Safe stool disposal and associated factors among mothers of children under-two age in Gambia: Evidence from Gambia Demographic Health Survey 2019/20

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Abstract Background Appropriate disposal of child stool is vital in preventing the spread of faceo-oral diseases. According to WHO/ UNICEF Joint Monitoring Program, Safe child stool disposal includes disposing a stool in to Flush or pour-flush toilet/latrine to (piped sewer system, septic tank, pit latrine ), Ventilated improved pit (VIP) latrine and Pit latrine with slab. Objective The study aimed to assess safe child stool disposal practice and associated factors among mothers having under two age’s children in Gambia Methods This study was based on a large community-based cross-sectional survey, conducted from 21 November 2019 to 30 March 2020 in Gambia. The survey employed a two-staged stratified cluster sampling technique to recruit study participants. Descriptive statistics and logistic regression models were used to summarize descriptive data and identify factors associated with safe waste disposal, respectively. A p-value of less than 0.05 and 95% confidence interval were used to determine statistical significance. Results The prevalence of safe stool disposal among mothers having under two years of age were 56.3%( 95%CI: 54.6%, 58.1%). Mothers with in the age range of 25–34 (AOR = 0.78 (95%CI: 0.62, 0.98)),rich wealth quintile (AOR = 0.43 (95%CI:0.33,0.56)), being exposed to media (AOR = 1.37 (95%CI: 1.07, 1.76)), increasing age of children (AOR = 1.06 (1.05, 1.07)), Being employed (AOR = 1.31 (1.11, 1.55)) and Geographic region were significantly associated with safe child disposal practice. Conclusion The prevalence of safe child stool disposal was low in Gambia. Age of the mother, age of the child, region, wealth index, media exposure and occupational status of the mother were significantly associated with safe child stool disposal. Public health intervention strategies designed to promote safe child stools disposal need to conduct thorough community assessments to identify community-specific facilitators, needs and barriers. Additionally, public health experts and policy makers should take into consideration the geographical and wealth inequalities when designing programs aimed to improve safe child stool disposal practice

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