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  • 1
    Language: English
    Pages: 1 Online-Ressource (31 p)
    Series Statement: World Bank E-Library Archive
    Parallel Title: Erscheint auch als Haque, Sabrina S Does Arsenic-Contaminated Drinking Water Limit Early Childhood Development in Bangladesh?
    Abstract: Arsenic contamination in shallow groundwater aquifers remains a major barrier to providing access to safe drinking water in Bangladesh. Chronic exposure to arsenic has been shown to cause serious health impacts, including various cancers, skin lesions, neurological damage, heart disease, and hypertension. Numerous epidemiological studies have shown cognitive impacts on memory, linguistic-abstraction, attention, learning, and physical ability. The neurotoxic effects of arsenic could be particularly harmful for children during their critical growth periods and have impacts on early childhood development. This study uses cross-sectional data from the nationally representative 2012-13 Bangladesh Multiple Indicator Cluster Survey to investigate the effects of arsenic contamination in drinking water on early childhood development outcomes in a sample of around 7,500 children ages 3-5 years. Early childhood development is measured in four skills domains: literacy-numeracy, physical, social-emotional, and learning using the Early Childhood Development Index. Arsenic contamination is measured in source drinking water at the cluster-level. After controlling for a range of demographic, social, and economic characteristics of households, the results show that arsenic contamination is significantly and negatively associated with the overall Early Childhood Development Index, on outcomes within the physical, social-emotional, and learning skills domains. Further, there is a clear dose-response relationship, where those children with exposure to higher concentrations of arsenic have worse developmental outcomes
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 2
    Language: English
    Pages: Online-Ressource (47 p)
    Edition: 2014 World Bank eLibrary
    Parallel Title: Hathi, Payal Place and Child Health
    Abstract: A long literature in demography debates the importance of place for health. This paper assesses whether the importance of dense settlement for child mortality and child height is moderated by exposure to local sanitation behavior. Is open defecation, without a toilet or latrine, worse for infant mortality and child height where population density is greater? Is poor sanitation an important mechanism by which population density in?uences health outcomes? The paper uses newly assembled data sets to present two complementary analyses, which represent di?erent points in a trade-o? between external and internal validity. The first analysis concentrates on external validity by studying infant mortality and child height in a large, international child-level data set of 172 Demographic and Health Surveys, matched to census population density data for 1,800 subnational regions. The second analysis concentrates on internal validity by studying child height in Bangladeshi districts, with a new data set constructed with Geographic Information System techniques, and controls for ?xed e?ects at a high level of geographic resolution. The paper ?nds a statistically robust and quantitatively comparable interaction between sanitation and population density with both approaches: open defecation externalities are more important for child health outcomes where people live more closely together
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 3
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: Other Poverty Study
    Series Statement: World Bank E-Library Archive
    Abstract: The purpose of the document is to lay out the findings from this diagnostic exercise. Its key messages include stressing the need to reach higher to achieve the Sustainable Development Goal (SDG) targets for water and sanitation in the light of little improvement in the Millennium Development Goal (MDG) era; the lack of access to improved water for rural dwellers and the issues with quality, affordability and reliability of water services for urban dwellers, and how this is linked with the overreliance on an informal service provider market; the lack of improved sanitation in the population with 80% still reliant on rudimentary and unsafe facilities; the identification of rurality and poverty as the primary drivers of low WASH coverage with an in-depth data-based and political economy analysis on why water point failure in rural Tanzania is so high (20% of all water points fail in the very first year of operation); improved WASH can lead to broad knock-on effects on productivity and human development in Tanzania, in particular for reducing chronic malnutrition in children under five; identifies the importance of emphasizing improved WASH in public spaces also such as in schools and health centers; identifies how shortcomings in the decentralization process for Tanzania's WASH sector have impacted its capacity to deliver services, and how these bottlenecks may be unblocked. It then makes a series of recommendations in order to deliver a better service
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 4
    Language: English
    Pages: 1 Online-Ressource (circa 32 Seiten) , Illustrationen
    Series Statement: Policy research working paper 9054
    Series Statement: World Bank E-Library Archive
    Series Statement: Policy research working paper
    Parallel Title: Erscheint auch als Joseph, George Children Need Clean Water to Grow: E. Coli Contamination of Drinking Water and Childhood Nutrition in Bangladesh
    Keywords: Graue Literatur
    Abstract: Water, sanitation, and hygiene interventions are increasingly recognized as essential for improving nutritional outcomes in children. Emerging literature describes the negative effects of poor sanitation on child growth. However, limited evidence has shown a link between water quality and nutritional outcomes. Similar to poor sanitation, it is plausible that water contaminated with E. coli could affect the nutritional status of children through various possible biological pathways, such as repeated episodes of diarrhea, environmental enteropathy, parasites, or other mechanisms that inhibit nutrient uptake and absorption. This study explores the relationship between contaminated water and stunting prevalence among children younger than age five years, using unique cross-sectional data from the 2012-13 Bangladesh Multiple Indicator Cluster Survey, which was one of the first nationally representative surveys to include water quality testing for E. coli. E. coli contamination in drinking water is measured at household and source points. Stunting is measured using height-for-age z-scores for children under five, where a child is considered stunted when he or she is two or more standard deviations below the median of the World Health Organization reference population. The results of multiple probit regression models indicate a 6 percent increase in the prevalence of stunting in children who are exposed to highly contaminated drinking water at household point compared with those exposed to low-to-medium contamination. When contamination is measured at the source level, the association is greater, with a 9 percent increase in the likelihood of stunting when exposed to a high level of contamination
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  • 5
    Language: English
    Pages: 1 Online-Ressource (circa 49 Seiten) , Illustrationen
    Series Statement: Policy research working paper 8552
    Series Statement: World Bank E-Library Archive
    Series Statement: Policy research working paper
    Parallel Title: Erscheint auch als Arias-Granada, Yurani Water and Sanitation in Dhaka Slums; Access, Quality, and Informality in Service Provision
    Keywords: Graue Literatur
    Abstract: Urban slum residents often have worse health outcomes compared with other urbanites and even their rural counterparts. This suggests that slum residents do not always benefit from the "urban advantage" of enjoying better access to health-promoting services. Limited access to water and sanitation services in slums could contribute to poor health of slum residents. In Bangladesh, these services generally are not delivered through formal utilities, but rather through well-functioning informal markets that are operated by middlemen and local providers. This paper analyzes a household survey to examine living conditions and quality of access to water and sanitation services in small-, medium-, and large-sized slums across Dhaka, Bangladesh. The analysis finds that access to water and sanitation services is overall quite high, but these services are subject to important quality issues related to safety, reliability, and liability. Although water access is nearly universal, water services are often interrupted or sometimes inaccessible. Sanitation is commonly shared, with the average ratio being 16 households to one facility. When considering fecal sludge management, the study finds that only 2 percent of these households have access to the Joint Monitoring Programme's conceptualization of "safely managed sanitation." The paper also finds strong evidence that water and sanitation services are operated by middlemen at various stages of service provision such as installation, management, and payment collection. The paper provides a snapshot of the differential quality in access to these services based on the monetary welfare level of the household. The snapshot shows that access to water and sanitation services is highly correlated to per capita household consumption levels, although quality remains low overall within slums. Overall, it is likely that the informality of water and sanitation services may exacerbate social and environmental risk factors for poor health and well-being
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 6
    Language: English
    Pages: 1 Online-Ressource (circa 42 Seiten) , Illustrationen
    Series Statement: Policy research working paper 8922
    Series Statement: World Bank E-Library Archive
    Series Statement: Policy research working paper
    Parallel Title: Erscheint auch als Shamsudduha, Mohammad Multi-Hazard Groundwater Risks to the Drinking Water Supply in Bangladesh: Challenges to Achieving the Sustainable Development Goals
    Keywords: Graue Literatur
    Abstract: Groundwater currently provides 98 percent of all the drinking water supply in Bangladesh. Groundwater is found throughout Bangladesh but its quality (that is, arsenic and salinity contamination) and quantity (that is, water storage depletion) vary across hydrological environments, posing unique challenges to certain geographical areas and population groups. Yet, no national-scale, multi-hazard groundwater risk maps currently exist enabling water resource managers and policy makers to identify areas that are vulnerable to public health. This paper develops, for the first time, groundwater risk maps at the national scale for Bangladesh that combine information on arsenic, salinity, and water storage, using geospatial techniques, linking hydrological indicators for water quality and quantity to construct risk maps. A range of socioeconomic variables, including access to drinking and irrigation water supplies and social vulnerability (that is, poverty), are overlaid on these risk maps to estimate exposures. The multi-hazard groundwater risk maps show that a considerable proportion of land area (5 to 24 percent under extremely high to high risks) in Bangladesh is currently under combined risk of arsenic and salinity contamination, and groundwater storage depletion. As few as 6.5 million (2.2 million poor) to 24.4 million (8.6 million poor) people are exposed to a combined risk of high arsenic, salinity, and groundwater storage depletion. The multi-hazard groundwater risk maps reveal areas and exposure of population groups to water risks posed by arsenic and salinity contamination and depletion of water storage
    URL: Volltext  (lizenzpflichtig)
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  • 7
    Language: English
    Pages: 1 Online-Ressource
    Series Statement: World Bank E-Library Archive
    Series Statement: Water Papers
    Abstract: This framework for action was developed to support the inclusion of nutritional considerations in the design of water operations and to help formulate nutrition-enhancing water policy. Chronic undernutrition early in life can cause cognitive and physical impairments that prevent children from achieving their full potential and have lasting consequences on the human capital that is essential for economies of the future to be competitive. The authors present an integrated water and nutrition framework to aid in understanding the various ways that water impacts early child nutrition, drawing on the three dimensions of water security: water quantity, adequate supply of water resources; water quality, water that is free of contamination; and water accessibility, reliable availability to all people, economies, and ecosystems. Each of these in turn affects the underlying drivers of poor nutrition outcomes in children. Challenges associated with water-related conflict and water resources in the context of fragility cuts across each of the drivers of undernutrition. The framework complements guidance notes that describe the evidence of how water sector investments across irrigation, water management, and water supply and sanitation impact early child nutrition and summarize recommendations on how to design interventions for greater impact
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