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Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study
The objective was to evaluate the effectiveness and acceptability of locally tailored implementation of improved cookstoves/heaters in low- and middle-income countries. This interventional implementation study among 649 adults and children living in rural communities in Uganda, Vietnam and Kyrgyzsta...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695425/ https://www.ncbi.nlm.nih.gov/pubmed/31417087 http://dx.doi.org/10.1038/s41533-019-0144-8 |
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author | van Gemert, Frederik de Jong, Corina Kirenga, Bruce Musinguzi, Patrick Buteme, Shamim Sooronbaev, Talant Tabyshova, Aizhamal Emilov, Berik Mademilov, Maamed Le An, Pham Quynh, Nguyen Nhat Dang, Tran Ngoc Hong, Le Huynh Thi Cam Chartier, Ryan Brakema, Evelyn A. van Boven, Job F. M. |
author_facet | van Gemert, Frederik de Jong, Corina Kirenga, Bruce Musinguzi, Patrick Buteme, Shamim Sooronbaev, Talant Tabyshova, Aizhamal Emilov, Berik Mademilov, Maamed Le An, Pham Quynh, Nguyen Nhat Dang, Tran Ngoc Hong, Le Huynh Thi Cam Chartier, Ryan Brakema, Evelyn A. van Boven, Job F. M. |
author_sort | van Gemert, Frederik |
collection | PubMed |
description | The objective was to evaluate the effectiveness and acceptability of locally tailored implementation of improved cookstoves/heaters in low- and middle-income countries. This interventional implementation study among 649 adults and children living in rural communities in Uganda, Vietnam and Kyrgyzstan, was performed after situational analyses and awareness programmes. Outcomes included household air pollution (PM(2.5) and CO), self-reported respiratory symptoms (with CCQ and MRC-breathlessness scale), chest infections, school absence and intervention acceptability. Measurements were conducted at baseline, 2 and 6–12 months after implementing improved cookstoves/heaters. Mean PM(2.5) values decrease by 31% (to 95.1 µg/m(3)) in Uganda (95%CI 71.5–126.6), by 32% (to 31.1 µg/m(3)) in Vietnam (95%CI 24.5–39.5) and by 65% (to 32.4 µg/m(3)) in Kyrgyzstan (95%CI 25.7–40.8), but all remain above the WHO guidelines. CO-levels remain below the WHO guidelines. After intervention, symptoms and infections diminish significantly in Uganda and Kyrgyzstan, and to a smaller extent in Vietnam. Quantitative assessment indicates high acceptance of the new cookstoves/heaters. In conclusion, locally tailored implementation of improved cookstoves/heaters is acceptable and has considerable effects on respiratory symptoms and indoor pollution, yet mean PM(2.5) levels remain above WHO recommendations. |
format | Online Article Text |
id | pubmed-6695425 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-66954252019-08-19 Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study van Gemert, Frederik de Jong, Corina Kirenga, Bruce Musinguzi, Patrick Buteme, Shamim Sooronbaev, Talant Tabyshova, Aizhamal Emilov, Berik Mademilov, Maamed Le An, Pham Quynh, Nguyen Nhat Dang, Tran Ngoc Hong, Le Huynh Thi Cam Chartier, Ryan Brakema, Evelyn A. van Boven, Job F. M. NPJ Prim Care Respir Med Article The objective was to evaluate the effectiveness and acceptability of locally tailored implementation of improved cookstoves/heaters in low- and middle-income countries. This interventional implementation study among 649 adults and children living in rural communities in Uganda, Vietnam and Kyrgyzstan, was performed after situational analyses and awareness programmes. Outcomes included household air pollution (PM(2.5) and CO), self-reported respiratory symptoms (with CCQ and MRC-breathlessness scale), chest infections, school absence and intervention acceptability. Measurements were conducted at baseline, 2 and 6–12 months after implementing improved cookstoves/heaters. Mean PM(2.5) values decrease by 31% (to 95.1 µg/m(3)) in Uganda (95%CI 71.5–126.6), by 32% (to 31.1 µg/m(3)) in Vietnam (95%CI 24.5–39.5) and by 65% (to 32.4 µg/m(3)) in Kyrgyzstan (95%CI 25.7–40.8), but all remain above the WHO guidelines. CO-levels remain below the WHO guidelines. After intervention, symptoms and infections diminish significantly in Uganda and Kyrgyzstan, and to a smaller extent in Vietnam. Quantitative assessment indicates high acceptance of the new cookstoves/heaters. In conclusion, locally tailored implementation of improved cookstoves/heaters is acceptable and has considerable effects on respiratory symptoms and indoor pollution, yet mean PM(2.5) levels remain above WHO recommendations. Nature Publishing Group UK 2019-08-15 /pmc/articles/PMC6695425/ /pubmed/31417087 http://dx.doi.org/10.1038/s41533-019-0144-8 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article van Gemert, Frederik de Jong, Corina Kirenga, Bruce Musinguzi, Patrick Buteme, Shamim Sooronbaev, Talant Tabyshova, Aizhamal Emilov, Berik Mademilov, Maamed Le An, Pham Quynh, Nguyen Nhat Dang, Tran Ngoc Hong, Le Huynh Thi Cam Chartier, Ryan Brakema, Evelyn A. van Boven, Job F. M. Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study |
title | Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study |
title_full | Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study |
title_fullStr | Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study |
title_full_unstemmed | Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study |
title_short | Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study |
title_sort | effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a fresh air study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695425/ https://www.ncbi.nlm.nih.gov/pubmed/31417087 http://dx.doi.org/10.1038/s41533-019-0144-8 |
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