A new approach to sanitation in Palestine

Bruijne, G. de

doi:10.3362/0262-8104.2000.033

Cited by 1 publication

(2 citation statements)

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“…While our main findings are consistent with other Australian and international evidence that infrastructure improvements alone have limited potential to improve health, 2–8 they contrast with those of a recent evaluation of a housing program in Aboriginal communities in the state of New South Wales (NSW) which showed a reduction in hospital admissions for children with various infectious conditions. 33 However, the ecological design and lack of adjustment for potential confounders in the NSW evaluation limits the ability to attribute causality from these findings.…”

Section: Discussionsupporting

confidence: 80%

“…There is mounting evidence that the focus by housing programs on infrastructure and the relative neglect of hygiene and other factors affecting the physical and social environment has failed to produce improvements in health in both the international context 1–3 and in Australia. 4–8 This emerging evidence is of vital importance to appropriate development of housing policy, particularly where a key objective of housing programs is to improve health outcomes—as is the case for Australian Indigenous communities.…”

Section: Introductionmentioning

confidence: 99%

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The impact of housing improvement and socio-environmental factors on common childhood illnesses: a cohort study in Indigenous Australian communities

Bailie¹,

Stevens

McDonald

2011

J Epidemiol Community Health

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BackgroundImprovements in health are an important expected outcome of many housing infrastructure programs. The authors aimed to determine if improvement in the notoriously poor housing infrastructure in Australian Indigenous communities results in reduction in common childhood illness and to identify important mediating factors in this relationship.MethodsThe authors conducted a prospective cohort study of 418 children aged 7 years or younger in 10 Australian Indigenous communities, which benefited most substantially from government-funded housing programs over 2004–2005. Data on functional and hygienic state of houses, reports of common childhood illness and on socio-economic conditions were collected through inspection of household infrastructure and interviews with children's carers and householders.ResultsAfter adjustment for a range of potential confounding variables, the analysis showed no consistent reduction in carers' reporting of common childhood illnesses in association with improvements in household infrastructure, either for specific illnesses or for these illnesses in general. While there was strong association between improvement in household infrastructure and improvement of hygienic condition of the house, there were only marginal improvements in crowding.ConclusionsHigh levels of household crowding and poor social, economic and environmental conditions in many Australian Indigenous communities appear to place major constraints on the potential for building programs to impact on the occurrence of common childhood illness. These findings reinforce the need for building programs to be supported by a range of social, behavioural and community-wide environmental interventions in order for the potential health gains of improved housing to be more fully realised.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%