Evidence map›Paper›PMID 42657165›Full record

ReviewHealth science reports2026

Contribution of Water, Sanitation, and Hygiene Facilities to Maternal Hygiene Practices During Complementary Feeding in Ethiopia: A Systematic Review and Meta-Analysis.

Negasa Eshete Soboksa, Dinkinesh Begna Gudeta, Renay Helouise Van Wyk, Zoe Nomakhushe Nxusani, Vhushavhelo Nedzingahe, Xikombiso Gertrude Mbhenyane

Abstract readReview
In one paragraph

Review in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Negasa Eshete SoboksaDivision of Human Nutrition, Faculty of Medicine and Health Sciences Stellenbosch University Cape Town South Africa.ORCID https://orcid.org/0000-0003-3451-175X
Dinkinesh Begna GudetaDepartment of Nursing, College of Health Sciences Arsi University Asalla Ethiopia.
Renay Helouise Van WykDepartment of Environmental Health, Faculty of Health Sciences University of Johannesburg Johannesburg South Africa.ORCID https://orcid.org/0000-0001-7860-1285
Zoe Nomakhushe NxusaniDivision of Human Nutrition, Faculty of Medicine and Health Sciences Stellenbosch University Cape Town South Africa.ORCID https://orcid.org/0000-0002-2805-3820
Vhushavhelo NedzingaheDivision of Human Nutrition, Faculty of Medicine and Health Sciences Stellenbosch University Cape Town South Africa.ORCID https://orcid.org/0000-0002-2528-7138
Xikombiso Gertrude MbhenyaneDivision of Human Nutrition, Faculty of Medicine and Health Sciences Stellenbosch University Cape Town South Africa.ORCID https://orcid.org/0000-0003-0408-9586

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Complementary feeding is essential for child growth and development, and good maternal hygiene practices are crucial for preventing infections. In Ethiopia, inadequate water, sanitation and hygiene (WASH) facilities can compromise food safety, increasing the risk of diarrhoea and undernutrition. This systematic review and meta-analysis aim to evaluate the contribution of WASH facilities to maternal hygiene practices during complementary feeding in Ethiopia. Methods: Relevant studies were identified through searches of PubMed, Scopus, Web of Science, JBI, the Cochrane Library, Google Scholar, and the reference lists of eligible articles. The search strategy was developed using the Population-Exposure-Outcome framework and included terms related to WASH, maternal hygiene practices, and complementary feeding in Ethiopia. Studies were screened against predefined inclusion and exclusion criteria. Data was extracted, charted, and synthesized to summarize evidence on the contribution of WASH facilities to maternal hygiene practices during complementary feeding. Results: Twelve studies were included in the review. The prevalence of good maternal hygiene practices ranged from 22.2% to 62.0%. Most participants used piped or protected water sources for drinking water. Access to latrines varied from 2.4% to 96.4%, while the availability of handwashing facilities ranged from 1.4% to 64.0%. Meta-analysis showed that mothers with access to piped or protected water sources were more likely to practise good hygiene during complementary feeding (POR = 3.41; 95% CI: 1.50-7.78). Positive associations were also observed for access to latrines (POR = 1.70; 95% CI: 0.79-3.66) and handwashing facilities (POR = 2.20; 95% CI: 1.03-4.69). Conclusion: Although the availability of WASH facilities varied across studies, the findings consistently indicated that access to safe water, sanitation, and handwashing facilities improves maternal hygiene practices during complementary feeding. Expanding WASH infrastructure and integrating hygiene education are essential to promote safer feeding practices and improve child health outcomes in Ethiopia.

Indexed as

complementary feedingEthiopiahygiene facilitymaternal hygienesanitation accessibilityWater supply

Identifiers

PMID42657165
PMCPMC13508023

What OpenQuestion holds

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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.