Improving WASH facilities and practices in Bangladeshi schools: progress and challenges from 2014 to 2018.

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Tác giả: Mahbub-Ul Alam, Md Masud Alam, Mahadi Hasan, Khairul Islam, Farjana Jahan, Hasin Jahan, Mehjabin Tishan Mahfuz, Mahbubur Rahman, Supta Sarker, Titly Sen, Abul Kasham Shoab, Noshin Sayiara Shuchi, Afsana Yeamin

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: United States : Global health action , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 209179

BACKGROUND: In low- and middle-income countries like Bangladesh, inadequate water, sanitation, and hygiene (WASH) practices lead to a higher disease burden among children and hinder their academic performance. However, there have been efforts to improve WASH between 2014 and 2018. OBJECTIVES: The study aimed to investigate changes in WASH facilities and practices in Bangladeshi schools from 2014 to 2018. METHODS: We analyzed pooled data from Bangladesh National Hygiene Survey 2014 and 2018. We performed descriptive analysis, bivariate analysis, and multivariate Generalized Estimating Equation (GEE) to analyze the changes over the four years time period. RESULTS: Results showed that basic drinking water services increased from 78% in 2014 to 90% in 2018. Schools showed a significant increase in basic sanitation services from 19% in 2014 to 52% in 2018. We discovered that students' access to water and soap increased from 2014 to 2018, from 21% to 35%. In the GEE model, we found that change in time, non govt urban schools were associated factors with improved basic drinking water services. For basic sanitation services, changes in time, school type and area type were significantly associated higher services. And for basic hygiene services, the associated factors were: schools having hygiene promotion visits, and availability of hygiene brigades at schools managed by students. CONCLUSION: WASH services in Bangladeshi schools have improved significantly, yet disparities exist, particularly in government and rural schools. Although students' knowledge improved, their practices still need improvements through training on proper WASH practices.
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