Dataset Information

Demographic disparities in unimproved drinking water and sanitation in Ghana: a nationally representative cross-sectional study.

ABSTRACT:

Objective

The government of Ghana has targeted universal access to safe drinking water by 2025 and elimination of open defecation by year 2030. This study explored the use of unimproved drinking water and unimproved sanitation and assessed their association with demographic factors.

Design

This was a secondary data analysis of the 2017 Ghana Maternal Health Survey, a nationally representative cross-sectional survey. Open defecation households were mapped to show regional differences. Weighted logistic regression was used to assess the association of demographic variables with use of unimproved drinking water and unimproved toilet facilities.

Setting

Ghana.

Participants

A total of 26 324 households were included in the analysis.

Primary and secondary outcome measures

Use of unimproved drinking water and unimproved toilet facilities.

Results

Out of the 26 324 households, 8.9% used unimproved drinking water while 81.6% used unimproved sanitation. Open defecation was practised by 15.2% of Ghanaian households, with a prevalence of 58.8%, 6.7% and 12.5% in the Northern, Middle and Coastal zones, respectively. In the multivariate analysis, rural households (p<0.001), households with more than five members (p<0.001), households with heads less than 25 years (p=0.018), male-headed households (p<0.001) and household heads with no/low level of education (p<0.001) were significantly associated with drinking unimproved water. Also, rural households (p=0.002), households in the Northern zone (p<0.001), single-member households (p<0.001), households with heads less than 25 years (p<0.001) and household heads with no/low level of education (p<0.001) were significantly associated with using unimproved toilet facilities.

Conclusion

The target of universal access to safe drinking water by 2025 and elimination of open defecation by 2030 seems impossible to be achieved if appropriate measures are not implemented. We recommend that state authorities, health partners and non-governmental organisations support local-level sanitation plans and strategies.

SUBMITTER: Oppong FB

PROVIDER: S-EPMC9310154 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Demographic disparities in unimproved drinking water and sanitation in Ghana: a nationally representative cross-sectional study.

Oppong Felix Boakye FB Boateng Dennis D Boateng Dennis D Senkyire Ephraim Kumi EK Logo Divine Darlington DD

BMJ open 20220721 7

<h4>Objective</h4>The government of Ghana has targeted universal access to safe drinking water by 2025 and elimination of open defecation by year 2030. This study explored the use of unimproved drinking water and unimproved sanitation and assessed their association with demographic factors.<h4>Design</h4>This was a secondary data analysis of the 2017 Ghana Maternal Health Survey, a nationally representative cross-sectional survey. Open defecation households were mapped to show regional differenc ...[more]

PMID: 35863842

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Dataset Information

Demographic disparities in unimproved drinking water and sanitation in Ghana: a nationally representative cross-sectional study.

Objective

Design

Setting

Participants

Primary and secondary outcome measures

Results

Conclusion

Publications

Demographic disparities in unimproved drinking water and sanitation in Ghana: a nationally representative cross-sectional study.

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