Risk factor analysis of diarrhoeal disease incidence in faecal sludge-applying farmers' households in Tamale, Ghana
This study assesses the effect of risk factors and their inter-related mediation on diarrhoeal disease incidence in households applying faecal sludge in agricultural fields in Tamale, Ghana. Risk factors were assigned to three inter-related blocks: distal socio-economic, proximal public and domestic...
| Main Authors: | , , , |
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| Format: | Journal Article |
| Language: | Inglés |
| Published: |
IWA Publishing
2013
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/40308 |
| _version_ | 1855539245942308864 |
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| author | Seidu, R. Lofman, O. Drechsel, Pay Stenstrom, T.A. |
| author_browse | Drechsel, Pay Lofman, O. Seidu, R. Stenstrom, T.A. |
| author_facet | Seidu, R. Lofman, O. Drechsel, Pay Stenstrom, T.A. |
| author_sort | Seidu, R. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | This study assesses the effect of risk factors and their inter-related mediation on diarrhoeal disease incidence in households applying faecal sludge in agricultural fields in Tamale, Ghana. Risk factors were assigned to three inter-related blocks: distal socio-economic, proximal public and domestic domains. The study involved 1,431 individuals living in 165 faecal sludge-applying households followed bi-weekly for 12 months. The incidence rate of diarrhoeal disease in the sludge-applying households was 1.09 (95% CI: 0.78-1.23) diarrhoeal episodes per person year at risk. Risk factors for diarrhoeal disease transmission in the public domain included sludge drying time (population attributable fraction (PAF) of 6%) and distance covered to collect water (PAF? 18%). The main distal socio-economic risk factor was wealth status (PAF? 15%). In the domestic domain, the risk factor significantly associated with diarrhoeal disease transmission was, not washing hands with soap after defecation (PAF ? 18%). About 17% of the effect of sludge drying time (including distance to water facilities) was mediated by the domestic domain risk factors. The study recommends risk management strategies in sludge-applying households that address public and domestic domain risk factors in addition to specific farm level interventions. |
| format | Journal Article |
| id | CGSpace40308 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2013 |
| publishDateRange | 2013 |
| publishDateSort | 2013 |
| publisher | IWA Publishing |
| publisherStr | IWA Publishing |
| record_format | dspace |
| spelling | CGSpace403082025-06-17T08:24:16Z Risk factor analysis of diarrhoeal disease incidence in faecal sludge-applying farmers' households in Tamale, Ghana Seidu, R. Lofman, O. Drechsel, Pay Stenstrom, T.A. sewage sludge excreta agriculture diarrhoea risk analysis households farmers statistical analysis socioeconomic environment This study assesses the effect of risk factors and their inter-related mediation on diarrhoeal disease incidence in households applying faecal sludge in agricultural fields in Tamale, Ghana. Risk factors were assigned to three inter-related blocks: distal socio-economic, proximal public and domestic domains. The study involved 1,431 individuals living in 165 faecal sludge-applying households followed bi-weekly for 12 months. The incidence rate of diarrhoeal disease in the sludge-applying households was 1.09 (95% CI: 0.78-1.23) diarrhoeal episodes per person year at risk. Risk factors for diarrhoeal disease transmission in the public domain included sludge drying time (population attributable fraction (PAF) of 6%) and distance covered to collect water (PAF? 18%). The main distal socio-economic risk factor was wealth status (PAF? 15%). In the domestic domain, the risk factor significantly associated with diarrhoeal disease transmission was, not washing hands with soap after defecation (PAF ? 18%). About 17% of the effect of sludge drying time (including distance to water facilities) was mediated by the domestic domain risk factors. The study recommends risk management strategies in sludge-applying households that address public and domestic domain risk factors in addition to specific farm level interventions. 2013-06-01 2014-06-13T14:47:22Z 2014-06-13T14:47:22Z Journal Article https://hdl.handle.net/10568/40308 en Limited Access IWA Publishing Seidu, R.; Lofman, O.; Drechsel, Pay; Stenstrom, T. A. 2013. Risk factor analysis of diarrhoeal disease incidence in faecal sludge-applying farmers? households in Tamale, Ghana. Journal of Water, Sanitation and Hygiene for Development, 3(2):134-143. doi: https://doi.org/10.2166/washdev.2013.042 |
| spellingShingle | sewage sludge excreta agriculture diarrhoea risk analysis households farmers statistical analysis socioeconomic environment Seidu, R. Lofman, O. Drechsel, Pay Stenstrom, T.A. Risk factor analysis of diarrhoeal disease incidence in faecal sludge-applying farmers' households in Tamale, Ghana |
| title | Risk factor analysis of diarrhoeal disease incidence in faecal sludge-applying farmers' households in Tamale, Ghana |
| title_full | Risk factor analysis of diarrhoeal disease incidence in faecal sludge-applying farmers' households in Tamale, Ghana |
| title_fullStr | Risk factor analysis of diarrhoeal disease incidence in faecal sludge-applying farmers' households in Tamale, Ghana |
| title_full_unstemmed | Risk factor analysis of diarrhoeal disease incidence in faecal sludge-applying farmers' households in Tamale, Ghana |
| title_short | Risk factor analysis of diarrhoeal disease incidence in faecal sludge-applying farmers' households in Tamale, Ghana |
| title_sort | risk factor analysis of diarrhoeal disease incidence in faecal sludge applying farmers households in tamale ghana |
| topic | sewage sludge excreta agriculture diarrhoea risk analysis households farmers statistical analysis socioeconomic environment |
| url | https://hdl.handle.net/10568/40308 |
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