Risk reduction of diarrhea and respiratory infections following a community health education program - a facility-based case-control study in rural parts of Kenya

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dc.contributor.authorKarinja, Miriamen_ZA
dc.contributor.authorSchlienger, Raymonden_ZA
dc.contributor.authorPillai, Goonaseelan Colinen_ZA
dc.contributor.authorEsterhuizen, Tonyaen_ZA
dc.contributor.authorOnyango, Evanceen_ZA
dc.contributor.authorGitau, Anthonyen_ZA
dc.contributor.authorOgutu, Bernhardsen_ZA
dc.date.accessioned2020-06-02T08:39:50Z
dc.date.available2020-06-02T08:39:50Z
dc.date.issued2020-04-29
dc.date.updated2020-05-03T03:53:29Z
dc.descriptionCITATION: Karinja, M., et al. 2020. Risk reduction of diarrhea and respiratory infections following a community health education program - a facility-based case-control study in rural parts of Kenya. BMC Public Health, 20:586, doi:10.1186/s12889-020-08728-z.
dc.descriptionThe original publication is available at https://bmcpublichealth.biomedcentral.com
dc.description.abstractBackground: Diarrheal and acute respiratory infections remain a major cause of death in developing countries especially among children below 5 years of age. About 80% of all hospital attendances in Kenya can be attributed to preventable diseases and at least 50% of these preventable diseases are linked to poor sanitation. The purpose of this study was to assess the impact of a community-based health education program, called Familia Nawiri, in reducing the risk of diarrhea and respiratory infections among people living in three rural Kenyan communities. Methods: Cases were defined as patients attending the health facility due to diarrhea or a respiratory infection while controls were patients attending the same health facility for a non-communicable disease defined as an event other than diarrhea, respiratory infection. Adjusted odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using a logistic regression model to assess the risk of diarrheal or respiratory infection in association with exposure to the health education program. Results: There were 324 cases and 308 controls recruited for the study with 57% of the cases and 59% of the controls being male. Overall, 13% of cases vs. 20% of control patients were exposed to the education program. Participants exposed to the program had 38% lower odds of diarrhea and respiratory infections compared to those not exposed to the program (adjusted OR 0.62, 95% CI 0.41–0.96). A similar risk reduction was observed for participants in the study who resided in areas with water improvement initiatives (adjusted OR 0.65, 95% CI 0.47– 0.90). Variables in the adjusted model included water improvement projects in the area and toilet facilities. Conclusion: Findings from this study suggest participants exposed to the education program and those residing in areas with water improvement initiatives have a reduced risk of having diarrhea or respiratory infection.en
dc.description.urihttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08728-z
dc.description.versionPublisher's version
dc.format.extent9 pages
dc.identifier.citationKarinja, M., et al. 2020. Risk reduction of diarrhea and respiratory infections following a community health education program - a facility-based case-control study in rural parts of Kenya. BMC Public Health, 20:586, doi:10.1186/s12889-020-08728-z
dc.identifier.issn1471-2458 (online)
dc.identifier.otherdoi:10.1186/s12889-020-08728-z
dc.identifier.urihttp://hdl.handle.net/10019.1/108629
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)
dc.rights.holderAuthors retain copyright
dc.subjectDiarrhea -- Risk factors -- Kenyaen_ZA
dc.subjectRespiratory infections -- Risk factors -- Kenyaen_ZA
dc.subjectPublic health -- Study and teaching (Higher) -- Kenyaen_ZA
dc.titleRisk reduction of diarrhea and respiratory infections following a community health education program - a facility-based case-control study in rural parts of Kenyaen_ZA
dc.typeArticleen_ZA
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