Water Sanitation and Waterborne Disease Incidence among Households: A Cross-Sectional Study

Year : 2026 | Volume : 16 | Issue : 02 | Page : 26 30
By

Anu Joseph,

Emil Mathew,

Bilvan Biju,

Delna Paul,

  1. Assistant Professor, Department of Community Health Nursing, Caritas College of Nursing, Kerala, India
  2. Lecturer, Department of Community Health Nursing, Caritas College of Nursing, Kerala, India
  3. Student, Department of Community Health Nursing, Caritas College of Nursing, Kerala, India
  4. Student, Department of Community Health Nursing, Caritas College of Nursing, Kerala, India

Abstract

The study was conducted to assess water sanitation practices and the incidence of waterborne diseases among households in a selected ward of Koodalloor Panchayath, Kottayam, Kerala. The objectives were to assess the sources of household water, evaluate water sanitation and safety practices, and identify the incidence of waterborne diseases among family members during the previous year. A community-based descriptive study design was adopted. A total of 138 households were selected using a convenience sampling technique. Data were collected using a self-designed structured questionnaire that assessed household water sources, sanitation practices, the distance between water sources and septic tanks, water treatment practices, and the occurrence of waterborne diseases. The findings showed that 137 (99.2%) households had their own source of water. Among these households, all 137 (100%) reported having a covered water source, while 94 (68.6%) practiced chlorination of their water source annually. Regarding the safety distance between the water source and septic tank, 7 (5.1%) households had a distance of less than 15 metres, indicating a potential risk of contamination. Only 2 (1.4%) households reported the occurrence of waterborne diseases among family members during the previous year. The findings indicate that most households had access to protected water sources and practiced water treatment. However, gaps in safe distance between water sources and septic tanks and continued occurrence of waterborne diseases highlight the need for regular monitoring, health education, proper sanitation practices, and community awareness regarding safe drinking water and prevention of waterborne diseases.

Keywords: Water sanitation, waterborne disease incidence, households, sanitation practices, chlorination

[This article belongs to Journal of Nursing Science & Practice ]

How to cite this article: Anu Joseph, Emil Mathew, Bilvan Biju, Delna Paul. Water Sanitation and Waterborne Disease Incidence among Households: A Cross-Sectional Study. Journal of Nursing Science & Practice. 2026; 16(02):26-30.
How to cite this URL: Anu Joseph, Emil Mathew, Bilvan Biju, Delna Paul. Water Sanitation and Waterborne Disease Incidence among Households: A Cross-Sectional Study. Journal of Nursing Science & Practice. 2026; 16(02):26-30. Available from: https://journals.stmjournals.com/jonsp/article=2026/view=257406

References

  1. World Health Organization. Drinking-Water. Geneva: World Health Organization; 2023.
  2. Government of Kerala. Kerala State Planning Board. Economic Review 2025. Vol. 1. Thiruvananthapuram: Government of Kerala; 2025.
  3. Binu J, Salam H, A JK, Fazil F, T HK, S G. A cross sectional study on household dependence on well water, source of contamination and well protection measures adopted by an urban and rural population in Kollam, Kerala. Int J Community Med Public Health. 2021;8:3042. doi:10.18203/2394-6040.ijcmph20212012.
  4. Ananth M, Rajesh R, Amjith R, AL A, Valamparampil MJ, Harikrishnan M, et al. Contamination of household open wells in an urban area of Trivandrum, Kerala State, India: a spatial analysis of health risk using geographic information system. Environ Health Insights. 2018;12:1178630218806892. doi:10.1177/1178630218806892. PMID:30369786; PMCID:PMC6201171.
  5. Jayakrishnan T, Rao B, Cyriac ME, Harikumar PS, Cherumanalil JM. Water quality at the source and incidence of water borne diseases in rural households of South India. Int J Community Med Public Health. 2021;8:3958-64. doi:10.18203/2394-6040.ijcmph20213028.
  6. Venkatesh U, Rahaman M, Ahmed A, Joshi HS, Dixit AM, Grover A, et al. Household-level WASH conditions and waterborne diseases among the Vantangiya Scheduled Tribe in India: a micro-scale spatial analysis. Sci Rep. 2026;16:21407. doi:10.1038/s41598-026-50775-w. PMID:42204183; PMCID:PMC13350806.
  7. Saha A, Moray KV, Devadason D, Samuel B, Daniel SE, Lalthazuali PJV, et al. Water quality, sanitation, and hygiene among the tribal community residing in Jawadhi hills, Tamil Nadu: an observational study from Southern India. J Family Med Prim Care. 2020;9:5711-8. doi:10.4103/jfmpc.jfmpc_1519_20. PMID:33532419; PMCID:PMC7842438.
  8. Hutton G, Chase C. The knowledge base for achieving the sustainable development goal targets on water supply, sanitation and hygiene. Int J Environ Res Public Health. 2016;13:536. doi:10.3390/ijerph13060536. PMID:27240389; PMCID:PMC4923993.
  9. Ayele A, Adane M, Adane B, Berihun G, Gebrehiwot M, Woretaw L, et al. Living in a large family and low daily water consumption substantially expose for human scabies in rural Ethiopia: a matched analysis. J Health Popul Nutr. 2023;42:134. doi:10.1186/s41043-023-00471-6. PMID:38017554; PMCID:PMC10685524.
  10. Swe PM, Fischer K. A scabies mite serpin interferes with complement-mediated neutrophil functions and promotes staphylococcal growth. PLoS Negl Trop Dis. 2014;8:e2928. doi:10.1371/journal.pntd.0002928. Erratum in: PLoS Negl Trop Dis. 2014;8:e3415. PMID:24945501; PMCID:PMC4063749.

Regular Issue Subscription Original Research
Volume 16
Issue 02
Received 07/07/2026
Accepted 24/07/2026
Published 30/07/2026
Publication Time 23 Days


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