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Poultry Management and Child Diarrhea in Uganda

Improving Hygienic Management of Poultry in Rural Uganda

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04580212
Enrollment
1307
Registered
2020-10-08
Start date
2019-09-01
Completion date
2021-08-25
Last updated
2022-03-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diarrhea

Brief summary

Fecal contamination from animal sources, specifically chickens, is increasingly recognized as a risk factor for enteric infections in low-income countries where domestic animals are often kept in close proximity to living quarters. Community members typically allow chickens to move freely around their compound and in their homes. Unlike other animals, such as cows or goats, poultry are typically not confined and their feces, which are relatively small, are considered relatively innocuous and therefore largely ignored by adults and children. In this study, the investigators have implemented an intervention to help rural poultry owners with children to hygienically separate chickens from children by focusing on a small set of key factors, including increased risk perception, increased perception of potential livelihood benefits, increased skills, and increased supportive social norms. The investigators hypothesized that the poultry hygiene intervention will lead to improved poultry management practices, which will in turn lead to reduced fecal contamination in the domestic environment and subsequently reduced diarrheal illness in young children. To measure these parameters along the causal chain, the investigators used a combination of household surveys, spot check observations and testing of environmental samples for fecal contamination.

Interventions

BEHAVIORALPoultry hygiene intervention

The intervention will consist of a series of participatory training exercises designed to accomplish three main goals: (1) increase awareness of health risks and lost livelihood benefits of current poultry management practices, (2) build practical skills for poultry management, and (3) build supportive community norms by facilitating savings group discussions on poultry management. The intervention will be delivered through three activities: (1) triggering exercise designed to raise awareness of both the health risks of the current practices and the economic potential of a more active poultry management approach, and ultimately to motivate participants for behavior change, (2) poultry management training activity based on local needs and norms, and (3) periodic follow-on coaching to reinforce messages from the initial training and emphasize action planning, monitoring of plan execution, and troubleshooting.

Sponsors

The Water Trust
CollaboratorUNKNOWN
North Carolina State University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Investigator)

Masking description

Investigators and data analysts will be blinded to intervention assignment by using a numerical code for study arm during analysis.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* At least one person in the household is a member of Self-Help Groups formed by The Water Trust, Uganda * There is at least one child under the age of 5 years living in the household * There is an adult (\>18 years) primary caregiver of a child \<5 years available for participation in study

Exclusion criteria

* None

Design outcomes

Primary

MeasureTime frameDescription
Prevalence of children <5 years with caregiver-reported diarrhea in past 7 daysCaregiver reported 7-day prevalence of diarrhea in children <5 years, measured approximately 1 year after initiation of interventionDiarrhea defined as 3 or more soft or watery stools in 24-hour period

Secondary

MeasureTime frameDescription
Proportion of households with E.coli in household environmental samplesAscertained with analysis of samples from households, collected approximately 1 year after initiation of interventionDetection of E. coli (general fecal indicator)
Proportion of households with observed poultry feces in compoundAscertained by spot check observation approximately 1 year after initiation of interventionPoultry feces occurrences observed in household compounds

Other

MeasureTime frameDescription
Prevalence of children <5 years with caregiver-reported respiratory infection in past 7 daysCaregiver reported 7-day prevalence of respiratory infection in children <5 years, measured approximately 1 year after initiation of interventionRespiratory infection defined as any of the following symptoms: Constant cough, congestion, runny nose, panting, wheezing, or difficulty breathing

Countries

Uganda

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026