Published: 2017-10-27

Assessment of wash practices among women in urban slums of Berhampur, Odisha: a cross sectional study

Radha Madhab Tripathy, Geeta Chand Acharya, Nivedita Karmee


Background: Access to Water, Sanitation and Hygiene (WASH) is a pre- condition for people to acquire good health, well-being and benefit from economic development. WASH constitutes both provision of water and sanitation facilities and hygiene promotion. The study objective is to assess the practices and existing perceptions of water, sanitation and hygiene among women in urban slums of Berhampur.

Methods: A cross sectional study was conducted among 400 women (households) residing in urban slums of Berhampur from August2016-January 2017 by simple random sampling. Data was collected using a predesigned pretested questionnaire.

Results: Out of the total, 62.3% respondents depended on public tap as major source of drinking water , 31.5% purified water before drinking , 68.5% allowed water to stand for a day before use , 86.5% practiced hand wash before meal , 33.2% practiced open defecation, 7% and74% used soap and water for handwashing before meal and after defecation respectively, 68.3% threw liquid wastes haphazardly, 59.8% threw solid wastes haphazardly into drains, 78.5% respondents children had a history of diarrhoea in the past 6 months and 86.8% had flies menace in their houses.

Conclusions: Components such as purification of water (31.5%), open defecation (33.2%), hand washing with soap and water before meal (7%), indiscriminate disposal of waste suggest a long way to go to achieve the targets of SDG -6. Adequate IEC activities are needed for effective WASH Strategy implementation.


Diarrhoea, Handwashing, SDG, WASH

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Water, Sanitation and Hygiene. 2015;1–2. Available at

Teacher G. Knowledge on Water, Sanitation and Hygiene Among the mothers of under-5 children. 3:1–45.

Water, Sanitation and Hygiene | IMA World Health, 2017. Available from: /water-sanitation-and-hygiene/

Water, Sanitation and Hygiene.2017. Available from:

Kaniambady S, Vasu DP, Sandhya G, Kulkarni AG. A community based cross sectional study to assess the drinking water handling and management practices, sanitary practices at the household level in Sullia taluk, Karnataka. 2017;4(5):1678–83.

6 Clean Water and Sanitation | The Global Goals. Available from:

Urban WASH Strategy. Available at

Progress on Drinking Water and Sanitation-2014 Update. Joint Monitoring Programme for Water Supply and Sanitation. 2014. Available at:

Satapathy BK. Safe Drinking Water in Slums from Water Coverage to Water Quality, 2017. Available from: Water in Slums.pdf.

Waite RC, Velleman Y, Woods G, Chitty A, Freeman MC. Integration of water, sanitation and hygiene for the control of neglected tropical diseases: A review of progress and the way forward. Int Health. 2015;8(i):i22–7. Available from:

Water, Environment and Sanitation | UNICEF.2017. Available at:

How to make oral rehydration solution (ORS). How to use oral rehydration solution (ORS):229310.

Indian Institute for Population sciences. National Family Health Survey - 4 2015-16. State Fact Sheet, Maharashtra. 2015;2.

Howard G, Bartram J, WHO. Domestic Water Quantity, Service Level and Health. World Heal Organ. 2003;39. Available from: http://www.who. int/water_sanitation_health/diseases/wsh0302/en/.

Exposures and impacts in low-and middle-income countries. Preventing Diarrhoea Through Better Water, Sanitation and Hygiene;2017. Available from:

B VR, Kusuma YS, Pandav CS, Goswami AK, Krishnan A. Water and Sanitation Hygiene Practices for Under-Five Children among Households of Sugali Tribe of Chittoor District, Andhra Pradesh, India. 2017;2017.

Bhattacharya M, Joon V, Jaiswal V. Water handling and sanitation practices in rural community of Madhya Pradesh: A knowledge, attitude and practice study. Indian J Prev Soc Med. 2011;42(1):94-7.

Key Indicators of Urban Slums in India. MOSPI. 2013;3–5. Available at: sites/default/files/publication_reports/KI_SLUM_report69round_24dec13.pdf?download=1.

Azage M, Haile D. Factors associated with safe child feces disposal practices in Ethiopia: evidence from demographic and health survey. Arch Public Health. 2015;73:40. Available from: http://www.

Pati S, Kadam SS, Chauhan AS. Hand hygiene behavior among urban slum children and their care takers in Odisha, India. J Prev Med Hyg. 2014;55(2):65–8. Available from: http://www.ncbi.

Sah R, Baral D, Ghimire A, Pokharel P. Health renaissance. Health Renaissance. B.P. Koirala Institute of Health Sciences. 2014;11:241-245. Available from: HREN/article/view/9639/7930.

Diseases D, Infections AR. The State of Handwashing in 2016. Annual Review. 2017:1–11.