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Cited by 36Child Nutrition and Water AccessGlobal Maternal and Child HealthFood Safety and Hygiene

Women’s management of the household health environment: Responding to childhood diarrhea in the Northern Areas, Pakistan.

Halvorson, Sarah J·2004·Health & Place
DOI 10.1016/s1353-8292(03)00018-2
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Abstract

This paper examines mothers' management of water, sanitation, hygiene, and childhood diarrhea in a mountain community in the Northern Areas, Pakistan. It draws upon qualitative data obtained from 65 in-depth interviews and other ethnographic field methods. The analysis shows that respondents were familiar with diarrhea control interventions carried out in the study site, and associated childhood diarrhea with oral-fecal transmission routes such as poor water quality, unhygienic behaviors, contaminated food, and inadequate sanitation practices. Findings also demonstrate the continuance of long-established cultural patterns of perception and behavior with regard to childhood diarrhea and the influence of socio-economic constraints to instituting new management practices.

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Crossref · 10.1016/s1353-8292(03)00018-2

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  • When women lacked control over income and assets, they had limited decision-making power over improving or accessing water sources; constrained finances limited women's access to preferred water sources, desired water quantity, and water treatment methods.

    “When women lacked control over income and assets, they had limited decision-making power over improving or accessing water sources [65,76,86,118,123,194,199,201,258,292].Constrained finances limited women's access to preferred water sources, [64,86,111,158,170,194,[197][198][199] desired water quantity, [86,192] and water treatment methods [86,111,118,204,293].”

    From Water, sanitation, and women’s empowerment: A systematic review and qualitative metasynthesis (2022) · cites this paper as [118]

  • Studies have documented women's specific household-level water and sanitation-related knowledge; in Kenya, women's roles as primary water collectors instilled knowledge about water access, quality, and quantity; in Pakistan, mothers and grandmothers were a source of knowledge and influenced household decision-making about water and hygiene; and in indigenous communities in Canada and the U.S.,

    “Studies have documented women's specific household-level water and sanitation-related knowledge [118, 124, 159].In Kenya, women's roles as primary water collectors instilled knowledge about water access, quality, and quantity [76].In Pakistan, mothers and grandmothers were a source of knowledge and influenced household decisionmaking about water and hygiene, [118] while in indigenous communities”

    From Water, sanitation, and women’s empowerment: A systematic review and qualitative metasynthesis (2022) · cites this paper as [118]

  • Constraints on women's time limit access to safe water or resources needed to treat or boil water; women also spend considerable time caring for family members ill with water-related diseases.

    “Constraints on women's time limit access to safe water or resources needed to treat or boil water [92,118,197,199,208]. Women also spend considerable time caring for family members ill with waterrelated diseases [26,63,111,177,193,239,240,248,259].”

    From Water, sanitation, and women’s empowerment: A systematic review and qualitative metasynthesis (2022) · cites this paper as [118]

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Authors
Halvorson, S. J.
Affiliations
University of Montana (US)
Corresponding author
Halvorson, Sarah J
ORCID
Halvorson, Sarah J
Venue
Health & Place
Publisher
Elsevier BV
Published
2004-03
Volume
10
Issue
1
Pages
43-58
ISSN
1353-8292 (ISSN-L)
DOI
10.1016/s1353-8292(03)00018-2
OpenAlex
W2066364359
Cited by
36
References
30
Citations by year
2026: 1 · 2024: 1 · 2023: 1 · 2022: 4 · 2020: 2 · 2019: 1 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 4 · 2012: 3
FWCI
0.29
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Health & Place (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Food Safety and Hygiene
Keywords
childhood diarrhea, mothers, water, sanitation and hygiene, fecal-oral transmission, water quality, contaminated food, sanitation practices, cultural perceptions of illness, socio-economic constraints, mountain communities
MeSH terms
Diarrhea, Family Characteristics, Female, Humans, Hygiene, Medicine, Traditional, Mothers, Pakistan, Water Supply

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