Hygiene Clinical Trial
Official title:
Measuring the Impact of WASH in Schools in the Lao People's Democratic Republic
Verified date | May 2019 |
Source | Emory University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The investigators will conduct a cluster-randomized trial to assess the impact of a school-based water, sanitation and hygiene program on health and educational outcomes of school children in Saravane Province, Laos. The intervention will include an improved water supply (borehole), a sanitation block that includes three pour-flush latrines with rainwater harvesting to be used for flushing and a urinal, and sinks for handwashing with soap. The school will also receive a facility for group handwashing (large pipe where many children can wash hands at once. United Nations International Children's Emergency Fund (UNICEF) will additionally provide behavior change education. Our key outcome of interest is pupil absence, which will be measured longitudinally using roll-call on days of schools visits. Secondary outcomes include self-reported absence, diarrhea and respiratory infection of a random selection of students. The investigators will also monitor the fidelity of the intervention and assess school conditions and pupil sanitation and handwashing behaviors using structured observation.
Status | Completed |
Enrollment | 8873 |
Est. completion date | March 31, 2017 |
Est. primary completion date | March 31, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Schools must meet the following criteria to be eligible for inclusion in the study: - Located in the Saravane, Ta Oy, Toumlane, Lakhonepheng, Vapy, Khongsedone, Lao Ngam, and Samoui Districts - Non-Community-Based Construction (CBC) school - Primary school - Lacking functional WASH facilities - If part of a complex, no other schools in the complex have already been selected to participate in the study. Pupils must meet the following criteria to be eligible for inclusion in the study: - Grades 3-5 in study selected schools - Understand and respond to study assent process |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Emory University | UNICEF |
Chard AN, Freeman MC. Design, Intervention Fidelity, and Behavioral Outcomes of a School-Based Water, Sanitation, and Hygiene Cluster-Randomized Trial in Laos. Int J Environ Res Public Health. 2018 Mar 22;15(4). pii: E570. doi: 10.3390/ijerph15040570. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pupil absenteeism | Rates of pupil absenteeism from school, measured through roll call, review of teacher records, and pupil self-report | 20 months | |
Secondary | Pupil educational attainment ( measured through review of school/teacher records) | Enrollment, attrition, progression, and performance will be measured through review of school/teacher records | 20 months | |
Secondary | Pupil health attainment (measured through pupil self-report) | Diarrhea, respiratory infection, and conjunctivitis will be measured through pupil self-report; hydration will be measured through analysis of urine specific gravity; helminth prevalence and infection intensity will be measured through analysis of stool samples | 20 months | |
Secondary | Behavior change (Handwashing behavior and proxy indicators of WASH facility usage will be measured using structured observation) | Handwashing behavior and proxy indicators of WASH facility usage will be measured using structured observation; household and school WASH facility usage will be measured through pupil self-report | 20 months |
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