Cookie tracking notice
Are we allowed to crumble with cookies and anonymous tracking?

We use cookies on our website. Some of them are essential for the operation of the site (so called session cookies), while others help us to improve this site and the user experience (tracking cookies). We use the application Matomo and the external service etracker to analyze your behavior on our website anonymously. Because we value your privacy, we are here with asking your permission to use the following technologies. You can change your settings any time via this link or the menu item in footer menu. For more information visit our Data Policy

Assessing the effectiveness of improved sanitation on diarrhoea and helminth infection: A cluster-randomized, controlled field trial In Orissa, India

2010 - 2017 • London School of Hygiene and Tropical Medicine, LSHTM

Purpose

To provide rigorous evidence on the health impacts of demand-led efforts to end open defecation in India.

Activities

The main research question for the study was to assess the effectiveness of a rural household sanitation intervention to prevent diarrhoea, soil-transmitted helminth infection, and child malnutrition. The primary outcomes of the study included 7-day prevalence of reported diarrhoea in children younger than 5 years and the secondary binary health outcomes (all age diarrhoea prevalence, helminths). Secondary health outcomes included Health of age z scores (HAZ) and weight for age Z scores (WAZ) were used. Geographic data were used to support a range of exploratory analyses accounting for actual latrine uptake, by geo referencing and mapping.

This study used a cluster-randomised controlled trial (RCT) design which was conducted between May 20, 2010, and Dec 22, 2013, in 100 rural villages in Odisha, India. Households within villages were eligible if they had a child younger than 4 years or a pregnant woman. Villages were randomly assigned (1:1), with a computer-generated sequence, to undergo latrine promotion and construction or to receive no intervention (control).

Increased latrine coverage is generally believed to be effective for reducing exposure to faecal pathogens and preventing disease; however, our results show that this outcome cannot be assumed. As efforts to improve sanitation are being undertaken worldwide, approaches should not only meet international coverage targets, but should also be implemented in a way that achieves uptake, reduces exposure, and delivers genuine health gains.

Countries of activity

Location of main activity

Filter tags

Behaviour change Bill & Melinda Gates Foundation East Asia & Pacific Health and hygiene Public awareness, advocacy and civil society engagement Rural Rural areas Specific to one or several countries University, education or research institution

Links


Uploaded by:
Elisabeth von Muench (Elisabeth)

Share this page on    


Follow us on    

SuSanA Partners  currently 400 partners

Show all partners »

Networks Circle

 

Latest SuSanA Blog Articles

SuSanA Blog »

SuSanA newsletter

Stay informed about the activities of SuSanA and its partners. The SuSanA newsletter is sent out around four times per year. It contains information about news, events, new partners, projects, discussions and publications of the SuSanA network.

Subscribe to newsletter »

 


close  

 

Resources and publications

Our library has more than 3,000 publications, factsheets, presentations, drawings etc. from many different organisations. It continues to grow thanks to the contributions from our partners.

Add item to library »

The three links below take you to special groups of items in the library for more convenient access:

Projects

The project database contains nearly 400 sanitation projects of many different organizations dealing with research, implementation, advocacy, capacity development etc. Advanced filtering functions and a global map are also available. Information on how and why this database was created is here.

People working for SuSanA partners can add their own projects through their partner profile page. You might need your SuSanA login upgraded for this purpose. Please contact us if you would like to add a project.


Trainings, conference and events materials

Missed important conferences or courses? Catch up by using their materials for self study. These materials have been kindly provided by SuSanA partners.

Shit flow diagrams, excreta flow diagrams (310 SFDs worldwide)

Shit flow diagrams (SFDs) help to visualize excreta management in urban settings. Access SFDs and more through the SFD Portal.

Emersan eCompendium

Humanitarian Sanitation Hub

Sanitation Workers Knowledge and Learning Hub

 


close  

 

Discussion forum

Share knowledge, exchange experiences, discuss challenges, make announcements, ask questions and more. Hint: Your discussion forum login is the same as your SuSanA login. More about the forum's philosophy »


Integrated content

We are hosting content from some other communities of practice and information-sharing portals. This section also provides a link to SuSanA's Sanitation Wikipedia initiative.

Suggest content to add »

SuSanA partners

Not yet a SuSanA partner? Show your organisation's support to SuSanA's vision and engage in  knowledge sharing by becoming partners.

Apply to become a partner »


Individual membership

Register as an individual member of SuSanA free of charge. As a member you can interact with thousands of sanitation enthusiasts on the discussion forum.  You can also get engaged in one of our 13 working groups and our regional chapters. Our FAQs explain the benefits further.

By getting a SuSanA login you can fully participate in the SuSanA community!

Register as a member

Login


Forgot your password?
Forgot your username?

 


close