Communicable Diseases Clinical Trial
Official title:
Evaluation of a Handwashing Promotion Program in Chinese Elementary Schools
The purpose of this study is to determine the effects of a commercial hand washing promotion program on hygiene knowledge, attitudes, and practices, and on health outcomes such as reported infectious illnesses and school absences.
Diarrheal and respiratory diseases cause 3.8 million deaths annually among children in the
developing world. Reduced rates of these diseases have been measured during intensive,
home-based handwashing interventions. We evaluated a school-based handwashing program for
1st grade students to determine whether a more scalable intervention could also reduce
illness rates, and impact hygiene knowledge and attitudes.
Thirty schools from each of 3 counties in Fujian Province, China, were randomized to one of
the following groups: a) control; b) standard intervention, which included a handwashing
program (1 hour of hygiene instruction and 1 soap sample kit per pupil); or c) expanded
intervention, which included the handwashing program, soap for school sinks and 1 peer
hygiene monitor per class. Teachers collected illness symptom information from students
weekly and recorded student absences daily between January and April, 2005. Mean illness and
absence rates were calculated for each school. Students were given a knowledge, attitudes,
and practices questionnaire before the intervention and again 5 months later.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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