On the Patterns of the Occurrence of Diarrheas in the Southern Benin
- 1 Department of Geography and Regional Development, Benin Scientific and Technical Research Center (CBRST), Cotonou, Benin
- 2 Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
- 3 Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
- 4 Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
Abstract
The present study focused on the analysis of the risk factors of diarrhea in Southern Benin. Data have been collected from 442 peasant households on the basis of a stratified random sampling method in the targeted communities, with information on the source of water provision, the location of the village, the usual defecation place, the site of refus ing dumping and the presence of trash dump in the vicinity of the household. Data have been analyzed using descriptive statistics. In addition, analyses of variance and log-linear analyses have been applied to test the various factors in the outbreak of diarrheas. Results have allowed a hierarchical organization of the drinking water sources with regards to their use and to the cases of diarrheas (boreholes: p < 0.001; rainwater and territorial water: p < 0.001; wells: p = 0.547 and pipe-borne water: p = 0.277. If we rule out people’s insanitary behaviors, the impact of some risk factors such as the sites of waste disposal (2%) and excreta disposal (1%) is of little influence in comparison to the water supply source and the place of residence, which play respectively for 62% and 30% in the outbreak of episodes of diarrheas in house holds. It follows that , to curb the diarrhea morbidity, there is the need to improve the water supply policy and the envi ronmental sanitation.
- N. Thapar and I. R. Sanderson, “Diarrhoea in Children: An Interface between Developing and Developed Countries,” The Lancet, Vol. 363, No. 9409, 2004, pp. 641-653.
- G. Remy, “Le Dialogue Entre les Maladies Transmissibles et le Milieu Géographique,” GEOS No. 4, Université Paul Valery de Montpellier, Béziers, 1988, 32 Pages.
- R. G. Feachem, S. N. Cousens, B. Kirkwood and T. E. Mertens, “Case Control Studies of Childhood Diarrhoea, 1-Minimizing Bias,” WHO, CDD/EDP/88.2, Geneva, 1988.
- P. Handschumacher, “Gestion de l’Eau et Santé des Jeunes Enfants à Niakhar (Sénégal). Une Approche Géographique en Milieu Rural Soudano-Sahelien,” Thèse de Doctorat de Géographie, Université Louis Pasteur de Strasbourg, Strasbourg, 1987, 326 Pages.
- H. Boukir et B. Brun, “Facteurs Environ Nementaux et Sociaux de la Répartition des Maladies Hydriques Dans la Médina de Fès (Maroc). In Villes du Sud et Environnement,” Travaux de la IXème Journées Scientifiques de la Société d’Ecologie Humaine Tenues à Chioggia, 29 au 31 Mai 1997, pp. 54-63.
- B. S. Schwartz, J. B. Harris, A. I. Khan, et al., “Diarrhoeal Epidemics in Dhaka, Bangladesh, during Three Consecutive Floods: 1988, 1998 and 2004,” Journal of Tropical Medicine & Hygiene, Vol. 74, No. 6, 2006, pp. 1067-1073.
- M. Baneto, C. A. Milroy, A. Strina, M. S. Prado, J. P. Leite, E. Ramos, H. Ribeiro, N. M. Alcantara-Neves, M. G. Teixeira and L. C. Rodrigues, “Community-Based Monitoring of Diarrhea in Urban Brazilian Children: Incidence and Associated Pathogens,” Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol. 100, No. 3, 2006, pp. 234-242. doi:10.1016/j.trstmh.2005.03.010
- V. A. Curtis and S. Cairncross, “Effect of Washing Hands with Soap on Diarrhoea Risk in the Community: A Systematic Review,” London School of Hygiene and Tropical Medecine, London, 2003.
- F. Charlet, “Les Sources de Contamination Biologique au Cours du Transport et du Stockage de l’Eau,” Colloque Pluridisciplinaire Géographie-Médecine sur l’Eau et la Santé en Afrique Tropicale, Limoges, 1991, pp. 37-44.
- I. Sy, “La Gestion de la Salubrité à Rufisque (Sénégal); Enjeux Sanitaires et Pratiques Urbaines,” Thèse, d’Etat de l’Université Louis Pasteur-Strasbourg, Strasbourg, 2006, 528 Pages.
- P. Hartemann, “Approvisionnement en Eau et Assainissement en Milieu Tropical,” Médecine Tropicale, Vol. 61, No. 3, 2001, pp. 210-213.
- WHO, “Improving Water and Sanitation Hygiene Behaviours for the Reduction of Diarrhoeal Disease,” The Report of an Informal Consultation, CWS/CDD/WHO, Genève, 1993, 24 Pages.