Household Air Pollution Exposures of Pregnant Women Receiving Advanced Combustion Cookstoves in India: Implications for Intervention

Background: Household air pollution (HAP) resulting from the use of solid cooking fuels is a leading contributor to the burden of disease in India. Advanced combustion cookstoves that reduce emissions from biomass fuels have been considered potential interventions to reduce this burden. Relatively l...

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Autores principales:	Kalpana Balakrishnan, Sankar Sambandam, Santu Ghosh, Krishnendu Mukhopadhyay, Mayur Vaswani, Narendra K. Arora, Darby Jack, Ajay Pillariseti, Michael N. Bates, Kirk R. Smith
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2015
Materias:	biomass fuel carbon monoxide Haryana indoor air pollution Newborn Stove Trial Philips gasifier stove PM2.5 Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/6f549818ce864693bf747e909201ad6c
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spelling	oai:doaj.org-article:6f549818ce864693bf747e909201ad6c2021-12-02T04:04:32ZHousehold Air Pollution Exposures of Pregnant Women Receiving Advanced Combustion Cookstoves in India: Implications for Intervention2214-999610.1016/j.aogh.2015.08.009https://doaj.org/article/6f549818ce864693bf747e909201ad6c2015-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/1510https://doaj.org/toc/2214-9996Background: Household air pollution (HAP) resulting from the use of solid cooking fuels is a leading contributor to the burden of disease in India. Advanced combustion cookstoves that reduce emissions from biomass fuels have been considered potential interventions to reduce this burden. Relatively little effort has been directed, however, to assessing the concentration and exposure changes associated with the introduction of such devices in households. Objectives: The aim of this study was to describe HAP exposure patterns in pregnant women receiving a forced-draft advanced combustion cookstove (Philips model HD 4012) in the SOMAARTH Demographic Development & Environmental Surveillance Site (DDESS) Palwal District, Haryana, India. The monitoring was performed as part of a feasibility study to inform a potential large-scale HAP intervention (Newborn Stove trial) directed at pregnant women and newborns. Methods: This was a paired comparison exercise study with measurements of 24-hour personal exposures and kitchen area concentrations of <a title="Learn more about Carbon Monoxide" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/carbon-monoxide">carbon monoxide</a> (CO) and particulate matter less than 2.5 μm in aerodynamic diameter (PM2.5), before and after the cookstove intervention. Women (N = 65) were recruited from 4 villages of SOMAARTH DDESS. Measurements were performed between December 2011 and March 2013. Ambient measurements of PM2.5 were also performed throughout the study period. Findings: Measurements showed modest improvements in 24-hour average concentrations and exposures for PM2.5 and CO (ranging from 16% to 57%) with the use of the new stoves. Only those for CO showed statistically significant reductions. Conclusion: Results from the present study did not support the widespread use of this type of stove in this population as a means to reliably provide health-relevant reductions in HAP exposures for pregnant women compared with open biomass cookstoves. The feasibility assessment identified multiple factors related to user requirements and scale of adoption within communities that affect the field efficacy of advanced combustion cookstoves as well as their potential performance in HAP intervention studies.Kalpana BalakrishnanSankar SambandamSantu GhoshKrishnendu MukhopadhyayMayur VaswaniNarendra K. AroraDarby JackAjay PillarisetiMichael N. BatesKirk R. SmithUbiquity Pressarticlebiomass fuelcarbon monoxideHaryanaindoor air pollutionNewborn Stove TrialPhilips gasifier stovePM2.5Infectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 3, Pp 375-385 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	biomass fuel carbon monoxide Haryana indoor air pollution Newborn Stove Trial Philips gasifier stove PM2.5 Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	biomass fuel carbon monoxide Haryana indoor air pollution Newborn Stove Trial Philips gasifier stove PM2.5 Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Kalpana Balakrishnan Sankar Sambandam Santu Ghosh Krishnendu Mukhopadhyay Mayur Vaswani Narendra K. Arora Darby Jack Ajay Pillariseti Michael N. Bates Kirk R. Smith Household Air Pollution Exposures of Pregnant Women Receiving Advanced Combustion Cookstoves in India: Implications for Intervention
description	Background: Household air pollution (HAP) resulting from the use of solid cooking fuels is a leading contributor to the burden of disease in India. Advanced combustion cookstoves that reduce emissions from biomass fuels have been considered potential interventions to reduce this burden. Relatively little effort has been directed, however, to assessing the concentration and exposure changes associated with the introduction of such devices in households. Objectives: The aim of this study was to describe HAP exposure patterns in pregnant women receiving a forced-draft advanced combustion cookstove (Philips model HD 4012) in the SOMAARTH Demographic Development & Environmental Surveillance Site (DDESS) Palwal District, Haryana, India. The monitoring was performed as part of a feasibility study to inform a potential large-scale HAP intervention (Newborn Stove trial) directed at pregnant women and newborns. Methods: This was a paired comparison exercise study with measurements of 24-hour personal exposures and kitchen area concentrations of <a title="Learn more about Carbon Monoxide" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/carbon-monoxide">carbon monoxide</a> (CO) and particulate matter less than 2.5 μm in aerodynamic diameter (PM2.5), before and after the cookstove intervention. Women (N = 65) were recruited from 4 villages of SOMAARTH DDESS. Measurements were performed between December 2011 and March 2013. Ambient measurements of PM2.5 were also performed throughout the study period. Findings: Measurements showed modest improvements in 24-hour average concentrations and exposures for PM2.5 and CO (ranging from 16% to 57%) with the use of the new stoves. Only those for CO showed statistically significant reductions. Conclusion: Results from the present study did not support the widespread use of this type of stove in this population as a means to reliably provide health-relevant reductions in HAP exposures for pregnant women compared with open biomass cookstoves. The feasibility assessment identified multiple factors related to user requirements and scale of adoption within communities that affect the field efficacy of advanced combustion cookstoves as well as their potential performance in HAP intervention studies.
format	article
author	Kalpana Balakrishnan Sankar Sambandam Santu Ghosh Krishnendu Mukhopadhyay Mayur Vaswani Narendra K. Arora Darby Jack Ajay Pillariseti Michael N. Bates Kirk R. Smith
author_facet	Kalpana Balakrishnan Sankar Sambandam Santu Ghosh Krishnendu Mukhopadhyay Mayur Vaswani Narendra K. Arora Darby Jack Ajay Pillariseti Michael N. Bates Kirk R. Smith
author_sort	Kalpana Balakrishnan
title	Household Air Pollution Exposures of Pregnant Women Receiving Advanced Combustion Cookstoves in India: Implications for Intervention
title_short	Household Air Pollution Exposures of Pregnant Women Receiving Advanced Combustion Cookstoves in India: Implications for Intervention
title_full	Household Air Pollution Exposures of Pregnant Women Receiving Advanced Combustion Cookstoves in India: Implications for Intervention
title_fullStr	Household Air Pollution Exposures of Pregnant Women Receiving Advanced Combustion Cookstoves in India: Implications for Intervention
title_full_unstemmed	Household Air Pollution Exposures of Pregnant Women Receiving Advanced Combustion Cookstoves in India: Implications for Intervention
title_sort	household air pollution exposures of pregnant women receiving advanced combustion cookstoves in india: implications for intervention
publisher	Ubiquity Press
publishDate	2015
url	https://doaj.org/article/6f549818ce864693bf747e909201ad6c
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Household Air Pollution Exposures of Pregnant Women Receiving Advanced Combustion Cookstoves in India: Implications for Intervention

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