What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review

The Millennium Development Goals call for reducing by half the proportion of people without sustainable access to safe drinking water. This goal was adopted in large part because clean water was seen as critical to fighting diarrheal disease, which kills 2 million children annually. There is compell...

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Main Authors: Zwane, Alix Peterson, Kremer, Michael
Format: Journal Article
Published: World Bank 2012
Subjects:
Online Access:http://hdl.handle.net/10986/4402
id okr-10986-4402
recordtype oai_dc
spelling okr-10986-44022021-04-23T14:02:17Z What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review Zwane, Alix Peterson Kremer, Michael breastfeeding clinics families health education health interventions health research hepatitis a hygiene immunization infectious diseases intervention mortality nutrition nutrition education primary schools randomized controlled trials screening sodium vaccination waste The Millennium Development Goals call for reducing by half the proportion of people without sustainable access to safe drinking water. This goal was adopted in large part because clean water was seen as critical to fighting diarrheal disease, which kills 2 million children annually. There is compelling evidence that provision of piped water and sanitation can substantially reduce child mortality. However, in dispersed rural settlements, providing complete piped water and sanitation infrastructure to households is expensive. Many poor countries have therefore focused instead on providing community-level water infrastructure, such as wells. Various traditional child health interventions have been shown to be effective in fighting diarrhea. Among environmental interventions, handwashing and point-of-use water treatment both reduce diarrhea, although more needs to be learned about ways to encourage households to take up these behavior changes. In contrast, there is little evidence that providing community-level rural water infrastructure substantially reduces diarrheal disease or that this infrastructure can be effectively maintained. Investments in communal water infrastructure short of piped water may serve other needs, and may reduce diarrhea in particular circumstances, but the case for prioritizing communal infrastructure provision needs to be made rather than assumed. 2012-03-30T07:12:32Z 2012-03-30T07:12:32Z 2007-03-01 Journal Article World Bank Research Observer 1564-6971 http://hdl.handle.net/10986/4402 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo/ World Bank World Bank Journal Article Kenya Kazakhstan Pakistan
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
topic breastfeeding
clinics
families
health education
health interventions
health research
hepatitis a
hygiene
immunization
infectious diseases
intervention
mortality
nutrition
nutrition education
primary schools
randomized controlled trials
screening
sodium
vaccination
waste
spellingShingle breastfeeding
clinics
families
health education
health interventions
health research
hepatitis a
hygiene
immunization
infectious diseases
intervention
mortality
nutrition
nutrition education
primary schools
randomized controlled trials
screening
sodium
vaccination
waste
Zwane, Alix Peterson
Kremer, Michael
What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review
geographic_facet Kenya
Kazakhstan
Pakistan
description The Millennium Development Goals call for reducing by half the proportion of people without sustainable access to safe drinking water. This goal was adopted in large part because clean water was seen as critical to fighting diarrheal disease, which kills 2 million children annually. There is compelling evidence that provision of piped water and sanitation can substantially reduce child mortality. However, in dispersed rural settlements, providing complete piped water and sanitation infrastructure to households is expensive. Many poor countries have therefore focused instead on providing community-level water infrastructure, such as wells. Various traditional child health interventions have been shown to be effective in fighting diarrhea. Among environmental interventions, handwashing and point-of-use water treatment both reduce diarrhea, although more needs to be learned about ways to encourage households to take up these behavior changes. In contrast, there is little evidence that providing community-level rural water infrastructure substantially reduces diarrheal disease or that this infrastructure can be effectively maintained. Investments in communal water infrastructure short of piped water may serve other needs, and may reduce diarrhea in particular circumstances, but the case for prioritizing communal infrastructure provision needs to be made rather than assumed.
format Journal Article
author Zwane, Alix Peterson
Kremer, Michael
author_facet Zwane, Alix Peterson
Kremer, Michael
author_sort Zwane, Alix Peterson
title What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review
title_short What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review
title_full What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review
title_fullStr What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review
title_full_unstemmed What Works in Fighting Diarrheal Diseases in Developing Countries? A Critical Review
title_sort what works in fighting diarrheal diseases in developing countries? a critical review
publisher World Bank
publishDate 2012
url http://hdl.handle.net/10986/4402
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