Transitioning toward Sustainable Development Goals: The Role of Household Environment in Influencing Child Health in Sub-Saharan Africa and South Asia Using Recent Demographic Health Surveys.

Ankit Anand,Nobhojit Roy

doi:10.3389/fpubh.2016.00087

Abstract

The Millennium Development Goals are now replaced by 17 sustainable development goals. The emphasis of old goals was on improving water, sanitation, and child mortality conditions in developing countries. The study explored the major question about the association between different household environment conditions with child survival and health in Sub-Saharan African and South Asian countries in the current scenario. This paper estimated the risk of death, morbidity, and undernutrition among children living in households with the improved sources of water, sanitation, and non-solid cooking fuel. Two sources of information are explored in this study. First, data from World Health Statistics (WHS)-2014 for all of the Sub-Saharan African and South Asian countries were used. Second, available standard Demographic and Health Survey (DHS) performed in the countries of Sub-Saharan Africa and South Asia after 2010 was included in the study. It resulted in the inclusion of 15 countries which were Bangladesh (2011), Congo Republic (2013–2014), Cote d’Ivoire (2011–2012), Ethiopia (2011), Gambia (2013), Mali (2012–2013), Mozambique (2011), Namibia (2013), Nepal (2011), Niger (2012), Nigeria (2013), Pakistan (2012–2013), Sierra Leone (2013), Uganda (2011), and Zambia (2013). The scatter plot diagram was plotted, and the curve was fitted using the WHS-2014. Cox regression and logistic regression were used to estimate adjusted risks (odds ratio) of child mortality and health outcomes using DHSs. The use of non-solid cooking fuel was very high in most of the Sub-Saharan African and South Asian countries. There was a positive correlation between improving access to safe drinking water and sanitation. The exponential curve fitted well with child mortality and household environmental indicators. The use of improved source of water and sanitation significantly related with the lower odds ratio of death, morbidity, and undernutrition among children aged 12–59 months. The risks were not significant for children aged less than 12 months. The study provides evidence that these environmental conditions hold importance for improving child health, especially in Sub-Saharan African countries.

Highlights

The UN Millennium Declaration was signed by 189 countries at the start of the twenty-first century and resulted into eight Millennium Development Goals (MDGs) [1]
The emphasis of the MDGs was on improving water, sanitation, and decreasing child mortality, especially in Sub-Saharan African and South Asian countries
This study explored the key question about the association between household environmental conditions with child survival and health in Sub-Saharan African and South Asian regions in the current scenario

Summary

Introduction

The UN Millennium Declaration was signed by 189 countries at the start of the twenty-first century and resulted into eight Millennium Development Goals (MDGs) [1]. All these goals were related to each other and established to enhance the development effort in the developing countries. The MDGs are replaced by 17 sustainable development goals (SDGs) [2]. The emphasis of the MDGs was on improving water, sanitation, and decreasing child mortality, especially in Sub-Saharan African and South Asian countries. The new SDG-6 moved on from MDGs and included various aspects of water and sanitation [2, 3]. The study assessed the association of the household environment with child health, important in the public health context of Sub-Saharan Africa and the South Asian countries

Results

Discussion

Conclusion