Mila Petrova, Stephen Barclay
From "wading through treacle" to "making haste slowly": A comprehensive yet parsimonious model of drivers and challenges to implementing patient data sharing projects based on an EPaCCS evaluation and four pre-existing literature reviews
PLOS digital health
half population subsaharan africa ssa faces limited access safe drinking water unimproved water sources pose risks health entire households particularly women children despite fact east african countries poorest drinking water infrastructures globally lack published data issue consequently objective study examine access safe drinking water determinants among households east africa utilizing recent nationally representative data study analyzed data recent demographic health surveys conducted 12 east african nations 2011 2022 data gathered 204275 households stratified twostage cluster sampling method employed enumeration areas serving main sampling units households serving secondary sampling units binary multiple multilevel logistic regression used examine relevant factors associated use different sources drinking water region binary regression multiple regression p values 02 005 respectively used determine statistical significance variables final model approximately 7262 95 ci 7243 7283 households utilized improved sources drinking water household heads aged 2535 years aor 109 95 ci 104 114 3645 years aor 109 95 ci 104 114 45 years aor 108 95 ci 104 114 secondaryhigher education aor 124 95 ci 120129 individuals wealth index categories poorest aor 017 95 ci 016 018 poorer aor 021 95 ci 019 022 middle aor 025 95 ci 024 027 richer aor 036 95 ci 034 038 associated improved sources drinking water additionally female household leaders aor 123 95 ci 120 126 30 min time taken access water source aor 200 95 ci 195 205 improved toilet facilities aor 225 95 ci 219 231 rural residence aor 043 95 ci 042 045 high community wealth aor 131 95 ci 113151 community media exposure aor 132 95 ci 115 151 associated improved sources drinking water respectively approximately threequarters population east africa access improved drinking water although quality water region still considered poor important relevant organizations collaborate order improve quality drinking water special attention given highrisk groups communities high poverty low literacy rates poor households rural residents strengthening womens empowerment increasing mass media exposure also play crucial role accelerating adoption improved drinking water sources east africa