Inequality in access to improved drinking water sources and childhood diarrhoea in low- and middle-income countries

Hasan, Md Masud and Alam, Khorshed ORCID: https://orcid.org/0000-0003-2232-0745 (2020) Inequality in access to improved drinking water sources and childhood diarrhoea in low- and middle-income countries. International Journal of Hygiene and Environmental Health, 226:113493. ISSN 1438-4639


Abstract

In addition to the conventional wisdom of categorizing countries based on nationally-averaged coverage in access to improved drinking water sources (IDWS), this study incorporated sub-national inequality into a novel categorisation framework. The association between access to IDWS and the incidence of childhood diarrhoea (ICD) was also quantified. Information from 1.63 million households obtained through nationally representative and cross-sectional demographic and health survey (DHS) and multiple indicator cluster survey (MICS) from 81 countries were analysed. Sub-national inequalities in the access to IDWS were measured using proportional variability (PV). Most studied countries with low coverage and high inequalities in accessing IDWS were from Sub-Saharan Africa (SSA). Wealth status of households showed a higher variability in the IDWS than the variability across locations. Significant negative associations between accessing IDWS and ICD were observed for regional models, except for SSA. This study adds knowledge towards understanding the state of sustainable development goal achievements in terms of accessing IDWS. The knowledge may be helpful in designing country-specific, achievable, short- and long-term strategies. The non-decisive relation between access to IDWS and ICD indicates the adoption of additional measures in the modelling mechanism.


Statistics for USQ ePrint 38439
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Faculty of Business, Education, Law and Arts - School of Commerce (1 July 2013 -)
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Date Deposited: 28 May 2020 03:16
Last Modified: 03 Jun 2020 05:17
Uncontrolled Keywords: improved drinking water source, proportional variability, sustainable development goal, childhood diarrhoea
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
14 Economics > 1402 Applied Economics > 140208 Health Economics
Socio-Economic Objective: C Society > 92 Health > 9202 Health and Support Services > 920206 Health Inequalities
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health
C Society > 92 Health > 9202 Health and Support Services > 920207 Health Policy Economic Outcomes
Identification Number or DOI: 10.1016/j.ijheh.2020.113493
URI: http://eprints.usq.edu.au/id/eprint/38439

Actions (login required)

View Item Archive Repository Staff Only