Evaluating a Latrine Use Intervention in Odisha, India

NCT03274245 | Completed

• 1 other identifier: IRB00098293
• Study Type: interventional
• Target: 11,722
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this research is to evaluate an intervention focused on increasing latrine use in rural Odisha India. The present study builds off of previous research, which resulted in the design of an intervention to increase latrine use. This research evaluates the intervention designed to determine if significant increases in latrine use are observed among those who received the intervention compared to those that did not. Qualitative research will supplement trial data collection to help explain findings and understand perceptions of the intervention.

Conditions

Latrine Usage

Keywords

Public Health

Outcome Measures

Primary Outcomes (1)

• Change in Latrine Usage Rate

  Latrine usage will be assessed via in-depth interviews conducted between the study team and participants. Responses to interview questions will be aggregated and categorized by common themes, and analyzed qualitatively.

  Baseline, Post-Intervention (Up to 1 Year)

Secondary Outcomes (1)

• Change in Number of Toilets

  Baseline, Post-Intervention (Up to 1 Year)

Study Arms (3)

Latrine Use

EXPERIMENTAL

Men and women in villages randomized to the latrine use arm will receive the intervention package that includes activities at the community and household levels, with additional activities and hardware for mothers of children under five.

Behavioral: Intervention Package

Control Group

NO INTERVENTION

Men and women in villages randomized to the control group will not receive an intervention.

Qualitative Research Group

EXPERIMENTAL

Six villages unassociated with the randomized villages will engage in qualitative research. Three villages will receive the intervention. Three villages will not receive the intervention.

Behavioral: Intervention Package; Other: Qualitative Research

Interventions

Intervention Package BEHAVIORAL

* Community Level: * Palla: songs and skits to increase knowledge of and motivation for latrine use, pit emptying, safe feces disposal; * Transect Walk: village walk to identify and mark feces in community; * Community meetings: sex-segregated meetings with village members to decide on an action plan to increase community cleanliness/reduce open defecation; * Wall painting: village map noting households that use latrines always. * Sub-Community level: * Mothers meeting: For caregivers with children under age 5, to provide knowledge of and hardware for safe child feces disposal. * Household Level: * Household visits: to those with latrines to motivate use; * Latrine repairs: for households with non-functional latrines to make functional.

Latrine Use; Qualitative Research Group

Qualitative Research OTHER

For villages receiving the intervention package, investigators will engage community members through qualitative interviews to gain their perception of the intervention, what they thought of the intervention activities, what information they recall, what aspects they enjoyed or disliked, if they had barriers to attendance or participation. For the three villages not receiving the intervention, investigators will conduct qualitative interviews to determine additional barriers and determinants of latrine use to identify other potential intervention strategies.

Qualitative Research Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Estimated 60% latrine coverage or higher
• At least 75 households
• Have a village leader willing to participate

You may not qualify if:

• Considered open-defecation free (ODF)
• Participants under the age of 18 will not be targeted for research-related activities, like interviews and discussions, though we will ask caregivers or other household members to provide in information about the sanitation-related behaviors of children under age 18.

Sponsors & Collaborators

• Emory University: lead

Study Sites (1)

Xavier Institute of Management

Bhubaneswar, Odisha, India

Location

Related Publications (2)

• Caruso BA, Sclar GD, Routray P, Nagel CL, Majorin F, Sola S, Koehne WJ 3rd, Clasen T. Effect of a low-cost, behaviour-change intervention on latrine use and safe disposal of child faeces in rural Odisha, India: a cluster-randomised controlled trial. Lancet Planet Health. 2022 Feb;6(2):e110-e121. doi: 10.1016/S2542-5196(21)00324-7.

  PMID: 35150621 DERIVED

• Caruso BA, Sclar GD, Routray P, Majorin F, Nagel C, Clasen T. A cluster-randomized multi-level intervention to increase latrine use and safe disposal of child feces in rural Odisha, India: the Sundara Grama research protocol. BMC Public Health. 2019 Mar 18;19(1):322. doi: 10.1186/s12889-019-6601-z.

  PMID: 30885158 DERIVED

Study Officials

• Bethany Caruso, 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: Post Doctoral Fellow

Study Record Dates

• First Submitted: September 5, 2017
• First Posted: September 6, 2017
• Study Start: January 30, 2018
• Primary Completion: February 18, 2019
• Study Completion: April 13, 2019
• Last Updated: July 18, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF

Locations

IN (1)