A. Oyemade et al., Environmental and personal hygiene practices: Risk factors for diarrhoea among children of Nigerian market women, J DIARRH D, 16(4), 1998, pp. 241-247
A cross-sectional survey was carried out to determine the environmental and
personal hygiene practices of mothers of children aged less than five year
s in two markets in Ibadan-one with poor sanitary conditions (Bodija) and t
he other one with better sanitation facilities (Gbagi), The study sought to
identify the risk factors for diarrhoea among these children. Two hundred
and sixty-six mothers in Bodija and 260 in Gbagi were interviewed. A questi
onnaire was used for collecting information on social and demographic chara
cteristics, personal and environmental hygiene practices, including sources
of food and water for their children, waste-disposal practices and occurre
nce of diarrhoea among their children aged less than five years. The educat
ional status of the women in Bodija was lower than that of the women in Gba
gi (p<0.001). Sixty (23%) women of the Bodija market mentioned that tap wat
er was the source of drinking water for their children, while 91 (34%) brou
ght water from their homes, and 45 (17%) bought it from vendors in the mark
et, The corresponding figures for women of the Gbagi market were 41 (16%),
98 (38%) and 19 (7%), Two hundred and thirty-four (90%) women in Gbagi prep
ared breakfast at home for their children compared to 216 (81%) women in Bo
dija. This difference was statistically significant (p<0.05). Waste disposa
l and personal hygiene practices were poorer among the women in Bodija, Yet
the occurrence of diarrhoea was not significantly different in both the ma
rkets, Risk factors for diarrhoea identified in this study were water and f
ood bought from vendors, child defaecation practices, mothers' cleaning up
practices after child's defaecation, and refuse-disposal practices, The inh
erent risk of sale of unwholesome food and water by vendors is a great conc
ern for public health authorities in Nigeria. Efforts to control diarrhoea
must not only be focused on improving mothers) knowledge about food hygiene
but also on environmental hygiene practices within the community.