Environmental factors and WASH practices in the perinatal period in Cambodia: implications for newborn health.

Abstract:

:Infection contributes to a significant proportion of neonatal death and disability worldwide, with the major burden occurring in the first week of life. Environmental conditions and gaps in water, sanitation and hygiene (WASH) practices may contribute to the risk of infection, particularly in settings where health centers are expanding to meet the growing demand for skilled care at birth and homes do not have adequate access to water and sanitation. A qualitative approach was used to understand the environmental context for infection prevention and control (IPC) and WASH associated behaviors in health centers where women give birth, and in homes of newborns, in a rural Cambodian province. Structured observations and focus group discussions revealed important gaps in optimal practices, and both structural and social barriers to maintaining IPC during delivery and post-partum. Solutions are available to address the issues identified, and tackling these could result in marked environmental improvement for quality of care and neonatal outcomes. Water, sanitation and hygiene in home and health center environments are likely to be important contributors to health and should be addressed in strategies to improve neonatal survival.

authors

Bazzano AN,Oberhelman RA,Potts KS,Gordon A,Var C

doi

10.3390/ijerph120302392

subject

Has Abstract

pub_date

2015-02-23 00:00:00

pages

2392-410

issue

3

eissn

1661-7827

issn

1660-4601

pii

ijerph120302392

journal_volume

12

pub_type

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