Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies

Detalhes bibliográficos
Autor(a) principal: Barreto, Mauricio Lima
Data de Publicação: 2007
Outros Autores: Genser, Bernd, Strina, Agostino, Teixeira, Maria da Glória Lima Cruz, Assis, Ana Marlucia de Oliveira, Rêgo, Rita de Cássia Franco, Teles, Carlos A., Prado, Matildes da Silva, Matos, Sheila Maria Alvim de, Santos, Darci Neves dos, Santos, Lenaldo Azevedo dos, Cairncross, Sandy
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/1784
Resumo: November 10, p. 1622- 1628.
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spelling Barreto, Mauricio LimaGenser, BerndStrina, AgostinoTeixeira, Maria da Glória Lima CruzAssis, Ana Marlucia de OliveiraRêgo, Rita de Cássia FrancoTeles, Carlos A.Prado, Matildes da SilvaMatos, Sheila Maria Alvim deSantos, Darci Neves dosSantos, Lenaldo Azevedo dosCairncross, SandyBarreto, Mauricio LimaGenser, BerndStrina, AgostinoTeixeira, Maria da Glória Lima CruzAssis, Ana Marlucia de OliveiraRêgo, Rita de Cássia FrancoTeles, Carlos A.Prado, Matildes da SilvaMatos, Sheila Maria Alvim deSantos, Darci Neves dosSantos, Lenaldo Azevedo dosCairncross, Sandy2011-07-09T16:25:27Z2011-07-09T16:25:27Z20071474-547Xhttp://www.repositorio.ufba.br/ri/handle/ri/1784370(9599)November 10, p. 1622- 1628.Background A city-wide sanitation intervention was started in Salvador, Brazil, in 1997 to improve sewerage coverage from 26% of households to 80%. Our aim was to investigate the epidemiological eff ect of this city-wide sanitation programme on diarrhoea morbidity in children less than 3 years of age. Methods The investigation was composed of two longitudinal studies done in 1997–98 before the intervention (the sanitation programme) and in 2003–04 after the intervention had been completed. Each study consisted of a cohort of children (841 in the preintervention study and 1007 in the postintervention study; age 0–36 months at baseline) who were followed up for a maximum of 8 months. Children were sampled from 24 sentinel areas that were randomly chosen to represent the range of environmental conditions in the study site. At the start of each study an individual or household questionnaire was applied by trained fi eldworkers; an environmental survey was done in each area before and after introduction of the sanitation programme to assess basic neighbourhood and household sanitation conditions. Daily diarrhoea data were obtained during home visits twice per week. The eff ect of the intervention was estimated by a hierarchical modelling approach fi tting a sequence of multivariate regression models. Findings Diarrhoea prevalence fell by 21% (95% CI 18–25%)—from 9·2 (9·0–9·5) days per child-year before the intervention to 7·3 (7·0–7·5) days per child-year afterwards. After adjustment for baseline sewerage coverage and potential confounding variables, we estimated an overall prevalence reduction of 22% (19–26%). Interpretation Our results show that urban sanitation is a highly eff ective health measure that can no longer be ignored, and they provide a timely support for the launch of 2008 as the International Year of Sanitation.Submitted by Rodrigo Meirelles (rodrigomei@ufba.br) on 2011-07-09T16:25:27Z No. of bitstreams: 1 artigo internac.7.livre 2007.pdf: 155425 bytes, checksum: 52d9245ee890e55ffa16e771da15cb9b (MD5)Made available in DSpace on 2011-07-09T16:25:27Z (GMT). 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dc.title.pt_BR.fl_str_mv Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies
dc.title.alternative.pt_BR.fl_str_mv Lancet
title Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies
spellingShingle Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies
Barreto, Mauricio Lima
title_short Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies
title_full Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies
title_fullStr Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies
title_full_unstemmed Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies
title_sort Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies
author Barreto, Mauricio Lima
author_facet Barreto, Mauricio Lima
Genser, Bernd
Strina, Agostino
Teixeira, Maria da Glória Lima Cruz
Assis, Ana Marlucia de Oliveira
Rêgo, Rita de Cássia Franco
Teles, Carlos A.
Prado, Matildes da Silva
Matos, Sheila Maria Alvim de
Santos, Darci Neves dos
Santos, Lenaldo Azevedo dos
Cairncross, Sandy
author_role author
author2 Genser, Bernd
Strina, Agostino
Teixeira, Maria da Glória Lima Cruz
Assis, Ana Marlucia de Oliveira
Rêgo, Rita de Cássia Franco
Teles, Carlos A.
Prado, Matildes da Silva
Matos, Sheila Maria Alvim de
Santos, Darci Neves dos
Santos, Lenaldo Azevedo dos
Cairncross, Sandy
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Barreto, Mauricio Lima
Genser, Bernd
Strina, Agostino
Teixeira, Maria da Glória Lima Cruz
Assis, Ana Marlucia de Oliveira
Rêgo, Rita de Cássia Franco
Teles, Carlos A.
Prado, Matildes da Silva
Matos, Sheila Maria Alvim de
Santos, Darci Neves dos
Santos, Lenaldo Azevedo dos
Cairncross, Sandy
Barreto, Mauricio Lima
Genser, Bernd
Strina, Agostino
Teixeira, Maria da Glória Lima Cruz
Assis, Ana Marlucia de Oliveira
Rêgo, Rita de Cássia Franco
Teles, Carlos A.
Prado, Matildes da Silva
Matos, Sheila Maria Alvim de
Santos, Darci Neves dos
Santos, Lenaldo Azevedo dos
Cairncross, Sandy
description November 10, p. 1622- 1628.
publishDate 2007
dc.date.issued.fl_str_mv 2007
dc.date.accessioned.fl_str_mv 2011-07-09T16:25:27Z
dc.date.available.fl_str_mv 2011-07-09T16:25:27Z
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