Most families in low income countries such as Iraq and Serbia do not have access to soap, scientists including those of Indian origin have found.
Researchers including those from University of Bufallo in the US, found that the percentages ranged from less than 0.1 per cent in Ethiopia to 96.4 per cent in Serbia.
The team identified the proportion of households in which soap and water was present at a hand washing place in the home.
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In Africa, the proportions of households with soap and water at a hand washing place range from as low as 0.1 per cent in Ethiopia to a high of 34.7 per cent in Swaziland, researchers said.
They also found that compared to Africa, the availability of soap and water was higher in the Eastern Mediterranean region, and ranged from 42.6 per cent in Afghanistan to 91.5 per cent in Iraq.
In Southeast Asia, nearly 79 per cent of households in Bhutan had soap and water, compared to 21.4 per cent in Bangladesh, researchers said.
The poorest households often had extremely low access to soap and water for hand washing, compared to wealthier households (for example, six per cent and 85 per cent in regions of Nepal).
"These data is useful to public health programs and policy makers because they underscore the deep inequities that persist globally and within countries, contributing to these preventable child deaths among people living in poverty and in rural areas in sub-Saharan Africa and South Asia," said Pavani Ram from University of Buffalo.
The findings underscore the need to improve access to soap, along with hand washing behaviour in general, in many impoverished countries, said Swapna Kumar from University of Buffalo.
The study was published in the American Journal of Tropical Medicine and Hygiene.
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