Using Behaviour Change Messaging to Improve Communal Toilets in Dhaka, Bangladesh

NCT02324075 | Completed Results DMC

• 1 other identifier: SPO-113016
• Study Type: interventional
• Target: 1,226
• Locations: 1 country
• Sites: 1

Brief Summary

Background (brief):

1. 1.Burden: In low income neighborhoods in Dhaka many households share toilets which are often unsanitary and their discharge contaminates the community.
2. 2.Knowledge gap: Behavior change messages have the potential to make people concerned about maintaining shared toilets quality, cleanliness and safety of the facility. There are many contributors to poor sanitation in low income neighborhoods in Dhaka but it's not clear that the situation can be improved with behavior change or even which specific messages to target.
3. 3.Relevance: Water Sanitation for the Urban Poor (WSUP) is a nongovernmental organization working to improve shared sanitation facilities in Dhaka. They are interested in developing and evaluating a behavior change program to improve shared sanitation in Dhaka and to generate lessons that would be relevant for other low income urban settings globally.
4. 4.To deliver behavior change messages (which target key behaviors influencing the quality and cleanliness of shared sanitation facilities) to randomly selected low-income communities in Dhaka.
5. 5.To evaluate the effectiveness of a behavior change communication intervention designed to change targeted behaviors related to the quality and cleanliness of shared sanitation facilities.

Conditions

Diarrhea

Keywords

sanitation, toilet, urban, behavior change

Outcome Measures

Primary Outcomes (1)

• Number of Pans With Presence of Visible Feces Inside the Pan

  Assessment by observer in unannounced visit to the shared latrine to determine presence of visible feces inside the pan (both inside and outside the hole in the pan).

  Assessed at 6 months post intervention

Secondary Outcomes (13)

• Number of Pans With Presence of Visible Feces Outside the Pan

  Assessed at 6 months post intervention

• Visible Feces on the Path Leading up to the Latrine

  Assessed at 6 months post intervention

• Visible Feces Near the Latrine But Not on the Path

  baseline and 6 months post intervention

• Number of Functional Cubicle Toilets

  Assessed at 6 months post intervention

• Visible Feces Inside the Hole of the Pan

  Assessed at 6 months post intervention

Study Arms (2)

Behavior change

EXPERIMENTAL

Behavior change messaging with facilitating hardware

Behavioral: Behavior change

Control Arm

NO INTERVENTION

Standard habits and practices

Interventions

Behavior change BEHAVIORAL

Non governmental organization delivers communication intervention with facilitating hardware, a waste bin and bucket

Behavior change

Eligibility Criteria

• Age: 2 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Residents of low income communities in Dhaka who share toilet facilities with non-family members

You may not qualify if:

• Special groups whose ability to give voluntary informed consent might be compromised

Sponsors & Collaborators

• Stanford University: lead
• Johns Hopkins Bloomberg School of Public Health: collaborator

Study Sites (1)

Icddr,B

Dhaka, 1000, Bangladesh

Location

Related Publications (3)

• Alam MU, Winch PJ, Saxton RE, Nizame FA, Yeasmin F, Norman G, Masud AA, Begum F, Rahman M, Hossain K, Layden A, Unicomb L, Luby SP. Behaviour change intervention to improve shared toilet maintenance and cleanliness in urban slums of Dhaka: a cluster-randomised controlled trial. Trop Med Int Health. 2017 Aug;22(8):1000-1011. doi: 10.1111/tmi.12902. Epub 2017 Jun 29.

  PMID: 28556458 RESULT

• Saxton RE, Yeasmin F, Alam MU, Al-Masud A, Dutta NC, Yeasmin D, Luby SP, Unicomb L, Winch PJ. If I do not have enough water, then how could I bring additional water for toilet cleaning?! Addressing water scarcity to promote hygienic use of shared toilets in Dhaka, Bangladesh. Trop Med Int Health. 2017 Sep;22(9):1099-1111. doi: 10.1111/tmi.12914. Epub 2017 Jul 25.

  PMID: 28656596 RESULT

• Yeasmin F, Luby SP, Saxton RE, Nizame FA, Alam MU, Dutta NC, Masud AA, Yeasmin D, Layden A, Rahman H, Abbott R, Unicomb L, Winch PJ. Piloting a low-cost hardware intervention to reduce improper disposal of solid waste in communal toilets in low-income settlements in Dhaka, Bangladesh. BMC Public Health. 2017 Aug 29;17(1):682. doi: 10.1186/s12889-017-4693-x.

  PMID: 28851334 RESULT

MeSH Terms

Conditions

Diarrhea

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Results Point of Contact

• Title: Prof. Stephen P. Luby, MD
• Organization: Stanford University

sluby@stanford.edu

+1-650-723-4129

Study Officials

• STEPHEN P LUBY, M.D.

  Stanford University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Primary Investigator

Study Record Dates

• First Submitted: November 11, 2014
• First Posted: December 24, 2014
• Study Start: December 1, 2014
• Primary Completion: September 1, 2015
• Study Completion: November 1, 2015
• Last Updated: January 7, 2021
• Results First Posted: December 4, 2019

Record last verified: 2020-12

Locations

BA (1)