TY - JOUR
T1 - The modeling assessment of World Vision’s Water, Sanitation, and Hygiene Program in Southern Africa countries, Malawi, Mozambique, and Zambia
T2 - analyses using Lives Saved Tool
AU - Park, Chulwoo
AU - Martirosyan, Armen
AU - Frehywot, Seble
AU - Jones, Erin
AU - Labat, Ashley
AU - Tam, Yvonne
AU - Opong, Emmanuel
N1 - Publisher Copyright:
© 2019, International Society of Global Health. All rights reserved.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Background Since 2010, the humanitarian aid organization World Vision has implemented a community-based water, sanitation, and hygiene (WASH) program in 76 area development programs (ADPs) for a total target population of 2,831,535 in three Southern Africa countries: Malawi, Mozambique, and Zambia. Methods This study was conducted using the Lives Saved Tool (LiST) to analyze the isolated impact of World Vision WASH interventions on child morbidity and mortality during the four-year implementation period from 2010 to 2014. The combined effects of WASH interventions – improved water source, home water connection, improved sanitation, handwashing with soap, hygienic disposal of children’s stools – were analyzed through LiST. Results It showed that 917 to 929 children under five years of age were saved from death caused by diarrhea, pneumonia, meningitis, or measles between 2010 and 2014. WASH interventions led to a 131% mean increase in the percentage of under-five lives saved, alongside a 4.47% mean decrease in under-five mortality rates across the three countries. In addition, 809,552 cases of diarrhea among 541,935 children under the age of five were prevented. Conclusions LiST acted as an effective tool for conducting the quantitative modeling assessment of the program retrospectively at a subnational level. World Vision WASH interventions in Malawi, Mozambique, and Zambia successfully saved children’s lives, and various approaches to WASH for the future program are necessary to reach the goal of preventing all three cases of diarrhea per child each year by 2020.
AB - Background Since 2010, the humanitarian aid organization World Vision has implemented a community-based water, sanitation, and hygiene (WASH) program in 76 area development programs (ADPs) for a total target population of 2,831,535 in three Southern Africa countries: Malawi, Mozambique, and Zambia. Methods This study was conducted using the Lives Saved Tool (LiST) to analyze the isolated impact of World Vision WASH interventions on child morbidity and mortality during the four-year implementation period from 2010 to 2014. The combined effects of WASH interventions – improved water source, home water connection, improved sanitation, handwashing with soap, hygienic disposal of children’s stools – were analyzed through LiST. Results It showed that 917 to 929 children under five years of age were saved from death caused by diarrhea, pneumonia, meningitis, or measles between 2010 and 2014. WASH interventions led to a 131% mean increase in the percentage of under-five lives saved, alongside a 4.47% mean decrease in under-five mortality rates across the three countries. In addition, 809,552 cases of diarrhea among 541,935 children under the age of five were prevented. Conclusions LiST acted as an effective tool for conducting the quantitative modeling assessment of the program retrospectively at a subnational level. World Vision WASH interventions in Malawi, Mozambique, and Zambia successfully saved children’s lives, and various approaches to WASH for the future program are necessary to reach the goal of preventing all three cases of diarrhea per child each year by 2020.
KW - global health
UR - http://www.scopus.com/inward/record.url?scp=85086177339&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85086177339&partnerID=8YFLogxK
U2 - 10.29392/joghr.3.e2019019
DO - 10.29392/joghr.3.e2019019
M3 - Article
AN - SCOPUS:85086177339
SN - 2399-1623
VL - 3
JO - Journal of Global Health Reports
JF - Journal of Global Health Reports
M1 - e2019019
ER -