Mapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey.

<h4>Background</h4>Ensuring water, sanitation, and hygiene (WASH) facilities for households remains a major public health concern in low- and middle-income countries (LMICs). This study investigated the current situation of basic WASH facilities for households in Bangladesh and drew a na...

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Autores principales: Md Sabbir Ahmed, Md Irteja Islam, Manik Chandra Das, Arifuzzaman Khan, Fakir Md Yunus
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:bfaf6489087d41fba80a342e4acd27422021-12-02T20:04:18ZMapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey.1932-620310.1371/journal.pone.0259635https://doaj.org/article/bfaf6489087d41fba80a342e4acd27422021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0259635https://doaj.org/toc/1932-6203<h4>Background</h4>Ensuring water, sanitation, and hygiene (WASH) facilities for households remains a major public health concern in low- and middle-income countries (LMICs). This study investigated the current situation of basic WASH facilities for households in Bangladesh and drew a national coverage map.<h4>Methods</h4>We analyzed the publicly available nationally representative 2019 Multiple Indicator Cluster Survey (MICS) dataset that was carried out by the Bangladesh Bureau of Statistics (BBS) with support from the United Nations Children's Emergency Fund (UNICEF). A total of 61,209 households (weighted) were included in the analysis. Both bivariate and multivariate analyses were employed to examine the relationships between independent variables (socio-demographic and economic status) and their distributions over outcome variables (basic water, sanitation, and hygiene). Further, the spatial distribution of WASH facilities at the household level was depicted.<h4>Results</h4>Coverage of access to basic water facilities at the household level was 99.5% (95% CI 99.4% to 99.6%), sanitation 60.7% (95% CI 60.0% to 61.5%), and hygiene 56.3% (95% CI 55.6% to 57.0%). However, coverage of combined access to all three components was 40.2% (95% CI 39.4% to 40.9%). Among all 64 administrative districts of Bangladesh, we found comparatively lower coverage of WASH facilities in the South and South-East regions and relatively higher in the households of the North and North-Western regions. An adjusted regression model revealed that richest households [AOR = 29.64, 95% CI 26.31 to 33.39], households in the rural areas [AOR = 1.64, 95% CI 1.50 to 1.79], household heads with higher educational attainment [AOR = 2.28, 95% CI 2.09 to 2.49], and households with 5+ family members [AOR = 1.64, 95% CI 1.56 to 1.71] had the higher likelihood to have basic WASH facilities.<h4>Conclusion</h4>Less than half of the Bangladeshi households had access to all three major WASH components (basic water, sanitation, and hygiene facilities); however, variation exists at the individual parameter of basic water, sanitation, and hygiene facilities. A comprehensive WASH approach may reduce the gap and improve the quality of WASH facilities in Bangladesh.Md Sabbir AhmedMd Irteja IslamManik Chandra DasArifuzzaman KhanFakir Md YunusPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0259635 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Md Sabbir Ahmed
Md Irteja Islam
Manik Chandra Das
Arifuzzaman Khan
Fakir Md Yunus
Mapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey.
description <h4>Background</h4>Ensuring water, sanitation, and hygiene (WASH) facilities for households remains a major public health concern in low- and middle-income countries (LMICs). This study investigated the current situation of basic WASH facilities for households in Bangladesh and drew a national coverage map.<h4>Methods</h4>We analyzed the publicly available nationally representative 2019 Multiple Indicator Cluster Survey (MICS) dataset that was carried out by the Bangladesh Bureau of Statistics (BBS) with support from the United Nations Children's Emergency Fund (UNICEF). A total of 61,209 households (weighted) were included in the analysis. Both bivariate and multivariate analyses were employed to examine the relationships between independent variables (socio-demographic and economic status) and their distributions over outcome variables (basic water, sanitation, and hygiene). Further, the spatial distribution of WASH facilities at the household level was depicted.<h4>Results</h4>Coverage of access to basic water facilities at the household level was 99.5% (95% CI 99.4% to 99.6%), sanitation 60.7% (95% CI 60.0% to 61.5%), and hygiene 56.3% (95% CI 55.6% to 57.0%). However, coverage of combined access to all three components was 40.2% (95% CI 39.4% to 40.9%). Among all 64 administrative districts of Bangladesh, we found comparatively lower coverage of WASH facilities in the South and South-East regions and relatively higher in the households of the North and North-Western regions. An adjusted regression model revealed that richest households [AOR = 29.64, 95% CI 26.31 to 33.39], households in the rural areas [AOR = 1.64, 95% CI 1.50 to 1.79], household heads with higher educational attainment [AOR = 2.28, 95% CI 2.09 to 2.49], and households with 5+ family members [AOR = 1.64, 95% CI 1.56 to 1.71] had the higher likelihood to have basic WASH facilities.<h4>Conclusion</h4>Less than half of the Bangladeshi households had access to all three major WASH components (basic water, sanitation, and hygiene facilities); however, variation exists at the individual parameter of basic water, sanitation, and hygiene facilities. A comprehensive WASH approach may reduce the gap and improve the quality of WASH facilities in Bangladesh.
format article
author Md Sabbir Ahmed
Md Irteja Islam
Manik Chandra Das
Arifuzzaman Khan
Fakir Md Yunus
author_facet Md Sabbir Ahmed
Md Irteja Islam
Manik Chandra Das
Arifuzzaman Khan
Fakir Md Yunus
author_sort Md Sabbir Ahmed
title Mapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey.
title_short Mapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey.
title_full Mapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey.
title_fullStr Mapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey.
title_full_unstemmed Mapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey.
title_sort mapping and situation analysis of basic wash facilities at households in bangladesh: evidence from a nationally representative survey.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/bfaf6489087d41fba80a342e4acd2742
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