The Impact of Enhanced, Demand-side Sanitation and Hygiene Promotion on Sustained Behavior Change and Health in Ethiopia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10,375
- 试验地点
- 1
- 主要终点
- Sustainability of WASH-related behaviours, including NTD-preventive WASH behavior measures
研究概览
简要总结
This study is a two-year evaluation investigating the impacts of an enhanced, demand-side sanitation and hygiene intervention on sustainable adoption of improved water, sanitation, and hygiene (WASH) practices and mental well-being.
详细描述
This study utilizes a cluster randomized, controlled trial design to examine the impacts of an enhanced, demand-side sanitation and hygiene intervention on behavior change and health in Amhara, Ethiopia. The study will test hypotheses set out in the investigation team's theory of change through the measurement and evaluation of process indicators, intermediate and shorter-term behavioral outcomes, and longer-term behavioral and health impacts, including mental well-being.
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
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.
干预措施: Enhanced demand-side sanitation, hygiene (Behavioral)
Standard of care
The comparison group will receive the current standard of care, including potential implementation of government-led policies and programs.
干预措施: Standard of care (Behavioral)
结局指标
主要结局
Sustainability of WASH-related behaviours, including NTD-preventive WASH behavior measures
时间窗: Endline (Up to two years)
Sustainability of WASH-related behaviors, as measured through changes in the proportion of individuals and households practicing targeted improved NTD-preventive WASH behaviors.
Mental well-being measures
时间窗: Up to two years
Mental well-being, as measured through the changes in mental well-being scale scores
次要结局
- Shorter-term behavioral outcome measures(Up to two years)
- Collective efficacy measures(Up to two years)
- Intermediate behaviour change antecedent measures(Up to two years)
- Sanitation insecurity measures(Up to two years)
- Water insecurity measures(Up to two years)
研究者
Matthew Freeman, MPH, PhD
Assistant Professor
Emory University