Poultry Management and Child Diarrhea in Uganda

NCT ID: NCT04580212

Last Updated: 2022-03-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 1307 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-09-01
• Study Completion Date: 2021-08-25

Brief Summary

Fecal contamination from animal sources, specifically chickens, is increasingly recognized as a risk factor for enteric infections in low-income countries where domestic animals are often kept in close proximity to living quarters. Community members typically allow chickens to move freely around their compound and in their homes. Unlike other animals, such as cows or goats, poultry are typically not confined and their feces, which are relatively small, are considered relatively innocuous and therefore largely ignored by adults and children. In this study, the investigators have implemented an intervention to help rural poultry owners with children to hygienically separate chickens from children by focusing on a small set of key factors, including increased risk perception, increased perception of potential livelihood benefits, increased skills, and increased supportive social norms. The investigators hypothesized that the poultry hygiene intervention will lead to improved poultry management practices, which will in turn lead to reduced fecal contamination in the domestic environment and subsequently reduced diarrheal illness in young children. To measure these parameters along the causal chain, the investigators used a combination of household surveys, spot check observations and testing of environmental samples for fecal contamination.

Conditions

Diarrhea

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Intervention arm

This arm received the poultry hygiene intervention.

Group Type: EXPERIMENTAL

Poultry hygiene intervention

Intervention Type: BEHAVIORAL

The intervention will consist of a series of participatory training exercises designed to accomplish three main goals: (1) increase awareness of health risks and lost livelihood benefits of current poultry management practices, (2) build practical skills for poultry management, and (3) build supportive community norms by facilitating savings group discussions on poultry management. The intervention will be delivered through three activities: (1) triggering exercise designed to raise awareness of both the health risks of the current practices and the economic potential of a more active poultry management approach, and ultimately to motivate participants for behavior change, (2) poultry management training activity based on local needs and norms, and (3) periodic follow-on coaching to reinforce messages from the initial training and emphasize action planning, monitoring of plan execution, and troubleshooting.

Control arm

This arm received no intervention.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Poultry hygiene intervention

The intervention will consist of a series of participatory training exercises designed to accomplish three main goals: (1) increase awareness of health risks and lost livelihood benefits of current poultry management practices, (2) build practical skills for poultry management, and (3) build supportive community norms by facilitating savings group discussions on poultry management. The intervention will be delivered through three activities: (1) triggering exercise designed to raise awareness of both the health risks of the current practices and the economic potential of a more active poultry management approach, and ultimately to motivate participants for behavior change, (2) poultry management training activity based on local needs and norms, and (3) periodic follow-on coaching to reinforce messages from the initial training and emphasize action planning, monitoring of plan execution, and troubleshooting.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• At least one person in the household is a member of Self-Help Groups formed by The Water Trust, Uganda
• There is at least one child under the age of 5 years living in the household
• There is an adult (>18 years) primary caregiver of a child <5 years available for participation in study

Exclusion Criteria

• None

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

The Water Trust

UNKNOWN

Sponsor Role: collaborator

North Carolina State University

OTHER

Sponsor Role: lead

Responsible Party

Ayse Ercumen

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ayse Ercumen

Role: PRINCIPAL_INVESTIGATOR

North Carolina State University

Angela Harris

Role: PRINCIPAL_INVESTIGATOR

North Carolina State University

Chris Prottas

Role: STUDY_DIRECTOR

The Water Trust

Locations

The Water Trust

Kampala, , Uganda

Countries

Uganda

Other Identifiers

698

Identifier Type: -

Identifier Source: org_study_id