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Children Living in Poor Hygiene and Sanitation Conditions: Why does it matter? Sanober Nadeem* & Bilal Iqbal Ava

Children Living in Poor Hygiene and Sanitation Conditions: Why does it matter? Sanober Nadeem* & Bilal Iqbal Avan ** *Instructor- Human Development Programme of Aga Khan University ** IMMPACT- University of Aberdeen, Scotland UK. Results

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Children Living in Poor Hygiene and Sanitation Conditions: Why does it matter? Sanober Nadeem* & Bilal Iqbal Ava

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  1. Children Living in Poor Hygiene and Sanitation Conditions: Why does it matter?Sanober Nadeem* & Bilal Iqbal Avan ** *Instructor- Human Development Programme of Aga Khan University ** IMMPACT- University of Aberdeen, Scotland UK Results Rural areas are highly correlated with hygiene index (HI) and sanitation index (SI), as compared to their urban counterparts. SI is highly correlated with socioeconomic index (SEI). SI is significantly associated with child's delayed development, stunting and being underweight HI is associated with underweight and stunting status of children, independent of SEI and rural-urban neighbourhood. Background At least 200 million children, mostly from developing countries, suffer from developmental delays. Poor hygiene and sanitation conditions are known to influence growth faltering and increased risk of child morbidity and mortality Very little is known about role of these conditions on child development. Table 1: Sanitation and Hygiene index by child outcomes Figure 1: Adjusted Sanitation Index by Socioeconomic Status Objective To assess the relationship between family hygiene, sanitary conditions and psychomotor development in the first three years of life • Methods • A cross sectional household survey was conducted in Sindh, Pakistan • Children aged less than 3 (n=1,244) were assessed at home visits: • -Bayley's Infant Developmental Scale • -Anthropometric status • -Socio-economic, hygiene and sanitation conditions. • Principal component analyses: Create indices • Multilevel modeling analysis: Assess associations Figure 2: Adjusted Hygiene Index by Socioeconomic Status Conclusion Due to a strong association between hygiene and sanitation conditions and development, recognition should be given to the growth and developmental needs of children living in such conditions. IEA World Congress of Epidemiology, 7 – 11 August 2011 Edinburgh International Conference Centre, Scotland, UK

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