Interventions to address unsafe child feces disposal practices in the Asia-Pacific region: a systematic review
Despite clear evidence of the adverse health impacts of unsafe child feces disposal (CFD), there is little evidence of the effectiveness of interventions targeting the improvement of unsafe CFD practices in the Asia-Pacific region. A systematic review of the literature was conducted to identify and...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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IWA Publishing
2022-12-01
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| Series: | H2Open Journal |
| Subjects: | |
| Online Access: | http://h2oj.iwaponline.com/content/5/4/583 |
| _version_ | 1797783038763991040 |
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| author | Lauren Sprouse Anna Liles Ryan Cronk Valerie Bauza James B. Tidwell Musa Manga |
| author_facet | Lauren Sprouse Anna Liles Ryan Cronk Valerie Bauza James B. Tidwell Musa Manga |
| author_sort | Lauren Sprouse |
| collection | DOAJ |
| description | Despite clear evidence of the adverse health impacts of unsafe child feces disposal (CFD), there is little evidence of the effectiveness of interventions targeting the improvement of unsafe CFD practices in the Asia-Pacific region. A systematic review of the literature was conducted to identify and evaluate the quality of both behavior change and hardware interventions targeting the improvement of CFD practices in this region. A total of 695 articles were screened, and 15 studies were included. The combined hardware and behavior change interventions reported the highest rates of safe CFD (SCFD) post-intervention; however, these interventions were of lower quality. Four interventions focused specifically on improving SCFD practices, while the remaining seven studies evaluated the impacts of large-scale interventions, such as India's MANTRA and Total Sanitation Campaign programs, on unsafe CFD practices. Large-scale programs and hardware interventions are important for providing communities with the infrastructure necessary to improve unsafe CFD practices, but such interventions may be improved by the addition of a behavioral change component. With little evidence available on the effectiveness of behavioral interventions on reducing unsafe CFD in the Asia-Pacific region, future work should focus on how behavior change models combined with hardware interventions impact unsafe CFD.
HIGHLIGHTS
The Asia-Pacific region has high rates of unsafe child feces disposal (CFD).;
There is little evidence on the effectiveness of sanitation interventions targeting the improvement of unsafe CFD practices.;
Hardware interventions may be improved by the addition of a behavioral change component.;
Future work should focus on how behavior change models combined with hardware interventions address unsafe CFD practices.; |
| first_indexed | 2024-03-13T00:20:27Z |
| format | Article |
| id | doaj.art-7c849efecd254af3afbadc62a6b97216 |
| institution | Directory Open Access Journal |
| issn | 2616-6518 |
| language | English |
| last_indexed | 2024-03-13T00:20:27Z |
| publishDate | 2022-12-01 |
| publisher | IWA Publishing |
| record_format | Article |
| series | H2Open Journal |
| spelling | doaj.art-7c849efecd254af3afbadc62a6b972162023-07-11T15:44:28ZengIWA PublishingH2Open Journal2616-65182022-12-015458360210.2166/h2oj.2022.137137Interventions to address unsafe child feces disposal practices in the Asia-Pacific region: a systematic reviewLauren Sprouse0Anna Liles1Ryan Cronk2Valerie Bauza3James B. Tidwell4Musa Manga5 The Water Institute at UNC, Department of Environmental Sciences and Engineering, The Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 4114 McGavran Hall, Campus Box # 7431, Chapel Hill, NC 27599, USA The Water Institute at UNC, Department of Environmental Sciences and Engineering, The Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 4114 McGavran Hall, Campus Box # 7431, Chapel Hill, NC 27599, USA ICF, 2635 Meridian Parkway Suite 200, Durham, NC 27713, USA The Water Institute at UNC, Department of Environmental Sciences and Engineering, The Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 4114 McGavran Hall, Campus Box # 7431, Chapel Hill, NC 27599, USA World Vision, 300 St NE, Washington, DC 20002, USA The Water Institute at UNC, Department of Environmental Sciences and Engineering, The Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 4114 McGavran Hall, Campus Box # 7431, Chapel Hill, NC 27599, USA Despite clear evidence of the adverse health impacts of unsafe child feces disposal (CFD), there is little evidence of the effectiveness of interventions targeting the improvement of unsafe CFD practices in the Asia-Pacific region. A systematic review of the literature was conducted to identify and evaluate the quality of both behavior change and hardware interventions targeting the improvement of CFD practices in this region. A total of 695 articles were screened, and 15 studies were included. The combined hardware and behavior change interventions reported the highest rates of safe CFD (SCFD) post-intervention; however, these interventions were of lower quality. Four interventions focused specifically on improving SCFD practices, while the remaining seven studies evaluated the impacts of large-scale interventions, such as India's MANTRA and Total Sanitation Campaign programs, on unsafe CFD practices. Large-scale programs and hardware interventions are important for providing communities with the infrastructure necessary to improve unsafe CFD practices, but such interventions may be improved by the addition of a behavioral change component. With little evidence available on the effectiveness of behavioral interventions on reducing unsafe CFD in the Asia-Pacific region, future work should focus on how behavior change models combined with hardware interventions impact unsafe CFD. HIGHLIGHTS The Asia-Pacific region has high rates of unsafe child feces disposal (CFD).; There is little evidence on the effectiveness of sanitation interventions targeting the improvement of unsafe CFD practices.; Hardware interventions may be improved by the addition of a behavioral change component.; Future work should focus on how behavior change models combined with hardware interventions address unsafe CFD practices.;http://h2oj.iwaponline.com/content/5/4/583asia-pacificbehavior change interventionschild feces disposalhardware interventionssanitation interventionswater sanitation and hygiene (wash) |
| spellingShingle | Lauren Sprouse Anna Liles Ryan Cronk Valerie Bauza James B. Tidwell Musa Manga Interventions to address unsafe child feces disposal practices in the Asia-Pacific region: a systematic review H2Open Journal asia-pacific behavior change interventions child feces disposal hardware interventions sanitation interventions water sanitation and hygiene (wash) |
| title | Interventions to address unsafe child feces disposal practices in the Asia-Pacific region: a systematic review |
| title_full | Interventions to address unsafe child feces disposal practices in the Asia-Pacific region: a systematic review |
| title_fullStr | Interventions to address unsafe child feces disposal practices in the Asia-Pacific region: a systematic review |
| title_full_unstemmed | Interventions to address unsafe child feces disposal practices in the Asia-Pacific region: a systematic review |
| title_short | Interventions to address unsafe child feces disposal practices in the Asia-Pacific region: a systematic review |
| title_sort | interventions to address unsafe child feces disposal practices in the asia pacific region a systematic review |
| topic | asia-pacific behavior change interventions child feces disposal hardware interventions sanitation interventions water sanitation and hygiene (wash) |
| url | http://h2oj.iwaponline.com/content/5/4/583 |
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