Evidence map›Paper›PMID 39967549›Full record

ArticleGlobal health action2025

Improving WASH facilities and practices in Bangladeshi schools: progress and challenges from 2014 to 2018.

Farjana Jahan, Noshin Sayiara Shuchi, Afsana Yeamin, Titly Sen, Abul Kasham Shoab, Mahbub-Ul Alam, Supta Sarker, Mehjabin Tishan Mahfuz, Mahadi Hasan, Hasin Jahan and 3 more

Abstract read
In one paragraph

Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
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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

13 authors.

Farjana JahanEnvironmental Health and WASH, Health System and Population Studies Division, International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh.ORCID 0000-0003-1662-4734
Noshin Sayiara ShuchiEnvironmental Health and WASH, Health System and Population Studies Division, International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Afsana YeaminEnvironmental Health and WASH, Health System and Population Studies Division, International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Titly SenEnvironmental Health and WASH, Health System and Population Studies Division, International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Abul Kasham ShoabEnvironmental Health and WASH, Health System and Population Studies Division, International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Mahbub-Ul AlamEnvironmental Health and WASH, Health System and Population Studies Division, International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Supta SarkerEnvironmental Health and WASH, Health System and Population Studies Division, International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Mehjabin Tishan MahfuzNutrition Research Division, International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Mahadi HasanWaterAid, Dhaka, Bangladesh.
Hasin JahanWaterAid, Dhaka, Bangladesh.
Khairul IslamWaterAid, South Asia Regional Office, Dhaka, Bangladesh.
Md Masud AlamDemography and Health Wing, Bangladesh Bureau of Statistics, Dhaka, Bangladesh.
Mahbubur RahmanEnvironmental Health and WASH, Health System and Population Studies Division, International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b), Dhaka, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn low- and middle-income countries like Bangladesh, inadequate water, sanitation, and hygiene (WASH) practices lead to a higher disease burden among children and hinder their academic performance. However, there have been efforts to improve WASH between 2014 and 2018.

objectivesThe study aimed to investigate changes in WASH facilities and practices in Bangladeshi schools from 2014 to 2018.

methodsWe analyzed pooled data from Bangladesh National Hygiene Survey 2014 and 2018. We performed descriptive analysis, bivariate analysis, and multivariate Generalized Estimating Equation (GEE) to analyze the changes over the four years time period.

resultsResults showed that basic drinking water services increased from 78% in 2014 to 90% in 2018. Schools showed a significant increase in basic sanitation services from 19% in 2014 to 52% in 2018. We discovered that students' access to water and soap increased from 2014 to 2018, from 21% to 35%. In the GEE model, we found that change in time, non govt urban schools were associated factors with improved basic drinking water services. For basic sanitation services, changes in time, school type and area type were significantly associated higher services. And for basic hygiene services, the associated factors were: schools having hygiene promotion visits, and availability of hygiene brigades at schools managed by students.

conclusionWASH services in Bangladeshi schools have improved significantly, yet disparities exist, particularly in government and rural schools. Although students' knowledge improved, their practices still need improvements through training on proper WASH practices.

Indexed as

HygieneSanitationSchoolsBangladeshChildDrinking WaterHumansSurveys and QuestionnairesWater SupplyDrinking WaterBangladeshenvironmental hygienesanitation and hygieneSchool WASHWASH facilitieswater

Identifiers

PMID39967549
PMCPMC11841100

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LicenceCC BY
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Registered trials

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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.