Evidence map›Paper›PMID 31600942›Full record

ArticleInternational journal of environmental research and public health2019

Water, Sanitation, and Hygiene: Linkages with Stunting in Rural Ethiopia.

Corina Shika Kwami, Samuel Godfrey, Hippolyte Gavilan, Monica Lakhanpaul, Priti Parikh

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Corina Shika KwamiDepartment of Civil, Environment and Geomatic Engineering, University College London, Chadwick Building, London WC1E6BT, UK. c.kwami@ucl.ac.uk.ORCID 0000-0002-7946-9156
Samuel GodfreyUnited Nations Children's Fund (UNICEF), Regional Water and Sanitation Advisor for East and Southern Africa, Nairobi 00100, Kenya. sgodfrey@unicef.org.
Hippolyte GavilanDepartment of Civil, Environment and Geomatic Engineering, University College London, Chadwick Building, London WC1E6BT, UK. h.a.gavilan@gmail.com.
Monica LakhanpaulUCL-Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK. m.lakhanpaul@ucl.ac.uk.ORCID 0000-0002-9855-2043
Priti ParikhDepartment of Civil, Environment and Geomatic Engineering, University College London, Chadwick Building, London WC1E6BT, UK. priti.parikh@ucl.ac.uk.ORCID 0000-0002-1086-4190

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stunting is a global burden affecting nearly 160 million children younger than five years of age. Whilst the linkages between nutrition and stunting are well recognized, there is a need to explore environmental factors such as water and sanitation, which may influence feeding practices and result in potential infection pathways. This paper explores the linkages between stunting and water, sanitation and hygiene (WASH) factors in Ethiopia, which is a relatively understudied context. The research draws upon baseline data for children under the age of five from 3200 households across four regions in Ethiopia as part of a wider study and integrated program led by the United Nations Children's Fund (UNICEF). Using World Health Organization (WHO) z-scoring, the average stunting rate in the sample is 47.5%. This paper also takes into account demographic and social behavioural factors such as the age, gender of children, and gender of the primary caregiver, in addition to handwashing behaviour and drinking water facilities. The evidence recommends efforts to improve handwashing behaviour for mothers and children with a focus on access to clean water. Higher stunting rates with an increase in the age of children highlight the need for continued interventions, as efforts to improve nutrition and WASH behaviours are most effective early on in promoting long-term health outcomes for children.

Indexed as

Hand DisinfectionHygieneSanitationWater SupplyChildChild, PreschoolEthiopiaFamily CharacteristicsFeeding BehaviorFemaleGrowth DisordersHumansMaleMothersNutritional StatusRural PopulationWaterbehaviour changechild healthclean waterenvironmental healthevidence-based policy-makinghand-washingstuntingundernutritionWASH

Identifiers

PMID31600942
PMCPMC6843659

What OpenQuestion holds

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Registered trials

None linked

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.