Water, sanitation and hygiene practices in early childhood development (ECD) centres in low socio-economic areas in Nelson Mandela Bay, South Africa
Open accessAbstract
Water, sanitation and hygiene (WASH) are vital indicators to healthy living and safe environments for child development. The aim of the study was to determine WASH status and practices in ECD centres located in low socio-economic areas of Nelson Mandela Bay during 2017. This cross-sectional study elicited responses from 46 ECD centres which had a total of 3,254 children and 172 caregivers. A structured questionnaire and visual observation were used. Using core WASH in schools' indicators (WinS) showed that despite improved water sources being available in 91% of the facilities, WinS for hygiene was poor. The study observed that 57% of the respondents had improved toilets accommodating both genders. In 29% of ECD centres, 6–10 children make use of a ‘pottie’ while in 9% of the cases, more than 20 children make use of one ‘pottie’. The use of the bucket system was noted in 22% of the ECD centres. In 79% of the ECD centres, children wash their hands in a communal plastic bowl. Only 11% of the study population washed hands hygienically under a running tap or tippy tap. WASH conditions in the ECD centres in the study area require urgent attention and further investigation for practical solutions. This article has been made Open Access thanks to the generous support of a global network of libraries as part of the Knowledge Unlatched Select initiative.
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Health problems interfere with students' ability to attend school, stay healthy, or take advantage of their educational opportunities.
“Melariri et al. (2019) note that health problems interfere with students' ability to attend school, stay healthy, or take advantage of their educational opportunities.”
From The level of implementation of water, sanitation, and hygiene (WASH) practices among the public basic schools in Ghana (2024) · cites this paper as Melariri et al. (2019)
Cites
More than 75 percent decline over 27 years in total flying insect biomass in protected areas
Hallmann, C. A., Sorg, M., Jongejans, E., Siepel, H., Hofland, N., Schwan, H., Stenmans, W., Müller, A., Sumser, H., Hörren, T., et al. (2017) · PLOS ONE · doi:10.1371/journal.pone.0185809 · Cited by 3,499 · see citing works
Strunz, E. C., Addiss, D. G., Stocks, M. E., Ogden, S., Utzinger, J., & Freeman, M. C. (2014) · PLoS Medicine · doi:10.1371/journal.pmed.1001620 · Cited by 807 · see citing works
Diarrhea incidence in low- and middle-income countries in 1990 and 2010: a systematic review
Fischer Walker, C. L., Perin, J., Aryee, M. J., Boschi-Pinto, C., & Black, R. E. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-220 · Cited by 471 · see citing works
Can water, sanitation and hygiene help eliminate stunting? Current evidence and policy implications
Cumming, O., & Cairncross, S. (2016) · Maternal & Child Nutrition · doi:10.1111/mcn.12258 · Cited by 338 · see citing works
for the Social Determinants of Health Study Team, Darvesh, N., Das, J. K., Vaivada, T., Gaffey, M. F., Rasanathan, K., & Bhutta, Z. A. (2017) · BMC Public Health · doi:10.1186/s12889-017-4746-1 · Cited by 177 · see citing works
Shields, K. F., Bain, R., Cronk, R., Wright, J., & Bartram, J. (2015) · Environmental Health Perspectives · doi:10.1289/ehp.1409002 · Cited by 132 · see citing works
Fatmi, Z., Sahito, A., Ikegami, A., Mizuno, A., Cui, X., Mise, N., Takagi, M., Kobayashi, Y., & Kayama, F. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14040413 · Cited by 126 · see citing works
Tofail, F., Fernald, L. C. H., Das, K. K., Rahman, M. M., Ahmed, T., Jannat, K., UNICOMB, L. E., Arnold, B. F., Ashraf, S., WINCH, P. J., et al. (2018) · The Lancet Child & Adolescent Health · doi:10.1016/s2352-4642(18)30031-2 · Cited by 122 · see citing works
Adane, M., Mengistie, B., Kloos, H., Medhin, G., & Mulat, W. L. (2017) · PLoS ONE · doi:10.1371/journal.pone.0182783 · Cited by 120 · see citing works
Sibiya, J., & Gumbo, J. R. (2013) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph10062282 · Cited by 105 · see citing works
Roche, R. S., Bain, R., & Cumming, O. (2017) · PLoS ONE · doi:10.1371/journal.pone.0171783 · Cited by 100 · see citing works
Early childhood development in South Africa – progress since the end of apartheid
Atmore, E. (2013) · International Journal of Early Years Education · doi:10.1080/09669760.2013.832941 · Cited by 69 · see citing works
Jordanova, T., Cronk, R., Obando, W., Medina, O., Kinoshita, R., & Bartram, J. (2015) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph120606197 · Cited by 62 · see citing works
Reddy B, V., Kusuma, Y. S., Pandav, C. S., Goswami, A. K., & Krishnan, A. (2017) · Journal of Environmental and Public Health · doi:10.1155/2017/7517414 · Cited by 61 · see citing works
Shrestha, A., Sharma, S., Gerold, J., Erismann, S., Sagar, S., Koju, R., Schindler, C., Odermatt, P., Utzinger, J., & Cissé, G. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14010089 · Cited by 57 · see citing works
Phaswana-Mafuya, N. R., & Shukla, N. (2005) · PubMed Central · Cited by 45 · see citing works
Zaunda, H., Holm, R. H., Itimu‐Phiri, A., Malota, M., & White, S. (2018) · Development Southern Africa · doi:10.1080/0376835x.2018.1461610 · Cited by 12 · see citing works
Disaster management policy options to address the sanitation challenges in South Africa
Hoossein, S., Tandlich, R., Whittington-Jones, K. J., Laubscher, R. K., Madikizela, P., & Zuma, B. M. (2016) · Journal of environmental health · Cited by 12 · see citing works
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Odume, O. N., Onyima, B. N., Nnadozie, C. F., Omovoh, G. O., Mmachaka, T., Omovoh, B. O., Uku, J. E., Akamagwuna, F. C., & Arimoro, F. O. (2022) · Sustainability · doi:10.3390/su142114147 · Cited by 22 · see citing works
Odonkor, S. T., Kitcher, J., Okyere, M., & Mahami, T. (2019) · BioMed Research International · doi:10.1155/2019/3868537 · Cited by 22 · see citing works
Kouamé, P. K., Galli, A., Peter-Varbanets, M., Loss, G. J., Wassa, D., Bonfoh, B., Utzinger, J., & Winkler, M. S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18168863 · Cited by 12 · see citing works
Ncube, F., Kanda, A., Chahwanda, M., Macherera, M., & Ngwenya, B. (2020) · Journal of Water Sanitation and Hygiene for Development · doi:10.2166/washdev.2020.126 · Cited by 11 · see citing works
An Assessment of Personal Hygiene Practices Among Young Adults: A Cross-Sectional, Descriptive Study
Singh, P., Faisal, A. R., Alam, M. M., Saeed, A., Haider, T., Asif, H. M. A., Rauniyar, J., Rai, N., Janjua, M. A. K., & Pasha, A. R. (2023) · Cureus · doi:10.7759/cureus.44308 · Cited by 10 · see citing works
Melariri, P. E., Teare, J., Oyedele, O., Eastwood, K., & ten Ham‐Baloyi, W. (2024) · PLoS ONE · doi:10.1371/journal.pone.0303077 · Cited by 7 · see citing works
Self-citationMuhati-Nyakundi, L. I. (2022) · Global Public Health · doi:10.1080/17441692.2022.2059693 · Cited by 5 · see citing works
Duah, H. (2024) · Journal of Water, Sanitation and Hygiene for Development · doi:10.2166/washdev.2024.307 · Cited by 4 · see citing works
Mthiyane, N. P., Malema, D. R., & Madonda, N. (2023) · Educational Research for Social Change · doi:10.17159/2221-4070/2023/v12i1a5 · Cited by 3 · see citing works
Morton, D. G., & Senekane, M. F. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21030353 · Cited by 3 · see citing works
Chumo, I., Kabaria, C. W., Phillips‐Howard, P. A., Gitau, H., Elsey, H., & Mberu, B. U. (2024) · Journal of Water Sanitation and Hygiene for Development · doi:10.2166/washdev.2024.177 · Cited by 3 · see citing works
Tabassum, Z., Khalid, K., Neyazi, S., & Ahmed, E. (2025) · Discover Education · doi:10.1007/s44217-025-00555-x · Cited by 1 · see citing works
Bick, S., Ezezew, A., Opondo, C., Leurent, B., Argaw, W., Cumming, O., Allen, E., & Dreibelbis, R. (2026) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2025-225148 · Cited by 1 · see citing works
Shacho, E., Eba, K., & Fekadu, S. (2026) · BMC Public Health · doi:10.1186/s12889-026-28396-9 · Cited by 1 · see citing works
Asamane, E. A., Scandrett, K., Aunger, J. A., Browne, A., Ramkumar, A., Sidibe, C., Diarra, Y., Yazdani, M., Touré, O., Lilford, R. J., et al. (2024) · medRxiv · doi:10.1101/2024.08.19.24311865 · Cited by 1 · see citing works
ЗНАЧЕННЯ ГІГІЄНИ ОДЯГУ У ЗАХИСТІ МЕДИЧНИХ ПРАЦІВНИКІВ
Ляховський, В., Пехньо, В., Кравців, М., Філатова, В. Л., & Ляховська, А. В. (2024) · Перспективи та інновації науки · doi:10.52058/2786-4952-2024-3(37)-1336-1347
Ntunja, A., ten Ham‐Baloyi, W., Teare, J., Oyedele, O., & Melariri, P. E. (2025) · Advances in Public Health · doi:10.1155/adph/4397405
Self-citationRonaasen, J., Wynne, T., Biersteker, L., Farrer, W., & Steenkamp, L. (2025) · Australasian Journal of Early Childhood · doi:10.1177/18369391251408649
Self-citationKimoto, C. K., Zunza, M., Sambell, R., & Smit, Y. (2026) · World Nutrition · doi:10.26596/wn.202617270-79
- Authors
- Melariri, P., Steenkamp, L., Williams, M., Mtembu, C., Ronaasen, J., & Truter, I.
- Affiliations
- Nelson Mandela University (ZA)
- Corresponding author
- Melariri, Paula
- Venue
- Journal of Water, Sanitation and Hygiene for Development
- Publisher
- IWA Publishing
- Published
- 2019-01-11
- Volume
- 9
- Issue
- 1
- Pages
- 164-171
- ISSN
- 2043-9083 (ISSN-L)
- 2408-9362
- OpenAlex
- W2911001779
- Cited by
- 18
- References
- 18
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 1
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of Water Sanitation and Hygiene for Development (publishedVersion, cc-by)
- Nelson Mandela University Research Repository (submittedVersion)
- Funders
- Nelson Mandela University
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Physical Sciences › Environmental Science › Water Science and Technology › Water Resource Management and Quality
- Keywords
- water, sanitation and hygiene, early childhood development centers, child hygiene practices, hand washing, toilets, Nelson Mandela Bay
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