Urinary incontinence in children aged 5 to 12 in an emergency setting: lessons learned in Ethiopia
Claire A. Rosato-Scott | Barbara E. Evans | Abraham Varampath | Ben Fehnert | Dani J. Barrington
This scoping study aimed to be the first to explore the number of children aged 5 to 12 in an emergency setting (Tukaley village, Ethiopia) wetting themselves, and demand for support to manage self-wetting in the home. A survey asked 524 children about their latrine behaviours; and 312 adult caregivers about the latrine behaviours of the children aged 5 to 12 they care for. Few adult caregivers (1 per cent) indicated that children were self-wetting during the day and/or night, and only one child indicated self-wetting (during the day). Yet the survey revealed demand from adult caregivers for household items typically used to manage involuntary self-wetting. This could suggest self-wetting is occurring, but there is a reluctance to disclose it. Given the impact of self-wetting on the lives of children and their adult caregivers, it would be unethical for it not to be considered when developing emergency programmes across sectors including the water, sanitation, and hygiene sector. With further research and modifications to the survey, it could provide greater clarity on the number of children self-wetting and the scale of demand for support to inform emergency programme design.Abrams, P., Cardozo, L., Wagg, A. and Wein, A. (eds) (2017) Incontinence, 6th edition [online], Bristol: International Continence Society <https://www.ics.org/education/icspublications/icibooks/6thicibook> [accessed 21 November 2018].
Ashenafi, Y., Kebede, D., Desta, M. and Alem, A. (2001) ‘Prevalence of mental and behavioural disorders in Ethiopian children’, East African Medical Journal 78: 308–11 <http://dx.doi.org/10.4314/eamj.v78i6.9024>.
Bourne, S. and Varampath, A. (2019) ‘Giving children and caregivers a stronger voice in emergency WASH response’ [blog], Reliefweb <https://reliefweb.int/report/ethiopia/giving-children-and-caregivers-stronger-voice-emergency-wash-response> [accessed 14 March 2020].
Buckley, B.S. and Lapitan, M.C.M (2010) ‘Prevalence of urinary incontinence in men, women, and children – current evidence: findings of the Fourth International Consultation on Incontinence’, Urology 76: 265–70 <https://doi.org/10.1016/j.urology.2009.11.078>.
Can, G., Topbas, M., Okten, A. and Kizil, M. (2004) ‘Child abuse as a result of enuresis’, Paediatrics International 46: 64–6 <https://doi.org/10.1111/j.1442-200X.2004.01829.x>.
Ceri, V., Özlü-Erkilic, Z., Özer, Ü., Yalcin, M., Popow, C. and Akkaya-Kalayci, T. (2016) ‘Psychiatric symptoms and disorders among Yazidi children and adolescents immediately after forced migration following ISIS attacks’, Neuropsychiatrie 30: 145–50 <https://doi.org/10.1007/s40211-016-0195-9>.
Chang, S.J., Van Laecke, E., Bauer, S.B., Von Gontard, A., Bagli, D., Bower, W.F., Renson, C., Kawauchi, A. and Shei-Dei Yang, S. (2017) ‘Treatment of daytime urinary incontinence: a standardisation document from the International Children’s Continence Society’, Neurology and Urodynamics 36: 43–50 <https://doi.org/10.1002/nau.22911>.
Curtis, P., Thompson, J. and Fairbrother, H. (2018) ‘Migrant children within Europe: a systematic review of children’s perspectives on their health experiences’, Public Health 158: 71–85 <https://doi.org/10.1016/j.puhe.2018.01.038>.
Desta, M., Hägglöf, B., Kebede, D. and Alem, A. (2007) ‘Socio-demographic and psychopathologic correlates of enuresis in urban Ethiopian children’, Acta Paediatrica 96: 556–60 <https://doi.org/10.1111/j.1651-2227.2007.00229.x>.
Eclipse Experience (2019) ‘User-Centred Community Engagement’ [website] <http://www.eclipse-experience.com/user-centred-community-engagement> [accessed 8 March 2019].
Fockema, M.W., Candy, G.P., Kruger, D. and Haffejee, M. (2012) ‘Enuresis in South African children: prevalence, associated factors and parental perception of treatment’, BJU International 110: 1114–20 <https://doi.org/10.1111/j.1464-410X.2012.11416.x>.
Hafskjold, B., Pop-Stefanija, B., Giles-Hansen, C., Weerts, E., Flynn, E., Wilbur, J., Brogan, K., Ackom, K., Farrington, M., Peuschel, M., Klaesener-Metzner, N., Cordero, R., Cavill, S. and House, S. (2016) ‘Taking Stock: Incompetent at incontinence – why are we ignoring the needs of incontinence sufferers?’ Waterlines 35(3) <http://dx.doi.org/10.3362/1756-3488.2016.018>.
JurkoviĆ, M., TomaškoviĆ, I., TomaškoviĆ, M., Zore, B.S., PaviĆ, I. and RoiĆ, A.C. (2019) ‘Refugee status as a possible risk factor for childhood enuresis’, International Journal of Environmental Research and Public Health 16(7): 1293 <http://dx.doi.org/10.3390/ijerph16071293>.
Mostafaei, H., Sadeghi-Bazargani, H., Hajebrahimi, S., Salehi-Pourmehr, H., Ghojazadeh, M., Onur, R., Al Mousa, R.T. and Oelke, M. (2020) ‘Prevalence of urinary incontinence in the developing world: a systematic review and meta-analysis – a report from the Developing World Committee of the International Continence Society and Iranian Research Center for Evidence Based Medicine’, Neurourology and Urodynamics 39(4): 1063–86 <http://dx.doi.org/10.1002/nau.24342>.
Nevéus, T. (2017) ‘Pathogenesis of enuresis: towards a new understanding’, International Journal of Urology 24: 174–82 <http://dx.doi.org/10.1111/iju.13310>.
Rosato-Scott, C.A. and Barrington, D.J. (2018) ‘Incontinence in Zambia: initial investigation into the coping strategies of sufferers and carers’, Waterlines 37: 190–206 <http://dx.doi.org/10.3362/1756-3488.18-00012>.
Rosato-Scott, C.A., Giles-Hansen, C., House, S., Wilbur, J., Macauley, M., Barrington, D., Culmer, P. and Burke, L. (2019) Guidance on Supporting People with Incontinence in Humanitarian and Low- and Middle-Income Contexts (LMICs) [online], University of Leeds <http://dx.doi.org/10.5518/100/13>.
Ryan, F. (2018) ‘“It’s horrifically painful”: the disabled women forced into unnecessary surgery’, The Guardian, 6 August 2018 [online] <https://www.theguardian.com/society/2018/aug/06/disabled-women-surgery-catheter-accessible-toilets> [accessed 27 February 2019].
Sapi, M.C., Vasconcelos, J.S.P., Silva, F.G., Damião, R. and Da Silva, E.A. (2009) ‘Assessment of domestic violence against children and adolescents with enuresis’, Jornal de Pediatria 85: 433–7 <http://dx.doi.org/10.2223/JPED.1935>.
Spencer, G., Smith, M., Thompson, J., Fairbrother, H., Hoare, K., Fouché, C. and Curtis, P. (2019) ‘Health experiences of children and young people who migrate: opportunities for health education’, Health Education Journal 78: 96–107 <http://dx.doi.org/10.1177/0017896918786767>.
Sphere Association (2018) The Sphere Handbook: Humanitarian Charter and Minimum Standards in Humanitarian Response, 4th edition [online], Geneva, Switzerland: Sphere Association <https://practicalactionpublishing.com/book/2048/the-sphere-handbook> [accessed 21 May 2021].
Sureshkumar, P., Craig, J.C., Roy, L.P. and Knight, J.F. (2000) ‘Daytime urinary incontinence in primary school children: a population-based survey’, The Journal of Pediatrics 137: 814–8 <http://dx.doi.org/10.1067/mpd.2000.109196>.
Walker, G.J.A. and Gunasekera, P. (2011) ‘Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors’, International Urogynecological Journal 22: 127–35 <http://dx.doi.org/10.1007/s00192-010-1215-0>.
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