Impact of a school-based water, sanitation, and hygiene intervention on school absence, diarrhea, respiratory infection, and soil-transmitted helminths: results from the WASH HELPS cluster-randomized trial

Journal of Global Health
Anna N ChardMatthew C Freeman

Abstract

Water, sanitation, and hygiene (WASH) in schools is promoted by development agencies as a modality to improve school attendance by reducing illness. Despite biological plausibility, the few rigorous studies that have assessed the effect of WASH in schools (WinS) interventions on pupil health and school attendance have reported mixed impacts. We evaluated the impact of the Laos Basic Education, Water, Sanitation and Hygiene Programme - a comprehensive WinS project implemented by UNICEF Lao People's Democratic Republic (Lao PDR) in 492 primary schools nationwide between 2013 and 2017 - on pupil education and health. From 2014-2017, we conducted a cluster-randomized trial among 100 randomly selected primary schools lacking functional WASH facilities in Saravane Province, Lao PDR. Schools were randomly assigned to either the intervention (n = 50) or comparison (n = 50) arm. Intervention schools received a school water supply, sanitation facilities, handwashing facilities, drinking water filters, and behavior change education and promotion. Comparison schools received the intervention after research activities ended. At unannounced visits every six to eight weeks, enumerators recorded pupils' roll-call absence, enrollment, attrition...Continue Reading

References

Dec 1, 1991·International Journal of Epidemiology·A H BaquiR B Sack
Mar 1, 1980·The American Journal of Tropical Medicine and Hygiene·P A PetersA A Mahmoud
Feb 1, 1996·Tropical Medicine & International Health : TM & IH·S CairncrossA Tayeh
Mar 23, 2004·American Journal of Epidemiology·Guangyong Zou
Jun 6, 2006·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·P Nilsen
Dec 7, 2007·Implementation Science : IS·Christopher CarrollShashi Balain
Feb 20, 2008·Clinical Trials : Journal of the Society for Clinical Trials·Sander GreenlandMichele Jara
Oct 20, 2010·Administration and Policy in Mental Health·Enola ProctorMelissa Hensley
Sep 29, 2011·Clinical Trials : Journal of the Society for Clinical Trials·Miguel A Hernán, Sonia Hernández-Díaz
Oct 16, 2012·International Journal of Environmental Research and Public Health·Christian JasperJamie Bartram
Sep 11, 2013·The American Journal of Tropical Medicine and Hygiene·Matthew C FreemanRichard Rheingans
Apr 27, 2016·The American Journal of Tropical Medicine and Hygiene·Victoria TriniesMatthew C Freeman
Dec 28, 2016·JAMA : the Journal of the American Medical Association·Benjamin F Arnold, Ayse Ercumen
Apr 7, 2017·JAMA Pediatrics·UNKNOWN Global Burden of Disease Child and Adolescent Health CollaborationTheo Vos
Dec 14, 2018·International Journal of Environmental Research and Public Health·Zuzana Dankulincova VeselskaAndrea Madarasova Geckova
Dec 19, 2018·International Journal of Environmental Research and Public Health·Mariana Lopez-OwensGerardo Maupomé

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Citations

Dec 11, 2019·Tropical Medicine and Infectious Disease·Darren J GrayDonald E Stewart
Apr 10, 2020·The Cochrane Database of Systematic Reviews·Zachary MunnTimothy H Barker
Nov 21, 2020·The Cochrane Database of Systematic Reviews·Tom JeffersonJohn M Conly
Feb 5, 2021·The Cochrane Database of Systematic Reviews·Regina I Ejemot-NwadiaroJulia A Critchley
Feb 26, 2021·Clinical Microbiology Reviews·Xin YangYaoyu Feng
May 21, 2021·Archives of public health = Archives belges de santé publique·Kasandra Isabella Helouise Mingoti PoagueLéo Heller
May 19, 2021·International Journal of Hygiene and Environmental Health·Carmen AnthonjValentina Grossi

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Clinical Trials Mentioned

NCT02342860

Software Mentioned

Stata
WinS
SAS

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