Diarrhea, Enteric Infection, Soil-transmitted Helminth Infection, Stunting
Conditions
Brief summary
This is a matched-cohort study designed to assess the health impact of a rural demand-driven water and sanitation intervention that provides piped treated water and household level pour-flush latrines and bathing rooms, as implemented by Gram Vikas.
Detailed description
We will undertake a matched-cohort study among 84 villages in Ganjam district, Orissa, India to assess the health impact of a program that provides improved water supplies and sanitation to rural villages.
Interventions
BEHAVIORALImproved water supply and sanitation
Village-level reticulated water supply with distribution to household taps; pour-flush pit latrines.
Sponsors
Emory University
KIIT University, Bhubaneswar, Orissa
Gram Vikas, Bhubanesar, Orissa
Loyola Hospital, Bhubaneswar, Orissa
Bill and Melinda Gates Foundation
London School of Hygiene and Tropical Medicine
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Households in participating villages will be eligible to participate in the study if they have at least one child under 5 years.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reported diarrhoea in children <5 years | 7-day recall, assessed 4 times during 3-month follow-up rounds |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biomarkers of environmental enteropathy and enteric infection | Assessed once during round 3 (approximately 180 to 240 days following commencement of study | — |
| Reported lower respiratory infection in children <5 | 7-day recall, assessed 4 times during 3-month follow-up rounds | — |
| Diarrhoea among all ages | 7-day recall, assessed 4 times during 3-month follow-up roundsits | — |
| Weight-for-age among children <5 | Assessed approximately every 90 days for a total of four measurement over study periodAssessed during all four follow up rounds | Children weighed and WAZ scores computed |
| Soil-transmitted helminth infection | Point prevalence assessed in rounds 2 (approximately 90-120 days after study commencement) and 4 (approximately 240 to 360 days after study commencement) | Stool samples taken and assayed for ascaris, trichuris, hookworm |
| Height-for-age among children < 2 years | Assessed approximately every 90 days for a total of four measurement over study period | Children height measured and HAZ scores computed |
| Lower respiratory infection among all ages | 7-day recall, assessed 4 times during 3-month follow-up roundsts | — |
Countries
United Kingdom
Outcome results
None listed