Diarrhoeal prevalence and handwashing practices of children attending early childhood development centres in KwaZulu-Natal, South Africa

Health SA Gesondheid

 
 
Field Value
 
Title Diarrhoeal prevalence and handwashing practices of children attending early childhood development centres in KwaZulu-Natal, South Africa
 
Creator Ntshangase, Samukelisiwe N. Ghuman, Shanaz Haffejee, Firoza
 
Subject Basic Medical Sciences; Community health studies diarrhoea; hygiene; preschool children; parent or guardian handwashing; teacher handwashing
Description Background: Diarrhoea, a leading cause of childhood morbidity and mortality, spread through contaminated food or water or from person to person, is a major cause of hospitalisation in South African children.Aim: To determine if hygiene practices of parents or guardians and early childhood development centre (ECD) educators contributed to diarrhoea in children attending the centres.Setting: The study was conducted at ECD centres in Mpumalanga Township of KwaZulu-Natal province, South Africa.Methods: A descriptive cross-sectional study was conducted at 10 ECD centres. Parents or guardians (n = 385) and educators (n = 121) answered self-administered questionnaires. Frequencies, bivariate associations and multivariate regression modelling were conducted.Results: The prevalence of diarrhoea in children ≤ 5 years was 67.3%. Most parents or guardians washed their hands after defecating and handling a child’s faeces as well as before preparing food. Handwashing after urination was low. Washing of children’s hands after these events was lower. Although all educators reported always washing the child’s hands after defecating and before handling or eating food, they were less likely to wash the children’s hands after urination (p = 0.003). Childhood diarrhoea was associated with the type of toilet, households with pit latrines having a higher prevalence of diarrhoea (p  0.001). It was also associated with washing of children’s hands after urination (p = 0.014), before handling or eating food (p = 0.001) and with increased number of children in the household (p = 0.001).Conclusion: In this population, the high prevalence of diarrhoea is related to the number of children in a household and handwashing practices.Contribution: This study highlights the importance of handwashing practices in the prevention of diarrhoea in children.
 
Publisher AOSIS Publishing
 
Contributor The study was funded by the Durban University of Technology
Date 2022-10-25
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/hsag.v27i0.1923
 
Source Health SA Gesondheid; Vol 27 (2022); 8 pages 2071-9736 1025-9848
 
Language eng
 
Relation
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Coverage Mpumalanga; KwaZulu-Natal 2018-2019 parents/guardians; early childhood development centre educators
Rights Copyright (c) 2022 Samukelisiwe N. Ntshangase, Shanaz Ghuman, Firoza Haffejee https://creativecommons.org/licenses/by/4.0
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