The Impact of Enhanced, Demand-side Sanitation and Hygiene Promotion on Sustained Behavior Change and Health in Ethiopia

NCT03075436 | Completed

• 1 other identifier: IRB00076141
• Study Type: interventional
• Target: 10,375
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a two-year evaluation investigating the impacts of an enhanced, demand-side sanitation and hygiene intervention on sustainable adoption of improved water, sanitation, and hygiene (WASH) practices and mental well-being.

Conditions

Sustained Behavior Change; Mental Well-being

Keywords

Sanitation; Hygiene; Public Health; Behavior change; Neglected tropical diseases; Demand-side sanitation and hygiene; Mental well-being; Water insecurity; Sanitation insecurity; Collective efficacy

Outcome Measures

Primary Outcomes (2)

• Sustainability of WASH-related behaviours, including NTD-preventive WASH behavior measures

  Sustainability of WASH-related behaviors, as measured through changes in the proportion of individuals and households practicing targeted improved NTD-preventive WASH behaviors.

  Endline (Up to two years)

• Mental well-being measures

  Mental well-being, as measured through the changes in mental well-being scale scores

  Up to two years

Secondary Outcomes (5)

• Shorter-term behavioral outcome measures

  Up to two years

• Intermediate behaviour change antecedent measures

  Up to two years

• Water insecurity measures

  Up to two years

• Sanitation insecurity measures

  Up to two years

• Collective efficacy measures

  Up to two years

Study Arms (2)

Enhanced demand-side sanitation, hygiene

EXPERIMENTAL

The intervention group will receive a package of enhanced, demand-side sanitation and hygiene interventions that are informed by formative research and facilitated by local government and Emory Ethiopia partners.

Behavioral: Enhanced demand-side sanitation, hygiene

Standard of care

ACTIVE COMPARATOR

The comparison group will receive the current standard of care, including potential implementation of government-led policies and programs.

Behavioral: Standard of care

Interventions

Enhanced demand-side sanitation, hygiene BEHAVIORAL

The enhanced, demand-side sanitation and hygiene intervention package will be informed by findings from formative research, and will consist of interventions designed to enhance sanitation and hygiene messaging to better facilitate behavior change, and intensify implementation of related community-based interventions via engagement of various delivery modalities.

Enhanced demand-side sanitation, hygiene

Standard of care BEHAVIORAL

The comparison group will receive the current standard of care, including potential implementation of government-led policies and programs.

Standard of care

Eligibility Criteria

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

You may qualify if:

• Households residing in kebeles in select woredas of Amhara National Regional State
• Households with at least one adult (18 years of age or older) who provides consent to serve as the survey respondent
• Households with at least one child aged 1-9 years (at baseline) living in the household and consenting to enrollment in the study, including study staff observation of children, specifically their faces and hands

You may not qualify if:

• Households that refuse to provide consent to enroll in the study or have one adult consent to serve as the survey respondent
• Households that are repeatedly vacant or do not have an appropriate member of the household home to serve as the household's respondent (capable adult 18 years or older) after three attempts within the course of one day (for study enrollment and baseline)
• Households that do not have a household member aged 0-5 years of age (at baseline) living in the household

Sponsors & Collaborators

• Emory University: lead
• Emory Ethiopia: collaborator
• Amhara Regional Health Bureau: collaborator
• Federal Democratic Republic of Ethiopia Ministry of Health: collaborator

Study Sites (1)

Amhara

Amhara National Regional State, Ethiopia

Location

Related Publications (2)

• Freeman MC, Delea MG, Snyder JS, Garn JV, Belew M, Caruso BA, Clasen TF, Sclar GD, Tesfaye Y, Woreta M, Zewudie K, Gobezayehu AG. The impact of a demand-side sanitation and hygiene promotion intervention on sustained behavior change and health in Amhara, Ethiopia: A cluster-randomized trial. PLOS Glob Public Health. 2022 Jan 7;2(1):e0000056. doi: 10.1371/journal.pgph.0000056. eCollection 2022.

  PMID: 36962125 DERIVED

• Delea MG, Snyder JS, Belew M, Caruso BA, Garn JV, Sclar GD, Woreta M, Zewudie K, Gebremariam A, Freeman MC. Design of a parallel cluster-randomized trial assessing the impact of a demand-side sanitation and hygiene intervention on sustained behavior change and mental well-being in rural and peri-urban Amhara, Ethiopia: Andilaye study protocol. BMC Public Health. 2019 Jun 21;19(1):801. doi: 10.1186/s12889-019-7040-6.

  PMID: 31226957 DERIVED

MeSH Terms

Conditions

Psychological Well-Being; Neglected Diseases

Interventions

Hygiene; Standard of Care

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapeutics; Public Health; Environment and Public Health; Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Matthew Freeman, PhD

  Emory University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: March 7, 2017
• First Posted: March 9, 2017
• Study Start: March 7, 2017
• Primary Completion: May 16, 2019
• Study Completion: May 16, 2019
• Last Updated: July 5, 2019

Record last verified: 2019-07

Locations

ET (1)