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The value of water supply and sanitation in development

An assessment

Bibliographic Data

ID11036786
AuthorsDaniel A Okun (University of North Carolina at Chapel Hill, corresponding author)
Year1988
Volume78
Issue11
Pages1463-1467
Publication date1988-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.78.11.1463
PMID3177721
OpenAlexW2097543832
LanguageEN
Citations received7
References cited7

The attractiveness of oral rehydration therapy (ORT), a new and simple ministration that averts many child deaths from diarrhea among children, is diverting attention among donor agencies from the importance of water supply and sanitation (WS&S) in developing nations. The principal factor that led to the adoption of ORT is its apparent low cost per diarrheal death averted in children when compared with WS&S. However, WS&S provides many more benefits that are essential to sustaining the lives saved by ORT and vital to maintaining and enhancing the lives of adults and children. Among many other benefits WS&S prevents spread of the causes of diarrhea, controls many other water- and sanitation-related diseases, releases women from the heavy and time-consuming burden of carrying water from distant sources, and improves the quality of life in the community. Cost comparisons between WS&S and ORT are misleading. WS&S is a long-term investment in preventive health while ORT is a response to an immediate life-threatening situation. WS&S interventions eliminate unsanitary conditions leading to illness and death while ORT has no effect on the causes of diarrheal morbidity. The costs of WS&S are not high: $5 to $10 per capita annually. Without WS&S and hygiene education ORT programs are not likely to effect long-term improvement in child health status. ORT and WS&S programs are complementary; one should not displace the other

Business · Child mortality · Developing country · Diarrhea · Economic growth · Economics · Environmental health · Health services · Hygiene · Oral rehydration therapy · Per capita · Population · Psychological intervention · Public health · Sanitation · Water supply · Clinical Nutrition and Gastroenterology · Electrolyte and hormonal disorders · Gastroesophageal reflux and treatments · Medicine · Nursing

  • Panorama of acute diarrhoeal diseases in Mexico

    Open Access•E Cifuentes•Health & Place•1999

  • Child Health Promotion in Developing Countries

    Open Access•John Ehiri, J E Ehiri et al.•Health Policy and Planning•1999

  • Donors’ Interest in Water and Sanitation Subsectors

    Open Access•Souha El Khanji•European Journal of Development…•2021

  • Social inequality and children’s health in Africa

    Open Access•T B Heaton, Benjamin T Crookston et al.•International Journal for Equity…•2016

  • Water supply and sanitation (WS&S) and the quality of life

    D Koch-Weser, Dieter Koch‐Weser•American Journal of Public Health•1988

  • Sanitation and Public Health

    Michael R Greenberg•American Journal of Public Health•2012

  • Aprendiendo a prevenir la deshidratacion en comunidades Alejadas y Mercados Mexicanos

    Open Access•Selene Alvarez Larrauri, Claudia Alvarez Larrauri et al.•Social Science & Medicine•1994

  • Selective Primary Health Care

    Julia A Walsh, Kenneth S Warren•New England Journal of Medicine•1979

  • Water supply and health in developing countries

    John Briscoe•American Journal of Public Health•1984

Unique citing works7
Citations per year0,18
Citation span1988 - 2021 (34)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6

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