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Health and governance effects of a Randomized Control Trial of a Community-Driven Water, Sanitation, and Hygiene Program in the Democratic Republic of Congo

Health and governance effects of a Randomized Control Trial of a Community-Driven Water, Sanitation, and Hygiene Program in the Democratic Republic of Congo

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
PACTR
Registry ID
PACTR202102616421588
Enrollment
3390
Registered
2021-02-17
Start date
2022-11-24
Completion date
Unknown
Last updated
2026-09-14

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

Conditions

Covid-19, diarrheal disease

Interventions

The Health Villages and Healthy Schools Program
Control group

Sponsors

Development Impact Evaluation Unit World Bank
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: We aimed to interview all households that were targeted at 5-month follow up (four households per village), and an additional six, new, randomly-selected households in each village (n=332). That yields 1,328 households from 5-month follow-up and 1,992 new households, for a total of 3,320 households. We also aim to interview the village leader and water committee leader (if a water committee existed) in each village. In the event that they cannot be reached, replacements will be sought on a case by case basis. More details here: https://www.socialscienceregistry.org/trials/4648

Exclusion criteria

Exclusion criteria: Households that have lived in the village for less than four years will be excluded.

Design outcomes

Primary

MeasureTime frame
Diarrhea. The household survey will include a detailed battery of questions for the child’s caretaker which will ask about number of symptoms/illness episodes across symptoms related to diarrhea over the past 7 days (question include whether or not the child has experienced diarrhea, or has had 3 or more bowel movements within 24 hours, soft stools, or blood in stool at any point in the last 7 days);Length-for-age. We will collect anthropometric data, notably height and weight, for all children under 5 years old in study households. We will use WHO Child Growth Standards to calculate z-scores for each child’s length for age (HAZ).;Water institutions. This is an index comprised of: 1. Presence of water committee 2. Frequency of meeting 3. Time spent on non-maintenance activities 4. Has a maintenance plan 5. Tracks health conditions 6. Tracks hygiene and sanitation

Secondary

MeasureTime frame
Psychological well-being Summary index of 9 questions on well-being and stress in last 2-4 weeks ;Water committee performance (length of water point breakdowns);Water governance perception index (fairness of selection of water governance entity, perception of fair treatment, confidence in managing money, confidence in response to breakdowns, confidence in management, overall satisfaction) ;Thermotolerant coliforms per 100 mL water. Households and water points will be separate outcomes. ;Primary source of drinking water is improved source (JMP definition) ;Household water use expenses in last week ;Time spent collecting water ;Household uses an improved latrine (JMP definition);Handwashing practices of caregiver based on handwashing with soap and water or ash at critical junctures, measured via structured observations;Health knowledge and behavior. Self-reports of: Knowledge: Caregiver knows how and when to wash hands; what causes diarrhea Sanitation practices: Cleanliness of household area and latrine (presence of flies and fecal matter); open defecation; observed indicators of toilet use –worn pathway, presence of water; improvements to latrine; disposes of child feces safely (JMP definition) Water storage practices: has a clean pot for water that is covered ;School attendence. Number of days present per child in past week, conditional on child being enrolled in school;Life satisfaction and self-esteem Summary index of 11 questions;Wasting Prevalence of wasting, children under 5 (weight for height z score);Underweight Prevalence of underweight, children under 5 (weight for age z score)

Countries

Democratic Republic of the Congo

Contacts

Public ContactJohn Quattrochi

Associate Teaching Professor Georgetown University

john.quattrochi@georgetown.edu8579997192

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026