Research Article

Neighborhood Urban Environmental Quality Conditions Are Likely to Drive Malaria and Diarrhea Mortality in Accra, Ghana

Table 2

Diarrhea mortality in different urban environmental zones.

Urban environmental variableZonationRMMean fractionP-value95% CI

Population, water, housing, and waste generationExtremely deteriorated1.2580.036.4110.024  0.049
Moderately deteriorated1.7280.050.1600.033  0.066
Least deteriorated1.0000.0290.016  0.036

Water supply and sanitation facilitiesExtremely deteriorated1.0100.040.9860.029  0.052
Moderately deteriorated1.1000.044.7990.028  0.060
Least deteriorated1.0000.0400.013  0.067

Hygiene facilitiesExtremely deteriorated1.7400.067.0360.016  0.119
Moderately deteriorated0.9170.035.6180.029  0.042
Least deteriorated1.0000.0390.029  0.048

Housing construction material type and arrangementExtreme slum1.3490.060.0350.027  0.094
Moderate slum0.7000.031.0350.024  0.039
Least slum (Well built)1.0000.0450.038  0.052

Zonations: represent the different environmental ecotypes with discretely distinct environmental quality conditions. RM: represents relative mortality computed as the ratio of the mean of the fraction of cluster-level deaths due to a specific cause to that of the baseline situation that is the fraction of cluster-level deaths due to the specific cause in the least deteriorated zone. Mean fraction: represents the mean of the fraction of cluster-level deaths due to a specific cause. 95% CI: represents 95-percent confidence intervals of the means.