Home World Business Sanitation failures kill, stunt children most in UP, 4 other states

Sanitation failures kill, stunt children most in UP, 4 other states

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Poor sanitation makes unhealthy children prone to water-borne diseases

Despite recently revealed improvements, primitive is killing, retarding the growth and leaving susceptible to disease millions of Indian children, according to an IndiaSpend analysis of the latest available health data.

(UP), Bihar, (MP), and Chhattisgarh had India’s highest under-five mortality, higher stunting (low height-for-age) rates and higher prevalence of diarrhoea due to lack of “improved sanitation”–usually a house with its own latrine connected to a sewer or septic tank–according to the Family Health Survey 2015-16 (NFHS-4).

Unsafe water, poor hygiene practices and inadequate are not only the causes of the continued high incidence of diarrhoeal but a significant contributing factor in under-five mortality caused by pneumonia, neonatal disorders and undernutrition, according to this 2016 report by the United Nations Children’s Fund.

Improved sanitation, as we said, refers to a household with its own toilet, connected to a piped sewer system or flush to septic tank, flush to pit latrine, ventilated improved pit/biogas latrine, pit latrine with slab, twin pit/composting toilet, which is not shared with any other household.

graph1-desktop

Source: Family Health Surveys 2005-06 and 2015-16
Under-five mortality rate: deaths of under the age of five per 1,000 live births

India’s under-five mortality rate–deaths of under the age of five per 1,000 live births–declined from 74 in 2005-06 to 50 in 2015-16. Over the same time period, households with have improved have gone up from 29.1% to 48.4%.

has the the lowest percentage (25%) of households with improved sanitation, and the state recorded an under-five of 58 deaths per 1,000 live births in 2015-16.

One of the leading causes of under-five mortality is diarrhoeal diseases, mostly caused due to lack of sanitation, according to this 2015 study by Public Health Foundation of India, a Delhi-based think tank.

is followed by Chhattisgarh, with only 32.7% of households reporting use of improved facilities.

has the highest under-five mortality (78 deaths per 1,000 live births) and only 35% households reported use of improved facilities.

Only 44% rural households in UP reported toilet coverage till October 2016 under the Swachh Bharat Abhiyan (Gramin), a central government programme to make India open defecation-free by October 2, 2019.

As many as 77% rural households practice open defecation (as against the average of 55%), IndiaSpend reported on October 1, 2016.

Source: Family Health Survey 2015-16; *Reported in the 2 weeks preceding the survey

Diarrhoeal are the third largest cause of deaths among under the age of five in India, according to this 2015 study by Indira Gandhi Medical College and Research Institute, Puducherry.

UP, with the highest under-five of 78, also reported the highest prevalence (15%) of suffering from diarrhoea prior to the survey.

Source: Family Health Survey 2015-16

Diarrhoeal are also responsible for stunting in (low height-for-age), according to this 2015 study by The institute of Fiscal Studies, a UK-based think tank.

“Growth failure (stunting), often associated with poor nutrition, is correlated, likely in a causal way, with lower educational and labour market attainments,” the study said.


(Salve is an analyst with IndiaSpend.)

Sanitation failures kill, stunt children most in UP, 4 other states

Poor sanitation makes unhealthy children prone to water-borne diseases

Poor sanitation makes unhealthy children prone to water-borne diseases

Despite recently revealed improvements, primitive is killing, retarding the growth and leaving susceptible to disease millions of Indian children, according to an IndiaSpend analysis of the latest available health data.

(UP), Bihar, (MP), and Chhattisgarh had India’s highest under-five mortality, higher stunting (low height-for-age) rates and higher prevalence of diarrhoea due to lack of “improved sanitation”–usually a house with its own latrine connected to a sewer or septic tank–according to the Family Health Survey 2015-16 (NFHS-4).

Unsafe water, poor hygiene practices and inadequate are not only the causes of the continued high incidence of diarrhoeal but a significant contributing factor in under-five mortality caused by pneumonia, neonatal disorders and undernutrition, according to this 2016 report by the United Nations Children’s Fund.

Improved sanitation, as we said, refers to a household with its own toilet, connected to a piped sewer system or flush to septic tank, flush to pit latrine, ventilated improved pit/biogas latrine, pit latrine with slab, twin pit/composting toilet, which is not shared with any other household.

graph1-desktop

Source: Family Health Surveys 2005-06 and 2015-16
Under-five mortality rate: deaths of under the age of five per 1,000 live births

India’s under-five mortality rate–deaths of under the age of five per 1,000 live births–declined from 74 in 2005-06 to 50 in 2015-16. Over the same time period, households with have improved have gone up from 29.1% to 48.4%.

has the the lowest percentage (25%) of households with improved sanitation, and the state recorded an under-five of 58 deaths per 1,000 live births in 2015-16.

One of the leading causes of under-five mortality is diarrhoeal diseases, mostly caused due to lack of sanitation, according to this 2015 study by Public Health Foundation of India, a Delhi-based think tank.

is followed by Chhattisgarh, with only 32.7% of households reporting use of improved facilities.

has the highest under-five mortality (78 deaths per 1,000 live births) and only 35% households reported use of improved facilities.

Only 44% rural households in UP reported toilet coverage till October 2016 under the Swachh Bharat Abhiyan (Gramin), a central government programme to make India open defecation-free by October 2, 2019.

As many as 77% rural households practice open defecation (as against the average of 55%), IndiaSpend reported on October 1, 2016.

Source: Family Health Survey 2015-16; *Reported in the 2 weeks preceding the survey

Diarrhoeal are the third largest cause of deaths among under the age of five in India, according to this 2015 study by Indira Gandhi Medical College and Research Institute, Puducherry.

UP, with the highest under-five of 78, also reported the highest prevalence (15%) of suffering from diarrhoea prior to the survey.

Source: Family Health Survey 2015-16

Diarrhoeal are also responsible for stunting in (low height-for-age), according to this 2015 study by The institute of Fiscal Studies, a UK-based think tank.

“Growth failure (stunting), often associated with poor nutrition, is correlated, likely in a causal way, with lower educational and labour market attainments,” the study said.


(Salve is an analyst with IndiaSpend.)

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Prachi Salve | IndiaSpend

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