Health Knowledge, Attitudes, Practice
Conditions
Keywords
cluster, randomized controlled trial, sanitation, evaluation, open defecation, Uganda, Kenya
Brief summary
The goal of this interventional study is to evaluate the impacts of Financial Inclusion improvement sanitation and Health (FINISH) interventions in Kenya's Homa Bay County and Uganda's Kamwenge District among children under five. The main questions it aims to answer are: 1. What is the estimated impact of the FINISH model on health outcomes (diarrhoea occurrence and hygienic behaviour) as well as social (school attendance and sanitation) in the intervention groups? 2. What are the perspectives, attitudes, and practices of various stakeholders (communities, governments, entrepreneurs, and financiers) regarding the FINISH model? 3. What is the cost-effectiveness of the FINISH model, including the amount of leverage funds generated? The FINISH model postulates that countries will be supported to improve the enabling business environment for sanitation, markets to offer improved safely managed services and products at an affordable price, and formal and informal financial institutions will offer more funding to businesses and households for satiation and hygiene. Researchers will then compare intervention areas (Homa Bay in Kenya and Kamwenge in Uganda) with control areas (Siaya and Bushenyi in Kenya and Uganda, respectively) to see if the FINISH intervention leads to improved sanitation, health outcomes, and economic benefits.
Interventions
BEHAVIORALFinancial Inclusion Improves Sanitation and Health
This innovative model engages transformative partnerships which include four key stakeholders (communities, communities, governments, entrepreneurs, and financiers) to improve sanitation services and supply value chains. The work is two-sided: to create demand for improved sanitation facilities in communities while facilitating microcredit access for people and sanitation businesses on the supply side.
Sponsors
Amref Health Africa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Masking description
to be updated
Intervention model description
The participants are divided into two or more groups, with each group receiving a different intervention or a control condition. The outcomes of each group are compared at the end of the study to assess the effectiveness of the intervention.
Eligibility
Sex/Gender
ALL
Age
0 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* The inclusion criteria for the intervention study involve communities within specific geographic locations (Homa Bay County in Kenya and Kamwenge District in Uganda) targeted by the FINISH Mondial initiative.
Exclusion criteria
* to be updated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Health outcome, measured as, Proportion of households with diarrhoea occurrence in children under five years, and social outcome measured as proportion of households whose children missed school due to diarrhoea occurrence | 4 years, which includes baseline data collection, implementation and endline data collection | Diarrhoea occurrence in children under 5 years is measured as:- In the past two weeks child/children under 5 years who have had three or more loose or watery stools. households whose children missed school due to diarrhoea occurrence, is measured as proportion of households whose children missed school due to diarrhoeal disease in the past 30 days |
Countries
Kenya
Contacts
Primary ContactJosphat Martin Muchangi
Backup ContactSamuel Muhula
Outcome results
None listed