years: a systematic literature review and narrative synthesis.Global health action · 2025Pooled it
- Drinking water and the implications for gender equity and empowerment: A systematic review of qualitative and quantitative evidence.International journal of hygiene and environmental health · 2023Pooled it
- Updating the assumptions on the impact of household water, sanitation and hygiene interventions on diarrhea morbidity in young children.Journal of global health · 2022Pooled it
- Connecting knowledge and action: recommendations to leverage Guatemala's scientific diaspora to address water management challenges.Frontiers in research metrics and analytics · 2026Article
- How water intermittency and water perceptions influence household coping strategies in northwestern Ecuador.PLOS water · 2025Article
- Improved household flooring is associated with lower odds of enteric and parasitic infections in low- and middle-income countries: A systematic review and meta-analysis.PLOS global public health · 2023Article
- Toward co-design of an AI solution for detection of diarrheal pathogens in drinking water within resource-constrained contexts.PLOS global public health · 2022Article
- Clean water, sanitation and under-five children diarrhea incidence: Empirical evidence from the South Africa's General Household Survey.Environmental science and pollution research international · 2021Article
- Household coping strategies associated with unreliable water supplies and diarrhea in Ecuador, an upper-middle-income country.Water research · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis article examines the effect of water system unreliability on diarrhea incidence among children aged 0-5 in Guatemala.
methodsWe use secondary data from a nationally representative sample of 7579 children to estimate the effects of uninterrupted and interrupted water services on diarrhea incidence. The national scope of this study imposes some methodological challenges due to unobserved geographical heterogeneity. To address this issue, we estimate mixed-effects logit models that control for unobserved heterogeneity by estimating random effects of selected covariates that can vary across geographical areas (i.e. water system reliability).
resultsCompared to children without access to piped water, children with uninterrupted water services have a lower probability of diarrhea incidence by approximately 33 percentage points. Conversely, there is no differential effect between children without access and those with at least one day of service interruptions in the previous month. Results also confirm negative effects of age, female gender, spanish language, and garbage disposal on diarrhea incidence.
conclusionsPublic health benefits of piped water are realized through uninterrupted provision of service, not merely access. Policy implications are discussed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.