Child feces management behaviors of primary caregivers of children less than 5 years old Not Applicable
Conditions
Interventions
Current interventions as of 30/04/2021:
A baseline survey will be carried out across the 74 trial villages prior to implementation of the CFM intervention. The respondent for the survey will be the pr
one mother safely manages her child’s feces and another does not, illustrating messages related to health risks, costs and benefits, and the needs at different child development stages. The Gram Vikas
Sponsors
Emory University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current participant inclusion criteria as of 30/04/2021: Participant-level inclusion criteria: 1. Woman or man of at least 18 years of age 2. Primary caregiver of at least one child less than 5 years old (for baseline survey this is children less than 5 at the time of survey data collection while for the endline survey this is children who were less than 5 at the time of intervention delivery). If primary caregiver is not available then a secondary caregiver of the child is also eligible for inclusion 3. Household has a latrine N.B. The study will also engage a sub-set of children ages 0 to 5 years old from eligible households in a hand rinse sample. Participants less than 18 years old will not be engaged in any other research activities, however. Village-level inclusion criteria: 1. Completed Gram Vikas MANTRA program (a community-based water and sanitation infrastructure program) 2. At least 75% of households in the village have access to a latrine 3. Community water supply system (i.e. water tank) is functional 4. Village size is between 35 to 250 households 5. Village has an Anganwadi Center (government-run daycare and preschool center) 6. Gram Vikas has no significant programming planned for the village during the study period 7. Village was not part of formative research phase of the study Previous participant inclusion criteria: Participant-level inclusion criteria: 1. Woman or man of at least 18 years of age 2. Primary caregiver of at least one child less than 5 years old (child age based on age at time of baseline recruitment). If primary caregiver is not available then a secondary caregiver of the child is also eligible for inclusion 2. Household has a latrine N.B. The study will also engage a sub-set of children ages 0 to 5 years old from eligible households in a hand rinse sample. Participants less than 18 years old will not be engaged in any other research activities, however. Village-level inclusion criteria: 1. Completed Gram Vikas MANTRA program (a community-based water and sanitation infrastructure program) 2. At least 75% of households in the village have access to a latrine 3. Community water supply system (i.e. water tank) is functional 4. Village size is between 35 to 250 households with at least 5 eligible households (i.e. have a latrine and at least one child less than 5 years old) 5. Village has an Anganwadi Center 6. Village was not engaged during formative research activities 7. Predominant language of village is Oriya 8. Gram Vikas has no significant programming planned for the village in 2020
Exclusion criteria
Exclusion criteria: Participant exclusion criteria: 1. Less than 18 years old (except for the hand rinse sample which will engage children ages 0 to 5 years old) 2. Not a primary or secondary caregiver of a child less than 5 years old 3. Household does not have a latrine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 30/04/2021: The primary outcome is safe disposal of child feces into the household latrine the last time the child defecated, which includes both the child using the latrine themselves or the caregiver disposing of the child’s feces into the latrine. This is a behavioral outcome that will be self-reported by the primary caregiver of the child less than 5 years old (or by a secondary caregiver if the primary caregiver is not available). The primary outcome will be measured between December 2019 to February 2020, prior to exposure to the intervention, and again approximately 3 to 5 months post intervention delivery. Previous primary outcome measure: The safe disposal of child feces into the household latrine the last time the child defecated, which includes both the child using the latrine themselves or the caregiver disposing of the child’s feces into the latrine. This is a behavioral outcome that will be self-reported by the primary caregiver of the child less than 5 years old (or by a secondary caregiver if the primary caregiver is not available). The primary outcome will be measured between December 2019 to February 2020, prior to exposure to the intervention, and approximately 1 year later after this baseline measurement. | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 30/04/2021: Measured between December 2019 to February 2020, prior to exposure to the intervention, and approximately 3 to 5 months post intervention delivery: 1. Child latrine training measured through self-report by the caregiver using a structured survey 2. Latrine use of children up to age 10 years old measured through self-report by the caregiver using a structured survey 3. RANAS behavioral factors measured through self-report by the caregiver using a structured survey 4. Received social support measured through self-report by the caregiver using a structured survey 5. Fecal contamination of the household environment, measured using different environmental sampling techniques such as hand-rinses and drinking water samples analyzed for levels of E. coli Previous secondary outcome measures: Measured between December 2019 to February 2020, prior to exposure to the intervention, and approximately 1 year later after this baseline measurement: 1. Child latrine training measured through self-report by the caregiver using a structured survey 2. Latrine use of children up to age 10 years old measured through self-report by the caregiver using a structured survey 3. RANAS behavioral factors measured through self-report by the caregiver using a structured survey 4. Perceived social support measured through self-report by the caregiver using a structured survey 5. Fecal contamination of the household environment, measured using different environmental sampling techniques such as hand-rinses and drinking water samples analyzed for levels of E. coli | — |
Countries
India
Contacts
Public ContactGloria Sclar
Outcome results
None listed