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Covariates of diarrhoea among under-five children in India: Are they level dependent?

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  • Author(s): Ramanathan M;Ramanathan M; Vijayan B; Vijayan B
  • Source:
    PloS one [PLoS One] 2019 Aug 21; Vol. 14 (8), pp. e0221200. Date of Electronic Publication: 2019 Aug 21 (Print Publication: 2019).
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      Drinking Water* ; Hygiene* ; Sanitation* ; Water Supply*; Diarrhea/*epidemiology ; Diarrhea/*prevention & control; Child, Preschool ; Female ; Humans ; India/epidemiology ; Infant ; Infant, Newborn ; Male ; Prevalence
    • Abstract:
      Program interventions like access to improved water supply, sanitation and hygiene do not have a systematic response to the aggregate health outcomes. Therefore, this is an attempt at recognising the concept of level sensitivity while verifying the association between prevalence of diarrhoea in under-five children in a district and its corresponding coverage of improved water supply and sanitation and hygiene. Information obtained in the DLHS-4 including 275 districts from 19 states and 2 union territories of India forms the database for this analysis. Universal access to safe drinking water, improving coverage of sanitation in a district beyond 71 percent across the country and beyond 78 percent among the non-south DLHS districts, has the potential to realise reductions in the prevalence of diarrhoea in under-five children in a district. The effect of improved sanitation seems to work synergistically with these indicators only at better levels of prevalence of diarrhoea in under-five children in a district. This offers lessons for the Clean India Mission in terms of universalising access to safe water and coverage up to three-fourths of households with sanitation in a district for the positive externalities to manifest in reduced prevalence of diarrhoea in under-five children.
      Competing Interests: The authors have declared that no competing interests exist.
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    • Accession Number:
      0 (Drinking Water)
    • Publication Date:
      Date Created: 20190822 Date Completed: 20200303 Latest Revision: 20200303
    • Publication Date:
      20231215
    • Accession Number:
      PMC6703849
    • Accession Number:
      10.1371/journal.pone.0221200
    • Accession Number:
      31433822