by Emma R. N. Weaver, Paul A. Agius, Hilary Veale et al.
Am J Trop Med Hyg 2016, Vol. 95, No. 2, 278-287
10 pp. 521 kB
Gastrointestinal diseases are major contributors to mortality among children globally, causing one in 10 child deaths. Although most deaths are in children aged ≤ 5 years, the burden of disease in school-aged children is still considerable and contributes to high rates of school absenteeism. This study investigates behavioural and structural risk factors associated with diarrhea and/or vomiting among schoolchildren in Myanmar. The findings highlight the importance of having an adequate number of handwash stations for students, the provision of septic tank toilets, and consistent toilet use. Future water, sanitation, and hygiene (WASH) programs need to target not only the provision of these WASH facilities but also their utilization, particularly among younger school-aged children.