The Impact of Enhanced, Demand-side Sanitation and Hygiene Promotion on Sustained Behavior Change and Health in Ethiopia
NCT ID: NCT03075436
Last Updated: 2019-07-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
10375 participants
INTERVENTIONAL
2017-03-07
2019-05-16
Brief Summary
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Detailed Description
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The study aims to: (1) identify ways in which WASH-related behavior change components preventive for neglected tropical diseases (NTDs) can be mainstreamed into the government-led Health Extension Program; (2) document the effectiveness of an enhanced demand-side sanitation and hygiene intervention; (3) investigate whether changes in personal hygiene, sanitation, and water behaviors are sustained; (4) document the cost-effectiveness of integrated WASH-related NTD-preventive behavior change promotion; and (5) assess whether collective efficacy and water security modify intervention effectiveness.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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Enhanced demand-side sanitation, hygiene
The intervention group will receive a package of enhanced, demand-side sanitation and hygiene interventions that are informed by formative research and facilitated by local government and Emory Ethiopia partners.
Enhanced demand-side sanitation, hygiene
The enhanced, demand-side sanitation and hygiene intervention package will be informed by findings from formative research, and will consist of interventions designed to enhance sanitation and hygiene messaging to better facilitate behavior change, and intensify implementation of related community-based interventions via engagement of various delivery modalities.
Standard of care
The comparison group will receive the current standard of care, including potential implementation of government-led policies and programs.
Standard of care
The comparison group will receive the current standard of care, including potential implementation of government-led policies and programs.
Interventions
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Enhanced demand-side sanitation, hygiene
The enhanced, demand-side sanitation and hygiene intervention package will be informed by findings from formative research, and will consist of interventions designed to enhance sanitation and hygiene messaging to better facilitate behavior change, and intensify implementation of related community-based interventions via engagement of various delivery modalities.
Standard of care
The comparison group will receive the current standard of care, including potential implementation of government-led policies and programs.
Eligibility Criteria
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Inclusion Criteria
* Households with at least one adult (18 years of age or older) who provides consent to serve as the survey respondent
* Households with at least one child aged 1-9 years (at baseline) living in the household and consenting to enrollment in the study, including study staff observation of children, specifically their faces and hands
Exclusion Criteria
* Households that are repeatedly vacant or do not have an appropriate member of the household home to serve as the household's respondent (capable adult 18 years or older) after three attempts within the course of one day (for study enrollment and baseline)
* Households that do not have a household member aged 0-5 years of age (at baseline) living in the household
18 Years
ALL
Yes
Sponsors
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Emory Ethiopia
UNKNOWN
Amhara Regional Health Bureau
UNKNOWN
Federal Democratic Republic of Ethiopia Ministry of Health
UNKNOWN
Emory University
OTHER
Responsible Party
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Matthew Freeman, MPH, PhD
Assistant Professor
Principal Investigators
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Matthew Freeman, PhD
Role: PRINCIPAL_INVESTIGATOR
Emory University
Locations
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Amhara
Amhara National Regional State, , Ethiopia
Countries
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References
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Freeman MC, Delea MG, Snyder JS, Garn JV, Belew M, Caruso BA, Clasen TF, Sclar GD, Tesfaye Y, Woreta M, Zewudie K, Gobezayehu AG. The impact of a demand-side sanitation and hygiene promotion intervention on sustained behavior change and health in Amhara, Ethiopia: A cluster-randomized trial. PLOS Glob Public Health. 2022 Jan 7;2(1):e0000056. doi: 10.1371/journal.pgph.0000056. eCollection 2022.
Delea MG, Snyder JS, Belew M, Caruso BA, Garn JV, Sclar GD, Woreta M, Zewudie K, Gebremariam A, Freeman MC. Design of a parallel cluster-randomized trial assessing the impact of a demand-side sanitation and hygiene intervention on sustained behavior change and mental well-being in rural and peri-urban Amhara, Ethiopia: Andilaye study protocol. BMC Public Health. 2019 Jun 21;19(1):801. doi: 10.1186/s12889-019-7040-6.
Other Identifiers
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IRB00076141
Identifier Type: -
Identifier Source: org_study_id
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