ArticleHealth SA = SA Gesondheid2022
Diarrhoeal prevalence and handwashing practices of children attending early childhood development centres in KwaZulu-Natal, South Africa.
Article in Health SA = SA Gesondheid, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.
- Prevalence of diarrheal diseases and associated factors among under five children in Africa: A meta-analysis.PloS one · 2025Pooled it
- Determinants of diarrhoeal diseases among under-five children in Africa (2013-2023): a comprehensive systematic review highlighting geographic variances, socioeconomic influences, and environmental factors.BMC public health · 2024Pooled it
- Water-Energy-Food Security and Health in South Africa: A Scoping Review.JAMA network open · 2026Article
- From data collection to action: environmental health information management practices in eleven municipalities in the east coast of South Africa.Frontiers in health services · 2026Article
- Strengthening environmental health services delivery through improving data management in South Africa: insights from environmental health managers.Frontiers in health services · 2025Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Diarrhoea, a leading cause of childhood morbidity and mortality, spread through contaminated food or water or from person to person, is a major cause of hospitalisation in South African children. Aim: To determine if hygiene practices of parents or guardians and early childhood development centre (ECD) educators contributed to diarrhoea in children attending the centres. Setting: The study was conducted at ECD centres in Mpumalanga Township of KwaZulu-Natal province, South Africa. Methods: A descriptive cross-sectional study was conducted at 10 ECD centres. Parents or guardians ( Results: The prevalence of diarrhoea in children ≤ 5 years was 67.3%. Most parents or guardians washed their hands after defecating and handling a child's faeces as well as before preparing food. Handwashing after urination was low. Washing of children's hands after these events was lower. Although all educators reported always washing the child's hands after defecating and before handling or eating food, they were less likely to wash the children's hands after urination ( Conclusion: In this population, the high prevalence of diarrhoea is related to the number of children in a household and handwashing practices. Contribution: This study highlights the importance of handwashing practices in the prevention of diarrhoea in children.
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