The study employed household survey methods and techniques. Subsequent to the completion of data collection procedure, collected data were edited, coded, and entered in SPSS-21 for further descriptive and inferential analysis. The preliminary techniques which were utilized in the study to explore the nature of data and its suitability are descriptive analysis, which elaborates the basic feature, nature, and detailed insight into collected data and provides basic information regarding the suitability for further analysis. Confirmatory factor analysis was applied to confirm the most suitable indicators for further analysis such as structural equation modelling (SEM). The measurement of the model was examined to determine the appropriateness of loadings of all considered indicators. The study model is evaluated in order to affirm that items measure the construct they were supposed to measure, consequently ascertaining that the instrument used is reliable. Moreover, the SEM was applied to describe the configuration of a chain of interlinked dependent interactions and depict relationships among observed variables. Finally, mediation analysis was applied for testing the casual relationship where the independent variable directly affects the mediator variable and the mediator variable impacts the dependent variable. Mediation through bootstrapping approach was applied in the present study, which is considered slightly rigorous for estimating the mediation impacts of WASH on child health (CH) and SCD.

Table 1

Item loadings, reliability and validity

Overall sample
Urban
Rural (intervened)
Rural (non-intervened)
LambdaAlphaCRAVEVIFLambdaAlphaCRAVEVIFLambdaAlphaCRAVEVIFLambdaAlphaCRAVEVIF
KAP1 0.799 0.958 0.964 0.751 2.380 KAP1 0.743 0.913 0.931 0.659 1.186 KAP2 0.923 0.965 0.971 0.827 5.781 KAP2 0.808 0.937 0.949 0.729 2.775 
KAP2 0.851 3.117 KAP2 0.848 2.915 KAP4 0.937 6.154 KAP4 0.722 1.626 
KAP5 0.869 3.184 KAP4 0.751 1.844 KAP5 0.789 2.147 KAP5 0.933 5.641 
KAP7 0.867 3.459 KAP5 0.756 1.995 KAP8 0.898 4.156 KAP7 0.816 2.545 
KAP8 0.919 5.679 KAP7 0.848 3.212 KAP9 0.912 4.956 KAP8 0.898 4.746 
KAP9 0.849 2.940 KAP12 0.879 3.681 KAP12 0.949 7.461 KAP9 0.925 4.970 
KAP11 0.815 2.876 KAP15 0.845 3.420 KAP15 0.949 8.155 KAP12 0.853 3.113 
KAP12 0.892 3.976 
KAP15 0.928 5.771 
WASH1 0.845 0.961 0.965 0.681 3.732 WASH1 0.827 0.958 0.964 0.747 3.440 WASH1 0.749 0.924 0.938 0.655 1.921 WASH4 0.859 0.949 0.956 0.685 3.309 
WASH2 0.906 5.650 WASH4 0.866 3.610 WASH4 0.849 3.782 WASH5 0.902 4.115 
WASH4 0.847 3.202 WASH5 0.898 7.340 WASH18 0.807 3.539 WASH17 0.778 2.311 
ASH5 0.908 5.687 WASH17 0.891 4.299 WASH20 0.850 3.168 WASH18 0.803 2.509 
WASH17 0.784 2.318 WASH23 0.868 5.293 WASH24 0.749 1.973 WASH20 0.725 2.080 
WASH18 0.761 2.337 WASH24 0.777 3.341 WASH25 0.694 1.798 WASH23 0.880 3.842 
WASH20 0.778 2.336 WASH28 0.897 5.442 WASH24 0.826 3.190 
WASH23 0.824 3.068 WASH32 0.792 2.964 WASH28 0.881 3.584 WASH28 0.912 4.744 
WASH24 0.795 2.638 WASH31 0.726 2.206 
WASH25 0.721 3.303 
WASH28 0.902 4.662 WASH39 0.947 8.571 WASH39 0.878 3.398 WASH39 0.840 3.518 
WASH31 0.745 4.070 
WASH39 0.884 4.039 
CH6 0.772 0.816 0.878 0.643 5.193 CH5 0.789 0.789 0.869 0.689 1.171 CH5 0.752 0.821 0.882 0.651 1.554 CH6 0.805 0.799 0.867 0.620 6.386 
CH8 0.802 3.462 CH6 0.852 6.390 CH6 0.831 3.389 CH11 0.845 6.904 
CH11 0.788 5.315 CH11 0.849 6.309 CH8 0.783 1.552 CH12 0.762 1.398 
CH15 0.843 3.655 CH11 0.851 3.614 CH13 0.734 1.292 
SCD7 0.922 0.896 0.934 0.825 2.469 SCD7 0.913 0.888 0.929 0.814 2.232 SCD3 0.919 0.625 0.952 0.868 2.736 SCD7 0.944 0.908 0.940 0.840 3.214 
SCD10 0.917 3.253 SCD10 0.906 3.062 SCD9 0.951 5.894 SCD10 0.943 3.975 
SCD14 0.885 2.740 SCD14 0.888 2.591 SCD13 0.925 4.694 SCD14 0.859 2.567 
Overall sample
Urban
Rural (intervened)
Rural (non-intervened)
LambdaAlphaCRAVEVIFLambdaAlphaCRAVEVIFLambdaAlphaCRAVEVIFLambdaAlphaCRAVEVIF
KAP1 0.799 0.958 0.964 0.751 2.380 KAP1 0.743 0.913 0.931 0.659 1.186 KAP2 0.923 0.965 0.971 0.827 5.781 KAP2 0.808 0.937 0.949 0.729 2.775 
KAP2 0.851 3.117 KAP2 0.848 2.915 KAP4 0.937 6.154 KAP4 0.722 1.626 
KAP5 0.869 3.184 KAP4 0.751 1.844 KAP5 0.789 2.147 KAP5 0.933 5.641 
KAP7 0.867 3.459 KAP5 0.756 1.995 KAP8 0.898 4.156 KAP7 0.816 2.545 
KAP8 0.919 5.679 KAP7 0.848 3.212 KAP9 0.912 4.956 KAP8 0.898 4.746 
KAP9 0.849 2.940 KAP12 0.879 3.681 KAP12 0.949 7.461 KAP9 0.925 4.970 
KAP11 0.815 2.876 KAP15 0.845 3.420 KAP15 0.949 8.155 KAP12 0.853 3.113 
KAP12 0.892 3.976 
KAP15 0.928 5.771 
WASH1 0.845 0.961 0.965 0.681 3.732 WASH1 0.827 0.958 0.964 0.747 3.440 WASH1 0.749 0.924 0.938 0.655 1.921 WASH4 0.859 0.949 0.956 0.685 3.309 
WASH2 0.906 5.650 WASH4 0.866 3.610 WASH4 0.849 3.782 WASH5 0.902 4.115 
WASH4 0.847 3.202 WASH5 0.898 7.340 WASH18 0.807 3.539 WASH17 0.778 2.311 
ASH5 0.908 5.687 WASH17 0.891 4.299 WASH20 0.850 3.168 WASH18 0.803 2.509 
WASH17 0.784 2.318 WASH23 0.868 5.293 WASH24 0.749 1.973 WASH20 0.725 2.080 
WASH18 0.761 2.337 WASH24 0.777 3.341 WASH25 0.694 1.798 WASH23 0.880 3.842 
WASH20 0.778 2.336 WASH28 0.897 5.442 WASH24 0.826 3.190 
WASH23 0.824 3.068 WASH32 0.792 2.964 WASH28 0.881 3.584 WASH28 0.912 4.744 
WASH24 0.795 2.638 WASH31 0.726 2.206 
WASH25 0.721 3.303 
WASH28 0.902 4.662 WASH39 0.947 8.571 WASH39 0.878 3.398 WASH39 0.840 3.518 
WASH31 0.745 4.070 
WASH39 0.884 4.039 
CH6 0.772 0.816 0.878 0.643 5.193 CH5 0.789 0.789 0.869 0.689 1.171 CH5 0.752 0.821 0.882 0.651 1.554 CH6 0.805 0.799 0.867 0.620 6.386 
CH8 0.802 3.462 CH6 0.852 6.390 CH6 0.831 3.389 CH11 0.845 6.904 
CH11 0.788 5.315 CH11 0.849 6.309 CH8 0.783 1.552 CH12 0.762 1.398 
CH15 0.843 3.655 CH11 0.851 3.614 CH13 0.734 1.292 
SCD7 0.922 0.896 0.934 0.825 2.469 SCD7 0.913 0.888 0.929 0.814 2.232 SCD3 0.919 0.625 0.952 0.868 2.736 SCD7 0.944 0.908 0.940 0.840 3.214 
SCD10 0.917 3.253 SCD10 0.906 3.062 SCD9 0.951 5.894 SCD10 0.943 3.975 
SCD14 0.885 2.740 SCD14 0.888 2.591 SCD13 0.925 4.694 SCD14 0.859 2.567 

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