@article{fdi:010088626,
  title = {{A}ssociation of both {W}ater, {S}anitation and {H}ygiene ({WASH}) and {I}nfant and {Y}oung {C}hild {F}eeding ({IYCF}) practices with childhood malnutrition in {L}ao {PDR} : a cross-sectional study of the 2017 {L}ao {S}ocial {I}ndicator {S}urvey {II}},
  author = {{S}om, {S}. {V}. and {W}ieringa, {F}ranck and {P}once, {M}. {C}. and {P}olman, {K}. and {D}akurah, {P}. and {D}uncan, {D}. and {B}lomberg, {J}. and {R}asphone, {S}. and van der {H}oeven, {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective {W}e assessed whether {W}ater, {S}anitation and {H}ygiene ({WASH}) and {I}nfant and {Y}oung {C}hild {F}eeding ({IYCF}), either alone or combined, were associated with malnutrition among {L}ao {P}eople's {D}emocratic {R}epublic ({L}ao {PDR}) children aged 6 to <24 months.{D}esign {T}his is a secondary analysis of the 2017 {L}ao {S}ocial {I}ndicator {S}urvey {II} ({LSIS} {II}), which used multistage probability proportional to size sampling. {L}ogistic regression analyses were conducted with {OR} and its corresponding 95% {CI}.{S}etting {T}he {LSIS} {II} was conducted a nationwide household-based survey covering all 18 provinces in {L}ao {PDR}.{P}articipants {W}e had a total of 3375 children (weighted sample 3345) and 357 households with data on drinking water.{O}utcome measures {T}he outcomes of this study were stunting and wasting.{R}esults {T}he prevalence of stunting and wasting was 28.9% and 10.1%, respectively. {E}ven though households with access to a basic or improved water source were high (82.5%), over 83% of drinking water was contaminated with {E}scherichia coli. {A}ccess to improved sanitation, basic hygiene and adequate {IYCF} gave a significant lower risk of becoming stunted. {T}he combined effect of these practices on stunting was (adjusted {OR} ({AOR})=0.54; 95% {CI}=0.41 to 0.73) greater than each practice alone (improved sanitation: {AOR}=0.75; 95% {CI}=0.61 to 0.93; basic hygiene: {AOR}=0.69; 95% {CI}=0.57 to 0.83; adequate {IYCF}: {AOR}=0.79; 95% {CI}=0.64 to 0.98). {A}ccess to improved sanitation and adequate {IYCF} was associated with a significant lower risk for being wasted, and again the combined effect of these practices was ({AOR}=0.64; 95% {CI}=0.44 to 0.92) greater than each practice alone (improved sanitation: {AOR}=0.68; 95% {CI}=0.49 to 0.93 and adequate {IYCF}: {AOR}=0.66; 95% {CI}=0.47 to 0.92).{C}onclusion {G}iven the strong associations with both stunting and wasting, and the added benefits when combining {WASH} and {IYCF}, there is a need of multisectoral interventions to reduce early childhood malnutrition in {L}ao {PDR}.},
  keywords = {public health ; nutrition ; community child health ; {LAOS}},
  booktitle = {},
  journal = {{BMJ} {O}pen},
  volume = {13},
  numero = {10},
  pages = {e073974 [9 p.]},
  ISSN = {2044-6055},
  year = {2023},
  DOI = {10.1136/bmjopen-2023-073974},
  URL = {https://www.documentation.ird.fr/hor/fdi:010088626},
}