Assessment of water availability and excreta sanitation in health centres in Owerri West, Imo State, Nigeria

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Research Paper 12/12/2024
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Assessment of water availability and excreta sanitation in health centres in Owerri West, Imo State, Nigeria

Ihejirika Onyenonahi Charity, Okwodu Faith Chibuzo, U. Nwanaforo Eudora, Kenechukwu-Dozie Queen Ogechi, Ngumah Chinwe Jane, Anochie Christopher Chukwudiadi, Egbom Sylvia Ezinne, Duru Chima Caleb, Opara Martin Chigozie, Anyanwu Emilia Oluchi
J. Bio. Env. Sci.25( 6), 155-162, December 2024.
Certificate: JBES 2024 [Generate Certificate]

Abstract

Safe means of excreta disposal and water availability remains a challenge in developing countries. A cross sectional study was conducted to assess water availability and excreta sanitation in Primary Health Centres (PHCs) in Owerri West, Imo State. Interview with questionnaire, survey tool/checklist, onsite observation and picture-taking were employed to collect data on water availability and safe excreta management. Data were analyzed using descriptive statistical analysis and results presented infrequency and percentages. The most common method of excreta disposal was the use of Flush system (79%). It was observed that about 78.6% of PHCs had functional toilets and 71.4% of the toilets were visibly cleaned. Only 14.3% of the PHCs had access to community water supply source, while the remaining 85.7% made use of their individual water sources. About 64.3% of the PHCs reported to have had experienced insufficient water supply all year round and 71% had water at the time of the report. It was observed that 28.6% PHCs had complete anal cleansing materials. Majority 92.8% of nursing mothers who visited the PHCs took home their babies’ soiled diapers. Inadequate water supply and functional toilet facilities for proper excreta management  reported in some of the  PHCs has been associated with the spread be bacterial, viral and parasitic infections such as typhoid, diarrhea diseases, cholera, amoebiasis, ascariasis, and a host of other fecal-oral transmitted infections. There was inadequate provision of water and toilet facilities in the PHCs, and this could hinder safe excreta management and jeopardize the health of staff and patients.

VIEWS 18

Akoteyon IS. 2019. Inequalities in access to water and sanitation in rural settlements in parts of southwest Nigeria. Ghana J Geogr 11, 158–184.

Amawulu E, Bunsen BHI, Esther O. 2020. Prevalence and awareness of health implications of open-air defecation in Yenagoa Metropolis, Bayelsa State, Nigeria. Public Health Open Access 4(3), 0001.

Aregbeshola BS, Khan SM. 2017. Primary health care in Nigeria: 24 years after Olikoye Ransome-Kuti’s leadership. Frontiers in Public Health 5, 48–53.

Biniyam S. 2019. Prevalence and associated factors of safe and improved infant and young children stool disposal in Ethiopia: Evidence from demographic and health survey. BMC Public Health 19, 970.

Chukwuma OM. 2017. Patterns and problems of domestic water supply to rural communities in Enugu State, Nigeria. Journal of Agricultural Extension and Rural Development 9(8), 172–184.

Federal Ministry of Water Resources (FMWR), Government of Nigeria, National Bureau of Statistics (NBS), UNICEF. 2022. Water, Sanitation, and Hygiene: National Outcome Routine Mapping (WASHNORM) 2021: A Report of Findings. FCT Abuja, Nigeria.

Gbadegesin AS, Olorunfemi FB. 2009. Changing trends in water policy formulation in Nigeria: Implications for sustainable water supply provision and management. J Sust Dev Afr 1, 266–285.

Giri M, Behera MR, Behera D, Biswajit B, Jena D. 2022. Water, sanitation, and hygiene practices and their association with childhood diarrhoea in rural households of Mayurbhanj District, Odisha, India. Cureus 14(10), e29888.

Herbest S, Wienpahl I, Jorritsma F, Wendland C. 2019. Comparison of students’ acceptance of conventional and ecological sanitation in rural schools. wH2O Journal of Gender and Water 6(1), 3–4.

Herbst S. 2006. Water, sanitation, hygiene, and diarrheal diseases in the Aral Sea area. Ecol Dev Series 43, 78–82.

Igwe CN, Amadi AN, Onwuzulike NM, Ozims SJ, Amadi COA, Achigbu KI, Azuamah YC, Okereke EE. 2020. Anal cleansing and excreta disposal practices among young adults in Southeastern Nigeria. International Journal of Science & Healthcare Research 5(4), 409–414.

John-Dewole OO. 2012. Adverse effects of inadequate water supply on human health: A case study of Kajola Local Government in Oyo State, Nigeria. Greener Journal of Medical Sciences 2(5), 115–119.

Kapwata T, Mathee A, Le Roux W, Wright C. 2018. Diarrhoeal disease in relation to possible household risk factors in South African villages. Int J Environ Res Public Health 15(8), 1665.

Kimani EW, Muchiri J, Makindi S. 2015. Soiled diaper disposal practices among caregivers in poor and middle-income urban settings. International Journal of Scientific and Research Publications 5(10), 3–7.

Maluni JK. 2020. Disposal of disposable child diapers by caregivers and their environmental health implications in Kenya: A review. Journal of Research Innovation and Implications on Education 4(1), 22–28.

Mara D. 2017. The elimination of open defecation and its adverse health effects: A moral imperative for governments and development professionals. Journal of Water Sanitation and Hygiene for Development 7(1), 1–12.

McMahon S, Caruso BA, Obure A, Okumu F, Rheingas RD. 2011. Anal cleansing practices and fecal contamination: A preliminary investigation of behaviours and conditions in schools in rural Nyanza Province, Kenya. J Trop Med Int Health 16(12), 1536–1540.

Mosisa D, Aboma M, Girma T, Shibru A. 2021. Determinants of diarrheal diseases among under-five children in Jimma Geneti District, Oromia region, Ethiopia, 2020: A case-control study. BMC Pediatr 21, 532.

Mulogo EM, Matte M, Wesuta A, Bagenda F, Apecu R, Ntaro M. 2018. Water, sanitation, and hygiene service availability at rural health care facilities in Southwestern Uganda. Journal of Environmental and Public Health 2018, 5–7.

Mutschinski K, Coles NA. 2021. The African Water Vision 2025: Its influence on water governance in Africa’s water sector development, with an emphasis on rural communities in Kenya: A review. Water Policy Corrected Proof, 1–26.

Pynthamil SR, Amarnath J. 2011. Study on the composition of municipal solid waste in Kanchipuram Municipality. Int J Appl Bioeng 5(1), 40–43.

Shirel BA, Nzioki JM, Mambo S, Muhamud C, Korir A. 2020. Socio-cultural factors influencing child faecal matter disposal among caregivers in Wadajir District in Mogadishu, Somalia. Afr J Health Sci 33(5), 34–40.

Ugboko HU, Nwinyi OC, Oranusi SU, Oyewale JO. 2020. Childhood diarrhoeal diseases in developing countries. PMC 6(4), e03690.

UNICEF. 2014. Multiple Indicator Cluster Survey (MICS). United Nations Children’s Fund, New York. http://www.unicef.org/statistics/index_24302.html.

UNICEF. 2018. Core questions and indicators for monitoring WASH in health care facilities in the Sustainable Development Goals.

UNICEF. 2020. Evaluation of the FGN/UNICEF WASH Programme (2014–2017). IOD PARC UK for the UNICEF Nigeria Country Office.

WHO, UNICEF. 2020. Water, sanitation, hygiene, and waste management for SARS-CoV-2, the virus that causes COVID-19: Interim guidance, p. 11. Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-IPC-WASH-2020.4.

WHO. 2002. Personal, domestic, and community hygiene. In: Howard G, Bogh C, Goldstain G, Morgan J, Pruss A, Shaw R, Teuton J. Healthy Villages: A Guide for Communities and Community Health Workers, p.65–73.

WHO. 2017. Progress on drinking water, sanitation, and hygiene: 2017 update and SDG baselines.

WHO. 2020a. Global progress report on WASH in health care facilities: Fundamentals first, p. 164. Available from: https://www.who.int/publications-detail-redirect/9789240017542.

WHO. 2022. Water, sanitation, and hygiene in health-care facilities: A practical tool for situation assessment and improvement planning. Copenhagen: WHO Regional Office for Europe.

WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation. 2012. Progress on drinking water and sanitation: 2012 update. World Health Organization. https://iris.who.int/handle/10665/44842.

WHO/UNICEF. 2019. Joint Monitoring Programme for Water Supply, Sanitation and Hygiene. 2019 Progress on household drinking water, sanitation and hygiene 2000–2017: Special focus on inequalities. New York.