Latrine Usage
Conditions
Keywords
Public Health
Brief summary
The objective of this research is to evaluate an intervention focused on increasing latrine use in rural Odisha India. The present study builds off of previous research, which resulted in the design of an intervention to increase latrine use. This research evaluates the intervention designed to determine if significant increases in latrine use are observed among those who received the intervention compared to those that did not. Qualitative research will supplement trial data collection to help explain findings and understand perceptions of the intervention.
Detailed description
The objective of this research is to evaluate an intervention focused on increasing latrine use in rural Odisha India. The present study builds off of previous research, which resulted in the design of an intervention to increase latrine use. This research evaluates the intervention designed to determine if significant increases in latrine use are observed among those who received the intervention compared to those that did not. Qualitative research will supplement trial data collection to help explain findings and understand perceptions of the intervention. For trial data collection, household members will be engaged in a survey that asks questions about the household, the latrine use practices of their family members, and may include additional questions about social norms attitudes, and other factors influencing latrine use. Investigators will carry out two discrete qualitative research activities both digitally recorded: in depth interviews (IDIs) and focus group discussions (FGDs). Topics to be covered during the qualitative research include: perceptions of the intervention, reasons for using/not using latrines, motivations for sanitation behaviors. The primary objective of the study is to evaluate a multi-level, theoretically informed intervention designed to increase latrine use for defecation among all members of households that currently own a latrine.
Interventions
BEHAVIORALIntervention Package
* Community Level: * Palla: songs and skits to increase knowledge of and motivation for latrine use, pit emptying, safe feces disposal; * Transect Walk: village walk to identify and mark feces in community; * Community meetings: sex-segregated meetings with village members to decide on an action plan to increase community cleanliness/reduce open defecation; * Wall painting: village map noting households that use latrines always. * Sub-Community level: * Mothers meeting: For caregivers with children under age 5, to provide knowledge of and hardware for safe child feces disposal. * Household Level: * Household visits: to those with latrines to motivate use; * Latrine repairs: for households with non-functional latrines to make functional.
OTHERQualitative Research
For villages receiving the intervention package, investigators will engage community members through qualitative interviews to gain their perception of the intervention, what they thought of the intervention activities, what information they recall, what aspects they enjoyed or disliked, if they had barriers to attendance or participation. For the three villages not receiving the intervention, investigators will conduct qualitative interviews to determine additional barriers and determinants of latrine use to identify other potential intervention strategies.
Sponsors
Emory University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Villages located in rural Puri district, Odisha India Inclusion Criteria: * Estimated 60% latrine coverage or higher * At least 75 households * Have a village leader willing to participate
Exclusion criteria
* Considered open-defecation free (ODF) * Participants under the age of 18 will not be targeted for research-related activities, like interviews and discussions, though we will ask caregivers or other household members to provide in information about the sanitation-related behaviors of children under age 18.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Latrine Usage Rate | Baseline, Post-Intervention (Up to 1 Year) | Latrine usage will be assessed via in-depth interviews conducted between the study team and participants. Responses to interview questions will be aggregated and categorized by common themes, and analyzed qualitatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Number of Toilets | Baseline, Post-Intervention (Up to 1 Year) | The number of toilets in the community/village will be collected at baseline and post-intervention. |
Countries
India
Outcome results
None listed