Where There Is No Toilet: Water and Sanitation Environments of Domestic and Facility Births in Tanzania
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{"title"=>"Where there is no toilet: Water and sanitation environments of domestic and facility births in Tanzania", "type"=>"journal", "authors"=>[{"first_name"=>"Lenka", "last_name"=>"Benova", "scopus_author_id"=>"55195291600"}, {"first_name"=>"Oliver", "last_name"=>"Cumming", "scopus_author_id"=>"35069122800"}, {"first_name"=>"Bruce A.", "last_name"=>"Gordon", "scopus_author_id"=>"50161377600"}, {"first_name"=>"Moke", "last_name"=>"Magoma", "scopus_author_id"=>"36464057400"}, {"first_name"=>"Oona M R", "last_name"=>"Campbell", "scopus_author_id"=>"7005827782"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84906991507", "pui"=>"600020081", "doi"=>"10.1371/journal.pone.0106738", "sgr"=>"84906991507", "pmid"=>"25191753"}, "id"=>"e680ef56-5c4c-3648-a7cf-bf6297ad7a3a", "abstract"=>"BACKGROUND: Inadequate water and sanitation during childbirth are likely to lead to poor maternal and newborn outcomes. This paper uses existing data sources to assess the water and sanitation (WATSAN) environment surrounding births in Tanzania in order to interrogate whether such estimates could be useful for guiding research, policy and monitoring initiatives.\\n\\nMETHODS: We used the most recent Tanzania Demographic and Health Survey (DHS) to characterise the delivery location of births occurring between 2005 and 2010. Births occurring in domestic environments were characterised as WATSAN-safe if the home fulfilled international definitions of improved water and improved sanitation access. We used the 2006 Service Provision Assessment survey to characterise the WATSAN environment of facilities that conduct deliveries. We combined estimates from both surveys to describe the proportion of all births occurring in WATSAN-safe environments and conducted an equity analysis based on DHS wealth quintiles and eight geographic zones.\\n\\nRESULTS: 42.9% (95% confidence interval: 41.6%-44.2%) of all births occurred in the woman's home. Among these, only 1.5% (95% confidence interval: 1.2%-2.0%) were estimated to have taken place in WATSAN-safe conditions. 74% of all health facilities conducted deliveries. Among these, only 44% of facilities overall and 24% of facility delivery rooms were WATSAN-safe. Combining the estimates, we showed that 30.5% of all births in Tanzania took place in a WATSAN-safe environment (range of uncertainty 25%-42%). Large wealth-based inequalities existed in the proportion of births occurring in domestic environments based on wealth quintile and geographical zone.\\n\\nCONCLUSION: Existing data sources can be useful in national monitoring and prioritisation of interventions to improve poor WATSAN environments during childbirth. However, a better conceptual understanding of potentially harmful exposures and better data are needed in order to devise and apply more empirical definitions of WATSAN-safe environments, both at home and in facilities.", "link"=>"http://www.mendeley.com/research/toilet-water-sanitation-environments-domestic-facility-births-tanzania", "reader_count"=>64, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>2, "Researcher"=>14, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>13, "Student > Postgraduate"=>2, "Student > Master"=>17, "Other"=>3, "Student > Bachelor"=>3, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>2, "Unspecified"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>2, "Researcher"=>14, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>13, "Student > Postgraduate"=>2, "Student > Master"=>17, "Other"=>3, "Student > Bachelor"=>3, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>2, "Unspecified"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>6, "Engineering"=>7, "Environmental Science"=>11, "Nursing and Health Professions"=>4, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>23, "Social Sciences"=>11, "Earth and Planetary Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>7}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>23}, "Social Sciences"=>{"Social Sciences"=>11}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>6}, "Environmental Science"=>{"Environmental Science"=>11}}, "reader_count_by_country"=>{"United Kingdom"=>1}, "group_count"=>7}

Scopus | Further Information

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/1664163"], "description"=>"<p>Births delivered in domestic environments by WATSAN environment of the current home, by zone, Tanzania DHS 2010 (n = 3504).</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163331, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.g002", "stats"=>{"downloads"=>3, "page_views"=>28, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Births_delivered_in_domestic_environments_by_WATSAN_environment_of_the_current_home_by_zone_Tanzania_DHS_2010_n_8202_8202_3504_/1163331", "title"=>"Births delivered in domestic environments by WATSAN environment of the current home, by zone, Tanzania DHS 2010 (n = 3504).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-05 03:22:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1664164"], "description"=>"<p>Equity analysis of home births and WATSAN-safe status of home births, by wealth quintile.</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163332, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.g003", "stats"=>{"downloads"=>2, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Equity_analysis_of_home_births_and_WATSAN_safe_status_of_home_births_by_wealth_quintile_/1163332", "title"=>"Equity analysis of home births and WATSAN-safe status of home births, by wealth quintile.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-05 03:22:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1664165"], "description"=>"<p>Distribution of facility births by facility type and zone, Tanzania DHS 2010.</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163333, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.g004", "stats"=>{"downloads"=>3, "page_views"=>22, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Distribution_of_facility_births_by_facility_type_and_zone_Tanzania_DHS_2010_/1163333", "title"=>"Distribution of facility births by facility type and zone, Tanzania DHS 2010.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-05 03:22:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1664166"], "description"=>"<p>Distribution of facility births by facility type and wealth quintile, Tanzania DHS 2010.</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163334, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.g005", "stats"=>{"downloads"=>12, "page_views"=>170, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Distribution_of_facility_births_by_facility_type_and_wealth_quintile_Tanzania_DHS_2010_/1163334", "title"=>"Distribution of facility births by facility type and wealth quintile, Tanzania DHS 2010.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-05 03:22:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1664167"], "description"=>"<p>Facilities which conduct deliveries, by WATSAN-safe environments, on facility level and delivery room level, by facility type, Tanzania SPA 2006.</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163335, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.g006", "stats"=>{"downloads"=>0, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Facilities_which_conduct_deliveries_by_WATSAN_safe_environments_on_facility_level_and_delivery_room_level_by_facility_type_Tanzania_SPA_2006_/1163335", "title"=>"Facilities which conduct deliveries, by WATSAN-safe environments, on facility level and delivery room level, by facility type, Tanzania SPA 2006.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-05 03:22:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1664168"], "description"=>"<p>Proportions of all births in five years preceding 2010 DHS that were WATSAN-safe, by zone and overall.</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163336, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.g007", "stats"=>{"downloads"=>4, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Proportions_of_all_births_in_five_years_preceding_2010_DHS_that_were_WATSAN_safe_by_zone_and_overall_/1163336", "title"=>"Proportions of all births in five years preceding 2010 DHS that were WATSAN-safe, by zone and overall.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-05 03:22:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1664176"], "description"=>"<p>Proportion of all births occurring in WATSAN-unsafe environments, by zone.</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163338, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.g008", "stats"=>{"downloads"=>0, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Proportion_of_all_births_occurring_in_WATSAN_unsafe_environments_by_zone_/1163338", "title"=>"Proportion of all births occurring in WATSAN-unsafe environments, by zone.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-05 03:22:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1664177"], "description"=>"<p>Categorisation of types of domestic drinking water sources and sanitation facilities, Tanzania DHS 2010.</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163339, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.t001", "stats"=>{"downloads"=>8, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Categorisation_of_types_of_domestic_drinking_water_sources_and_sanitation_facilities_Tanzania_DHS_2010_/1163339", "title"=>"Categorisation of types of domestic drinking water sources and sanitation facilities, Tanzania DHS 2010.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-05 03:22:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1664178"], "description"=>"<p>Categorisation of WATSAN environment of health facilities conducting deliveries, Tanzania SPA 2006.</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163340, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.t002", "stats"=>{"downloads"=>1, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Categorisation_of_WATSAN_environment_of_health_facilities_conducting_deliveries_Tanzania_SPA_2006_/1163340", "title"=>"Categorisation of WATSAN environment of health facilities conducting deliveries, Tanzania SPA 2006.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-05 03:22:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/1664179"], "description"=>"<p>Definitions of WATSAN birth environments according to scenario (best, worst, midpoint).</p>", "links"=>[], "tags"=>["wealth quintile", "2010. Births", "facility delivery rooms", "monitoring initiatives.MethodsWe", "conduct deliveries", "data sources", "WATSAN environments", "sanitation access", "equity analysis", "zone.ConclusionExisting data sources", "Facility Births", "2006 Service Provision Assessment survey", "Tanzania BackgroundInadequate water", "Tanzania Demographic", "delivery location", "WATSAN environment", "Health Survey", "health facilities", "DHS wealth quintiles", "Sanitation Environments"], "article_id"=>1163341, "categories"=>["Biological Sciences", "Ecology"], "users"=>["Lenka Benova", "Oliver Cumming", "Bruce A. Gordon", "Moke Magoma", "Oona M. R. Campbell"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0106738.t003", "stats"=>{"downloads"=>0, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Definitions_of_WATSAN_birth_environments_according_to_scenario_best_worst_midpoint_/1163341", "title"=>"Definitions of WATSAN birth environments according to scenario (best, worst, midpoint).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-05 03:22:06"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"31", "full-text"=>"32", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"10"}
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Relative Metric

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