Evidence map›Paper›PMID 40450261›Full record

ArticleBMC public health2025

A comparative assessment of WASH adherence among public and private school students in a rural district in Nigeria.

Ayoola O Bosede, Rejoice C Enwenonu, Justina U Udensi, Onyenonachi C Ihejirika, Kolawole C Akindulureni, Onyima C Emenonu, Thelma C Mezieobi

Abstract readComparative Study
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

7 authors.

Ayoola O BosedeDepartment of Environmental Health Science, Federal University of Technology, Owerri, Imo State, Nigeria. ayoola.bosede@futo.edu.ng.
Rejoice C EnwenonuDepartment of Environmental Health Science, Federal University of Technology, Owerri, Imo State, Nigeria.
Justina U UdensiDepartment of Environmental Health Science, Federal University of Technology, Owerri, Imo State, Nigeria.
Onyenonachi C IhejirikaDepartment of Environmental Health Science, Federal University of Technology, Owerri, Imo State, Nigeria.
Kolawole C AkindulureniDepartment of Community Health Services and Education, Ondo State Primary Healthcare Development Agency, Akure, Ondo State, Nigeria.
Onyima C EmenonuDepartment of Environmental Health Science, Federal University of Technology, Owerri, Imo State, Nigeria.
Thelma C MezieobiDepartment of Environmental Health Science, Federal University of Technology, Owerri, Imo State, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWater, Sanitation, and Hygiene (WASH) are essential for preventing infectious diseases and promoting public health, particularly among school-aged children. This study assessed the knowledge and practices of WASH among secondary school students in Ikeduru Local Government Area, Imo State, Nigeria, comparing public and private school students.

methodsA descriptive cross-sectional study design was employed, and data were collected using a structured questionnaire and an observational checklist. A multi-stage sampling technique was used to select 20 secondary schools, with a total of 400 students participating in the study. Data were analyzed using the Statistical Package for Social Sciences (SPSS), with descriptive and inferential statistics applied to determine associations between variables at a 5% level of significance.

resultsFindings revealed that while public school students exhibited higher WASH knowledge (87.1%) compared to private school students (54.3%), private school students demonstrated better WASH practices, with 65.5% maintaining good hygiene compared to 55.7% of public-school students (p = 0.043). Significant disparities were observed in handwashing behaviors, toilet use, and drinking water sources. Public school students faced greater challenges due to inadequate sanitation facilities, leading to a higher prevalence of open defecation (55.7%) compared to private school students (6.9%). Despite high awareness of WASH-related diseases, practice gaps remained, particularly in public schools, where limited access to hygiene facilities hindered adherence to proper sanitation practices.

conclusionsThe study highlights the need for targeted interventions to improve WASH infrastructure, particularly in public schools. Policies should prioritize the provision of adequate toilets, functional handwashing stations, and safe drinking water to bridge the gap between knowledge and practice. Strengthening hygiene education and implementing behavior change strategies will enhance WASH compliance and reduce the burden of preventable diseases among students.

Indexed as

Health Knowledge, Attitudes, PracticeHygienePrivate SectorPublic SectorRural PopulationSanitationSchoolsStudentsAdolescentChildCross-Sectional StudiesFemaleHumansMaleNigeriaSurveys and QuestionnairesHygiene educationPublic healthSchool sanitationWASH practices

Identifiers

PMID40450261
PMCPMC12125929

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.