Date of Award

Spring 4-25-2013

Degree Type

Thesis

Degree Name

Master of Public Health (MPH)

Department

Public Health

First Advisor

Dr. Christine Stauber

Second Advisor

Dr. Sheryl Strasser

Third Advisor

Dr. Lisa Casanova

Abstract

Background: In 2010, a massive earthquake left the capitol Port-au-Prince in ruins and destroyed infrastructure providing electricity, piped clean water, and waste removal to the region. Water, sanitation, and hygiene intervention programs attempt to reduce the burden of water-related disease in earthquake-affected regions. However, there are few evaluations of these programs, especially following natural disasters.

Methods: Data provided by Samaritan’s Purse Canada’s WASH program were examined. The data set included a household (N=1198) and a latrine (N=167) survey that recorded household use of laundry pads, bath houses, hand-pumped drilled wells, health and hygiene education sessions, and latrines as well as demographic data. Data analysis was conducted in IBM SPSS Version 20.0. Descriptive statistics were computed, and statistical relationships were analyzed for 1.) Health and hygiene education session attendance and program outcomes and 2.) Household diarrheal disease and program interventions

Results: This study found that households attending any of four health and hygiene sessions were significantly more likely to use program-provided bath houses and hand-pumped wells (p<0.05). Attendance was also significantly associated with increased knowledge of diarrheal disease prevention and hand washing technique. Households using the program-provided hand pump reported lower rates of diarrhea in children under five years old.

Discussion: This study concluded that health and hygiene session attendance is positively associated with the utilization of program interventions. However, further improvements in data collection methodology are needed to fully understand the effects of this multi-intervention WASH program on target communities.

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