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Commodités familiales et santé des enfants de moins de cinq ans en Haïti

Isabelle Roy, Barthélémy Kuate Defo

Abstract


OBJECTIVE: Evaluate the role family commodities play in the occurrence of diarrhoea in children under 5 years of age in Haiti, based on type (drinking water, sanitation and refrigerator) and number of commodities.

METHODS: We pool data from four Demographic and Health Surveys conducted in Haiti between 1994 and 2012. Our study population is composed of 14 481 children aged 1–59 months. We evaluate the role that family commodities play in the occurrence of diarrhoea in at-risk children by age group (1–5; 6–11; 12–23; 24–59 months) using logistic regression models.

RESULTS: In Haiti, diarrhoeal prevalence in children 1–59 months is estimated at 29.31%. It reaches 42.14% in children 6–11 months. Prevalence is lower in children whose families have access to improved drinking water, improved sanitation facilities or a refrigerator. It is lowest when families have at least two of the commodities simultaneously. We do not find a statistically significant difference in occurrence of childhood diarrhoea with regard to access to improved drinking water (p > 0.10). Accounting for period effect, a reduced occurrence of diarrhoea is significantly associated with improved sanitation facilities in children 24–59 months (OR: 0.62; p < 0.05) and with owning a refrigerator in children 6–11 months (OR: 0.11; p < 0.05). Children aged 24–59 months with two or more commodities have a prevalence of diarrhoea that is statistically lower than that of their disadvantaged counterparts (OR: 0.45; p < 0.05).

CONCLUSION: Increasing access to family commodities and the number of these commodities remains essential in the fight against childhood diarrhoeal disease in Haiti. Integrated interventions are thus highly recommended in the socio-sanitary environment of Haiti.


Keywords


Health; diarrhoea; Haiti; sanitary environment; family commodities; under-five children



DOI: http://dx.doi.org/10.17269/cjph.108.5921