Conditions, behaviors, and fecal contamination of nursery schools in four low and medium income neighborhoods of Accra, Ghana Open Access
Natkin, Benjamin (2015)
Abstract
While under five deaths due to diarrhea remain high in Africa, little is understood of the role of nurseries in the transmission of fecal pathogens. Nurseries in four neighborhoods of Accra, Ghana were selected for a mixed methods investigation of conditions and child behaviors that could affect exposure to fecal bacteria and the presence of E. coli on hands, surfaces and in water stored on site. A high ratio of children to teachers was noted as well as poor latrine conditions and a lack of water designated for hand washing. The large majority of children showed E. coli contamination on their hands, along with frequent contamination of surfaces such as chairs, toys, and food wrappers. Linear models between nursery conditions and level of hand contamination showed significant relationships for the ratio of children to teachers and the presence of feces on latrine floors or walls.
Table of Contents
Chapter I: Introduction 1
Context of Project 1
Problem Statement 2
Chapter II: Literature Review 3
Chapter III: Manuscript 16
Title 17
Contribution of Student 18
Abstract 19
Introduction 20
Methods 22
Results 25
Discussion 29
References 33
Tables and Figures 35
Chapter IV: Conclusions and Recommendations 38
References 40
Appendices 42
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