Clean water, sanitation and under-five children diarrhea incidence: Empirical evidence from the South Africa's General Household Survey

Environ Sci Pollut Res Int. 2021 Nov;28(44):63150-63162. doi: 10.1007/s11356-021-15182-w. Epub 2021 Jul 5.

Abstract

Sufficient supply of potable water, hygiene facilities, and sanitation are major factors enhancing healthy living. Using the dataset from the 2018 South Africa General Household Survey, this study employed the logistic regression model to examine the effects of accessibility to potable water and sanitation on the incidence of diarrhea among under-five children. The findings from the research reveal that the majority of children have access to safe drinking water, although a substantial percentage (32%) of the households had to pay for access. The results of the logistic regression model show that households with access to clean water, to improved toilet facilities, and to water within their residence are less likely to record incidence of diarrhea among under-five children. Moreso, the likelihood of reporting diarrhea among the children decreases with the age of children and the age of household heads. Therefore, to contribute to the designing policies targeted at reducing the incidence of diarrhea among children, this study emphasized that the availability and accessibility of clean water, water-storage facilities, and improved fecal discharge facilities among the South African households are key.

Keywords: Diarrhea morbidity; Hygiene; Potable drinking water; Sustainable Development Goals (SDG 3, 6); Under-five children.

MeSH terms

  • Child
  • Diarrhea / epidemiology
  • Drinking Water* / analysis
  • Humans
  • Hygiene
  • Sanitation*
  • South Africa / epidemiology

Substances

  • Drinking Water