ナギ　サチヨ   凪　幸世    所属   医学部 医学科    職種   助教
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Introduction of a community water supply in rural western Kenya: impact on community wellbeing and child health.
掲載誌名	正式名：International health 略　 称：Int Health ISSNコード：18763405/18763405
掲載区分	国外
巻・号・頁	7(3),pp.204-211
著者・共著者	Sakisaka Kayako, Chadeka Evans Asena, Nagi Sachiyo, Mwandembo Dorcas Shambi, Jimba Masamine
発行年月	2015/05
概要	BACKGROUND:This study aimed to examine water availability and community health before and after tube wells were introduced in a rural western Kenyan community. Differences in impact among income quintile groups were quantified, and users' perceptions of their water supply measured.METHODS:We conducted a two-part pre- (2009) and post-intervention (2011), cross-sectional study using structured questionnaires for mothers.RESULTS:In total, 1391 (576 in 2009 and 815 in 2011) mothers participated. Well introduction changed the households' drinking-water source from river to ground water. The median distance to the water source was reduced by 40% (500 to 300 metres) and median collection time was reduced by 50% (30 to 15 minutes). Water consumption per household increased by approximately 20% (from 82.6 to 99.0 L) and drinking of untreated water decreased by approximately 10%. Regression analyses revealed mothers with higher monthly incomes had the highest satisfaction levels (β=0.167, p<0.001). Positive impacts were strongest among wealthier groups.CONCLUSIONS:The small-scale community water supply dramatically affected user hygiene behaviours and daily life. Water supply access improved from 'no access' to 'basic access'. Household connections to a water supply and hygiene education are important steps to enhance community health.
DOI	10.1093/inthealth/ihv015
PMID	25835431