Use of Technology to Access Health Information/Services and Subsequent Association With WASH (Water Access, Sanitation, and Hygiene) Knowledge and Behaviors Among Women With Children Under 2 Years of Age in Indonesia: Cross-sectional Study
BackgroundWater access, sanitation, and hygiene (WASH) remain a public health concern in Indonesia. Proper WASH practices can decrease risk of stunting, wasting, and disease in children under the age of 2. ObjectiveThe purpose of our study is to examine if using technology to access heal...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2021-01-01
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| Series: | JMIR Public Health and Surveillance |
| Online Access: | http://publichealth.jmir.org/2021/1/e19349/ |
| _version_ | 1818876842440916992 |
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| author | Niedfeldt, Heidi Jane Beckstead, Emmalene Chahalis, Emily Jensen, Mindy Reher, Britton Torres, Scott Rachmi, Cut Novianti Jusril, Hafizah Hall, Cougar West, Joshua H Crookston, Benjamin T |
| author_facet | Niedfeldt, Heidi Jane Beckstead, Emmalene Chahalis, Emily Jensen, Mindy Reher, Britton Torres, Scott Rachmi, Cut Novianti Jusril, Hafizah Hall, Cougar West, Joshua H Crookston, Benjamin T |
| author_sort | Niedfeldt, Heidi Jane |
| collection | DOAJ |
| description | BackgroundWater access, sanitation, and hygiene (WASH) remain a public health concern in Indonesia. Proper WASH practices can decrease risk of stunting, wasting, and disease in children under the age of 2.
ObjectiveThe purpose of our study is to examine if using technology to access health information and services among Indonesian women affects knowledge and behaviors regarding handwashing and defecation practices.
MethodsOur study is an interview-based cross-sectional survey. Participants included 1734 mothers of children under 2 years of age. These women were randomly selected and interviewed as part of a 3-stage cluster sampling technique. Our study uses data regarding WASH knowledge which includes benefits of handwashing with soap, 5 critical times of handwashing, risks of open defecation, media of disease transmission, defecation locations, and risks of open defecation. Data regarding WASH behaviors were also included: handwashing with soap, type of latrine used at home, and where defecation took place. This investigation used adjusted and unadjusted logistic and linear regression models to determine differences in WASH outcomes between those who use technology to access health information and services and those who did not.
ResultsOne result is that Indonesian women with children under 2 years of age who use technology to access health information and services are more likely to know the advantages of proper handwashing (odds ratio [OR] 2.603, 95% CI 1.666-4.067) and know the 5 critical times of handwashing (OR 1.217, 95% CI 0.969-1.528). Women who use technology to access health information are also more likely to know the risks of open defecation (OR 1.627, 95% CI 1.170-2.264) and use a type of toilet (such as a gooseneck or squat toilet) that limits risk (OR 3.858, 95% CI 2.628-5.665) compared to women who did not use technology to access health information.
ConclusionsUsing technology to access health information and services was associated with an increase in handwashing and defecation knowledge. In the future, promoting mothers of children under 2 years of age to access health information through technology might be used to increase handwashing and defecation knowledge as well as safe defecation practices. However, further research should be done to determine how technology may increase the frequency of recommended handwashing behaviors. |
| first_indexed | 2024-12-19T13:48:49Z |
| format | Article |
| id | doaj.art-a3987137951d4c25ad69819e197aa432 |
| institution | Directory Open Access Journal |
| issn | 2369-2960 |
| language | English |
| last_indexed | 2024-12-19T13:48:49Z |
| publishDate | 2021-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Public Health and Surveillance |
| spelling | doaj.art-a3987137951d4c25ad69819e197aa4322022-12-21T20:18:48ZengJMIR PublicationsJMIR Public Health and Surveillance2369-29602021-01-0171e1934910.2196/19349Use of Technology to Access Health Information/Services and Subsequent Association With WASH (Water Access, Sanitation, and Hygiene) Knowledge and Behaviors Among Women With Children Under 2 Years of Age in Indonesia: Cross-sectional StudyNiedfeldt, Heidi JaneBeckstead, EmmaleneChahalis, EmilyJensen, MindyReher, BrittonTorres, ScottRachmi, Cut NoviantiJusril, HafizahHall, CougarWest, Joshua HCrookston, Benjamin TBackgroundWater access, sanitation, and hygiene (WASH) remain a public health concern in Indonesia. Proper WASH practices can decrease risk of stunting, wasting, and disease in children under the age of 2. ObjectiveThe purpose of our study is to examine if using technology to access health information and services among Indonesian women affects knowledge and behaviors regarding handwashing and defecation practices. MethodsOur study is an interview-based cross-sectional survey. Participants included 1734 mothers of children under 2 years of age. These women were randomly selected and interviewed as part of a 3-stage cluster sampling technique. Our study uses data regarding WASH knowledge which includes benefits of handwashing with soap, 5 critical times of handwashing, risks of open defecation, media of disease transmission, defecation locations, and risks of open defecation. Data regarding WASH behaviors were also included: handwashing with soap, type of latrine used at home, and where defecation took place. This investigation used adjusted and unadjusted logistic and linear regression models to determine differences in WASH outcomes between those who use technology to access health information and services and those who did not. ResultsOne result is that Indonesian women with children under 2 years of age who use technology to access health information and services are more likely to know the advantages of proper handwashing (odds ratio [OR] 2.603, 95% CI 1.666-4.067) and know the 5 critical times of handwashing (OR 1.217, 95% CI 0.969-1.528). Women who use technology to access health information are also more likely to know the risks of open defecation (OR 1.627, 95% CI 1.170-2.264) and use a type of toilet (such as a gooseneck or squat toilet) that limits risk (OR 3.858, 95% CI 2.628-5.665) compared to women who did not use technology to access health information. ConclusionsUsing technology to access health information and services was associated with an increase in handwashing and defecation knowledge. In the future, promoting mothers of children under 2 years of age to access health information through technology might be used to increase handwashing and defecation knowledge as well as safe defecation practices. However, further research should be done to determine how technology may increase the frequency of recommended handwashing behaviors.http://publichealth.jmir.org/2021/1/e19349/ |
| spellingShingle | Niedfeldt, Heidi Jane Beckstead, Emmalene Chahalis, Emily Jensen, Mindy Reher, Britton Torres, Scott Rachmi, Cut Novianti Jusril, Hafizah Hall, Cougar West, Joshua H Crookston, Benjamin T Use of Technology to Access Health Information/Services and Subsequent Association With WASH (Water Access, Sanitation, and Hygiene) Knowledge and Behaviors Among Women With Children Under 2 Years of Age in Indonesia: Cross-sectional Study JMIR Public Health and Surveillance |
| title | Use of Technology to Access Health Information/Services and Subsequent Association With WASH (Water Access, Sanitation, and Hygiene) Knowledge and Behaviors Among Women With Children Under 2 Years of Age in Indonesia: Cross-sectional Study |
| title_full | Use of Technology to Access Health Information/Services and Subsequent Association With WASH (Water Access, Sanitation, and Hygiene) Knowledge and Behaviors Among Women With Children Under 2 Years of Age in Indonesia: Cross-sectional Study |
| title_fullStr | Use of Technology to Access Health Information/Services and Subsequent Association With WASH (Water Access, Sanitation, and Hygiene) Knowledge and Behaviors Among Women With Children Under 2 Years of Age in Indonesia: Cross-sectional Study |
| title_full_unstemmed | Use of Technology to Access Health Information/Services and Subsequent Association With WASH (Water Access, Sanitation, and Hygiene) Knowledge and Behaviors Among Women With Children Under 2 Years of Age in Indonesia: Cross-sectional Study |
| title_short | Use of Technology to Access Health Information/Services and Subsequent Association With WASH (Water Access, Sanitation, and Hygiene) Knowledge and Behaviors Among Women With Children Under 2 Years of Age in Indonesia: Cross-sectional Study |
| title_sort | use of technology to access health information services and subsequent association with wash water access sanitation and hygiene knowledge and behaviors among women with children under 2 years of age in indonesia cross sectional study |
| url | http://publichealth.jmir.org/2021/1/e19349/ |
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