Abstract
Failures in either water systems or food systems, or a combination of system failures, could provide the underlying explanation for continued high levels of malnutrition in many regions. We focus on child health and offer the first spatially explicit analysis of the interaction between water source and food insecurity on children’s health in Burkina Faso, an African nation that continues to struggle with poor children’s health. We combine data from the 2010 Demographic and Health Survey, a small USAID water quality survey collected from community wells, and remotely sensed imagery. Results suggest that, in a few cases, reliable and clean water sources are positively correlated to children’s linear growth and weight gain, although in many regions, the interaction with community-level food production is critical to understanding health outcomes. The results also suggest that maternal health and nutrition during pregnancy and breastfeeding are foundational to the healthy development of young children. In all, the findings provide evidence of the importance of multi-sectoral interventions targeted at improving children’s health.
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Notes
Improved water sources include the following: covered wells, protected springs, and piped water (into community or dwelling); and unimproved water sources include the following: unprotected spring, unprotected shallow wells, and surface water.
Height and weight are commonly used measures of healthy growth. When height-for-age or weight-for-age z-scores fall below 2 standard deviations from a reference median, children are considered stunted or moderately malnourished, respectively. Both stunted and moderately malnourished children are at increased risk for illness and death (WHO 2006).
In the analysis, we select out all children who are 25 months and younger to include those who have just turned 2 years old as well.
References
Arifeen, Shams E., et al. (2000). "Infant growth patterns in the slums of Dhaka in relation to birth weight, intrauterine growth retardation, and prematurity." The American journal of clinical nutrition, 72.4, 1010–1017.
Ashbolt, N. J. (2004). Microbial contamination of drinking water and disease outcomes in developing regions. Toxicology, 198, 229–238.
Beiersmann, C., et al. (2012). Malnutrition in young children of rural Burkina Faso: comparison of survey data from 1999 with 2009. Tropical Med Int Health, 17.6(2012), 715–721.
Beiersmann, Claudia, et al. (2013). Malnutrition determinants in young children from Burkina Faso. Journal of Tropical Pediatrics: fmt037.
Bhutta, Z. A., Ahmed, T., Black, R. E., Cousens, S., Dewey, K., Giugliani, E., Haider, B. A., Kirkwood, B., Morris, S. S., Sachdev, H. P. S., & Sekar, M. (2008). What works? Interventions for maternal and child undernutrition and survival. Lancet, 371(9610), 417–440.
Black, R. E., Allen, L. H., Bhutta, Z. A., Caulfield, L. E., De Onis, M., Ezzati, M., Mathers, C., Rivera, J., & Maternal and Child Undernutrition Study Group. (2008). Maternal and child undernutrition: global and regional exposures and health consequences. Lancet, 371(9608), 243–260.
Blanton, L. V., et al. (2016). Gut bacteria that prevent growth impairments transmitted by microbiota from malnourished children. Science, 351(6275), aad3311.
Brown, M. E., Kathryn, G., Shively, G., Johnson, K. B., & Carroll, M. (2014). Using satellite remote sensing and household survey data to assess human health and nutrition response to environmental change. Popul Environ, 36(1), 48–72.
Brown, M. E., Antle, J. M., Backlund, P., Carr, E. R., Easterling, W. E., Walsh, M. K., Ammann, C., Attavanich, W., Barrett, C. B., Bellemare, M. F., Dancheck, V., Funk, C., Grace, K., Ingram, J. S. I., Jiang, H., Maletta, H., Mata, T., Murray, A., Ngugi, M., Ojima, D., ONeill, B., & Tebaldi, C. (2015). Climate change, global food security, and the U.S, Food System. Washington DC: United States Department of Agriculture. USDA Technical Document. doi:10.7930/J0862DC7.
Bryce, J., et al. (2008). Maternal and child undernutrition: effective action at national level. Lancet, 371(9611), 510–526.
Burgert, C. R., Colston, J., Roy, T., & Zachary, B. (2013). Geographic displacement procedure and georeferenced data release policy for the demographic and health surveys. DHS spatial analysis reports no. 7. Calverton, Maryland, USA: ICF International.
de Beurs, K. M., & Henebry, G. M. (2004). Trend analysis of the pathfinder AVHRR land (PAL) NDVI data for the desert of Central Asia. IEEE Geosci Remote Sens Lett, 1, no. 4.
Doak, C. M., Adair, L. S., Bentley, M., Monteiro, C., & Popkin, B. M. (2005). The dual burden household and the nutrition transition paradox. Int J Obes, 29(1), 129–136.
Donowitz, J. R., & Petri Jr., W. A. (2015). Pediatric small intestine bacterial overgrowth in low-income countries. Trends Mol Med, 21.1, 6–15.
Einstein, L. P., Mackay, D. M., & Rosenberg, I. H. (1972). Pediatric xylose malabsorption in East Pakistan: correlation, with age, growth retardation, and weanling diarrhea. Am J Clin Nutr, 25(11), 1230–1233.
Engle, P. L., Menon, P., & Haddad, L. (1999). Care and nutrition: concepts and measurement. World Dev, 27(8), 1309–1337.
Esrey, S., Habicht, J., Latham, M., Sisler, D., & Casella, G. (1988). Drinking water source, diarrheal morbidity, and child growth in villages with both traditional and improved water supplies in rural Lesotho, southern Africa. Am J Public Health, 78(11), 1451–1455.
FEWS NET. 2010. Burkina Faso Livelihood Zones. Accessed November 25, 2015. http://www.fews.net.
Funk, C., & Budde, M. (2007). National MODIS NDVI-based production anomaly estimates for Zimbabwe. Climate Hazards Group: Department of Geography University of California, Santa Barbara.
Gardner, Renee M. Maria Kippler, Fahmida Tofail, Matteo Bottai, Jena Hamadani, Margaretha Grander, Barbro Nermell, Brita Palm, Kathleen M. Rasmussen, and Marie Vahter. (2012). Environmental exposure to metals and Children’s growth to age 5 years: a prospective cohort study. Am J Epidemiol 177, no. 2.
Gilmartin, A. A., & Petri, W. A. (2015). Exploring the role of environmental enteropathy in malnutrition, infant development and oral vaccine response. Philosophical Transactions of the Royal Society of London B: Biological Sciences, 370 .no. 1671
Grace, K., Davenport, F., Funk, C., & Lerner, A. M. (2012). Child malnutrition and climate in sub-Saharan Africa: an analysis of recent trends in Kenya. Appl Geogr, 35, 405–413.
Grace, K., Brown, M., & McNally, A. (2014). Examining the link between food prices and food insecurity: a multi-level analysis of maize price and birthweight in Kenya. Food Policy, 46, 55–65.
Grace, K., Davenport, F., Hanson, H., Funk, C., & Shukla, S. (2015). Linking climate change and health outcomes: examining the relationship between temperature, precipitation and birth weight in Africa. Glob Environ Chang, 35, 125–137.
Grace, K., Nagle, N. N., & Husak, G. (2016). Can small-scale agricultural production improve Children’s health? Examining stunting vulnerability among very young children in Mali, West Africa. Annals of the American Association of Geographers, 106(3), 722–737.
Gundry, S., Wright, J., & Conroy, R. (2004). A systematic review of the health outcomes related to household water quality in developing countries Journal of Water and Health, 2 .no. 1
Günther, I., and G Fink. (2010). Water, sanitation and children’s health: evidence from 172 DHS surveys. World Bank Policy Research Working Paper Series.
Huete, A., Didan, K., Miura, T., Rodriguez, E. P., Gao, X., & Ferreira, L. G. (2002). Overview of the radiometric and biophysical performance of the MODIS vegetation indices. Remote Sens Environ, 83, 195–213.
Humphrey, J. H. (2009). Child undernutrition, tropical enteropathy, toilets, and handwashing. Lancet, 374(9694), 1032–1035.
Huttly, S. R., Morris, S. S., & Pisani, V. (1997). Prevention of diarrhoea in young children in developing countries. Bull World Health Organ, 75(2), 163.
INSD. (2012). Ministère de l’Économie et des Finances, Ouagadougou, Burkina Faso et ICF International, Institut National de la Statistique et de la Démographie. USA: Maryland.
Jones, G., Steketee, R. W., Black, R. E., Bhutta, Z. A., & Morris, S. S. (2003). Bellagio child survival study group. How many child deaths can we prevent this year? Lancet, 362, 65–71.
Justice, C. O., Vermote, E., Townshend, J. R. G., Defries, R., & Roy, D. P. (1998). The moderate resolution imaging Spectroradiometer (MODIS): land remote sensing for global change research. IEE Transactions on Geoscience and Remote Sensing, 36 .no. 4
Karim, M. (2000). Arsenic in groundwater and health problems in Bangladesh. Water Resources, 34(1), 304–310.
Kazianga, H., de Walque, D., & Alderman, H. (2014). School feeding programs, intrahousehold allocation and the nutrition of siblings: evidence from a randomized trial in rural Burkina Faso. J Dev Econ, 106(2014), 15–34.
Kennedy, G., Nantel, G., & Shetty, P. (2006). The double burden of malnutrition: case studies from six developing countries. Rome: Nutrition Planning, Assessment and Evaluation Service, Food and Agriculture Organization of the United Nations.
Khin-Maung-U, Pereira, S. P., & Bolin, T. D. (1990). The effect of rice carbohydrate malabsorption on child growth: a longitudinal study using the breath hydrogen test in Burmese village children. American Journal Clinical Nutrition, 52, 348–352.
Kramer, M. S., Matush, L., Vanilovich, I., Platt, R. W., Bogdanovich, N., Sevkovskaya, Z., Dzikovich, I. et al. (2007) Effects of prolonged and exclusive breastfeeding on child height, weight, adiposity, and blood pressure at age 6.5 y: evidence from a large randomized trial. The American Journal of Clinical Nutrition, 86(6), 1717–1721.
Kramer, M., et al. (2011). "Breastfeeding and infant size: evidence of reverse causality." American journal of epidemiology: kwq495. doi:10.1093/aje/kwq495.
Kremer, M., J. Leino, E. Miguel, & A.P. Zwane. (2007). Spring cleaning: a randomized evaluation of source water quality improvement. Quarterly Journal of Economics.
Marino, D. D. (2007). Water and food safety in the developing world: global implications for health and nutrition of infants and young children. J Am Diet Assoc, 107(11), 1930–1934.
McCullagh, P., & Nelder, J. A. (1989). Generalized Linear Models 37. Boca Raton: CRC press.
Miller, H. J. (2004). Tobler’s first law and spatial analysis. Ann Assoc Am Geogr, 94(2), 284–289.
Minamoto, K., Mascie-Taylor, C. G., Moji, K., Karim, E., & Rahman, M. (2005). Arsenic-contaminated water and extent of acute childhood malnutrition (wasting) in rural Bangladesh. Environ Sci, 12(5), 283–291.
Nagahori, C., Tchuani, J. P., & Yamauchi, T. (2015). Factors associated with nutritional status in children aged 5–24 months in the Republic of Cameroon. Nursing & Health Sciences, 17(2), 229–235.
Olney, D. K., et al. (2015). A 2-year integrated agriculture and nutrition and health behavior change communication program targeted to women in Burkina Faso reduces anemia, wasting, and diarrhea in children 3–12.9 months of age at baseline: a cluster-randomized controlled trial. J Nutr, 145.6(2015), 1317–1324.
Omoike, I. U., & Abiodun, P. O. (1989). Upper small intestinal microflora in diarrhea and malnutrition in Nigerian children. J Pediatr Gastroenterol Nutr, 9(3), 314–321.
Peletz, R., et al. (2011). Drinking water quality, feeding practices, and diarrhea among children under 2 years of HIV-positive mothers in peri-urban Zambia. AmJTrop Med Hyg, 85(2), 318–326.
Rippeyoung, P. L., & Noonan, M. C. (2012). Is breastfeeding truly cost free? Income consequences of breastfeeding for women. Am Sociol Rev, 77, 244–267.
Ruel, M. T., Alderman, H., & Maternal and Child Nutrition Study Group. (2013). Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition? Lancet, 382(9891), 536–551.
Saha, K. K., Engstrom, A., Hamadani, J. D., Tofail, F., Rasmssen, K. M., & Vahter, M. (2012). Pre- and postnatal arsenic exposure and body size to 2 Years of age: a cohort study in rural Bangladesh. Environmental Health Perspectives: Children’s Health, 120 .no. 8
Sawadogo, S. P., et al. (2010). Late introduction and poor diversity were the main weaknesses of complementary foods in a cohort study in rural Burkina Faso. Nutrition, 26.7(2010), 746–752.
Shively, G., Sununtnasuk, C., & Brown, M. (2015). Environmental variability and child growth in Nepal. Health & Place, 35, 37–51.
Slusser, W. (2007). Breastfeeding and maternal and infant health outcomes in developed countries. AAP Grand Rounds, 18(2), 15–16.
Smedley, P. L., Knudsen, J., & Maiga, D. (2007). Arsenic in groundwater from mineralized Proterozoic basement rocks of Burkina Faso. Appl Geochem, 22, 1074–1092.
Tobler, W. R. (1970). A computer movie simulating urban growth in the Detroit region. Econ Geogr, 46, 234–240.
Townshend, J. R. G., & Justice, C. O. (1986). Analysis of the dynamics of African vegetation using the normalized difference vegetation index. Int J Remote Sens, 7(11), 1435–1445.
Tucker, C. J. (1979). Red and photographic infrared linear combinations for monitoring vegetation. Remote Sens Environ, 8(2), 127–150.
UNDP. (2015). Human development report 2015: work for human development. United Nations Development Programme.
Walker, S. P., Wachs, T. D., Grantham-McGregor, S., Black, M. M., Nelson, C. A., Huffman, S. L., Baker-Henningham, H., Chang, S. M., Hamadani, J. D., Lozoff, B., Meeks Garner, J. M., Powell, C. A., Rahman, A., & Richter, L. (2011). Inequality in early childhood: risk and protective factors for early child development. Lancet, 378(9799), 1325–1338.
Wasserman, G. A., Liu, X., Parvez, F., Ahasan, H., Factor-Litvak, P., van Geen, A., Slavkovitch, V., Lolacono, N. J., Cheng, Z., Hussain, I., Momotaj, H., & Gaziano, J. H. (2004). Water arsenic exposure and Children’s intellectual function in Araihazar, Bangladesh. Environ Health Perspect, 112, 13.
Weisz, A. J., Manary, M. J., Stephenson, K., Agapova, S., Manary, F. G., Thakwalakwa, C., Shulman, R. J., & Manary, M. J. (2012). Abnormal gut integrity is associated with reduced linear growth in rural Malawian children. J Pediatr Gastroenterol Nutr, 55(6), 747–750.
WHO. (2006). Child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva: World Health Organization.
WHO. (2008). Guidelines for drinking-water quality, Third Edition Incorporating the First and Second Addenda. Volume 1, Recommendations. Geneva: World Health Organization.
WHO/UNICEF. (2003). Global strategy for infant and young child feeding. Geneva: World Health Organization.
WHO/UNICEF. (2015). Progress on sanitation and drinking water – 2015 update and MDG assessment. Geneva: World Health Organization.
World Food Summit. (1996). Rome declaration on world food security. Rome: Food and Agriculture Organization of the United Nations.
Wright, J., Gundry, S., & Conroy, R. (2004). Household drinking water in developing countries: a systematic review of microbiological contamination between source and point-of-use. Tropical Med Int Health, 9(1), 106–117.
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This research was funded, in part, by The University of Utah's Primary Children's Fellowship and by NASA under award number NNX16AI02G.
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Grace, K., Frederick, L., Brown, M.E. et al. Investigating important interactions between water and food security for child health in Burkina Faso. Popul Environ 39, 26–46 (2017). https://doi.org/10.1007/s11111-017-0270-6
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DOI: https://doi.org/10.1007/s11111-017-0270-6