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Diarrheal disease and associations with water access and sanitation in Indigenous Shawi children along the Armanayacu River basin in Peru

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dc.contributor.author Torres Slimming, Paola Alejandra
dc.contributor.author Cárcamo Cavagnaro, César Paul Eugenio
dc.contributor.author Wright, Carlee J.
dc.contributor.author Lancha, Guillermo
dc.contributor.author Zavaleta Cortijo, Claudia Carol
dc.contributor.author King, Nia
dc.contributor.author Ford, James D.
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.contributor.author Harper, Sherilee L.
dc.coverage.spatial Loreto, Perú
dc.date.accessioned 2023-10-12T15:30:08Z
dc.date.available 2023-10-12T15:30:08Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14279
dc.description.abstract INTRODUCTION: Diarrheal disease, particularly in children under 5 years old, remains a global health challenge due to its high prevalence and chronic health consequences. Public health interventions that reduce diarrheal disease risk include improving access to water, sanitation, and hygiene. Although Peru achieved the 2015 Millennium Development Goal (MDG) indicators for water access, less progress was achieved on sanitation. Furthermore, many Indigenous Peoples were overlooked in the MDG indicators, resulting in a prioritization of Indigenous Peoples in the 2030 Sustainable Development Goals (SDGs). This study aimed to estimate the prevalence of childhood diarrhea, characterize access to water and sanitation, and determine the association of childhood diarrhea with water access and sanitation indicators in 10 Shawi Indigenous communities along the Armanayacu River in the Peruvian Amazon. METHODS: A cross-sectional survey (n=82) that captured data on diarrheal disease, sociodemographic variables, and water and sanitation exposures was conducted in 10 Shawi communities. Nutritional status of children under 5 was also assessed via physical examination. Descriptive and comparative statistics were conducted. RESULTS: A small proportion (n=7; 8.54%) of participating children reported an episode of diarrhea in the previous month. Almost half (46.30%) of participating children had stunting, wasting, or both. Although not statistically significant, children living in households that used latrines were 4.29 times (95% confidence interval (CI) 1.01-18.19) more likely to report an episode of diarrhea than children living in households that practiced open defecation. Although not statistically significant, children living in households that used water treatment methods were 4.25 times (95%CI 0.54-33.71) more likely to report an episode of diarrhea than children living in households that did not. CONCLUSION: The prevalence of childhood diarrhea was lower for Shawi than for other Amazon areas. The higher prevalence of childhood diarrhea in households that used latrines and water treatments warrants further investigation into local risk and protective factors. These Shawi communities scored low for the WHO/UNICEF Joint Monitoring Programme indicators for water and sanitation, indicating that they should be prioritized in future water, sanitation, and hygiene initiatives. Research will be required to understand and incorporate local Indigenous values and cultural practices into water, sanitation, and hygiene initiatives to maximize intervention uptake and effectiveness. en_US
dc.language.iso eng
dc.publisher College of Medicine and Dentistry, James Cook University
dc.relation.ispartofseries Rural and Remote Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Diarrheal diseases en_US
dc.subject Indigenous health en_US
dc.subject Pediatrics en_US
dc.subject Peru en_US
dc.subject Sustainable Development Goals en_US
dc.subject Water and sanitation en_US
dc.subject.mesh Disentería
dc.subject.mesh Salud de Poblaciones Indígenas
dc.subject.mesh Pediatría
dc.subject.mesh Perú
dc.subject.mesh Desarrollo Sostenible
dc.subject.mesh Saneamiento Básico
dc.title Diarrheal disease and associations with water access and sanitation in Indigenous Shawi children along the Armanayacu River basin in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.22605/RRH7198
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.relation.issn 1445-6354


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