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Household hygienic behaviors most affecting childhood diarrhea in six provinces of Indonesia

Sabarinah Prasetyo1, Budi Utomo2, Dini Dahlia2, Syahrizal Syarif1, and George Adriaanz2. (1) Indonesia Health Services Program, Ratu Plaza Building, 16th Floor, Jl. Jend. Sudirman Kav. 9, Jakarta, 10270, Indonesia, 62.21.723.7715, akvaitchadze@jsi.com, (2) Indonesia Health Services Program/JSI, Ratu Plaza Building, 16th Floor, Jl. Jend. Sudirman, Kav. 9, Jakarta, 10270, Indonesia

Diarrhea is still prevalent among children and contributing significantly to child mortality in Indonesia. Objective: Using data from the just completed (end of 2005) basic human services household survey that covered 7,137 households in 30 districts of six provinces including Aceh, this paper identifies household hygienic behaviors most affecting childhood diarrhea in six provinces of Indonesia. Method: Three groups of household hygienic behavior related variables are identified: (1) safe toilet and use of drinking water, (2) use of soap in critical hand washing activities, such as before preparing food, after defecation, after child diaper changing, etc., and (3) scale of hygienic knowledge and perception. In each of these three groups, households are scored and grouped into quintiles of related hygienic behavior or knowledge related variables. Each group is then assessed in respect to its association with the child diarrhea prevalence during the last 2 weeks. Results: Household hygienic behaviors are negatively associated with the diarrhea prevalence among children. The more healthy toileting and the more safe use of drinking water the lower the child diarrhea prevalence. Use of soap in critical hand washing activities is related to reduced child diarrhea prevalence. Correct hygienic knowledge and perception is also associated with reduced child diarrhea prevalence. Of these three groups of hygienic variables, use of soap during hygienic critical activities most affects the child diarrhea prevalence. Thus, promoting healthy toileting, safe drinking water, and in particular use of soap in critical hand washing activities would reduce the diarrhea incidence among children. Keywords: child diarrhea prevalence, healthy toileting, safe drinking water, use of soap in critical hand washing activities, hygienic knowledge and perception, Indonesia Health Services Program.

Learning Objectives:

Keywords: Diarrhea, Children's Health

Presenting author's disclosure statement:

Not Answered

Child Health Issues and Innovations

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA