Impact of the Financial Inclusion Improves Sanitation and Health

NCT06356636 | Recruiting

• 1 other identifier: P1216/2022
• Study Type: interventional
• Target: 1,090
• Locations: 1 country
• Sites: 1

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. 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. 2.What are the perspectives, attitudes, and practices of various stakeholders (communities, governments, entrepreneurs, and financiers) regarding the FINISH model?
3. 3.What is the cost-effectiveness of the FINISH model, including the amount of leverage funds generated?

Conditions

Health Knowledge, Attitudes, Practice

Keywords

cluster; randomized controlled trial; sanitation; evaluation; open defecation; Uganda; Kenya

Outcome Measures

Primary Outcomes (1)

• 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

  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

  4 years, which includes baseline data collection, implementation and endline data collection

Study Arms (2)

Treatment group

ACTIVE COMPARATOR

The intervention arm involves communities within Homa Bay County in Kenya and Kamwenge District in Uganda, where the FINISH Mondial initiative is implemented. This intervention aims to improve sanitation and health through a public-private partnership model, engaging communities, governments, entrepreneurs, and financiers to enhance sanitation services and supply chains.

Behavioral: Financial Inclusion Improves Sanitation and Health

Control group

NO INTERVENTION

The control arm includes communities in Siaya County in Kenya and Bushenyi in Uganda, where the FINISH intervention is not implemented, serving as a comparison to evaluate the effectiveness of the intervention.

Interventions

Financial Inclusion Improves Sanitation and Health BEHAVIORAL

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.

Treatment group

Eligibility Criteria

• Age: 0 Years+
• Gender Eligibility Details: This study targets both males and females in the intervention sites
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may not qualify if:

• to be updated

Sponsors & Collaborators

• Amref Health Africa: lead

Study Sites (1)

Homa Bay county

Homa Bay, Kenya

RECRUITING

MeSH Terms

Conditions

Behavior

Interventions

Health

Intervention Hierarchy (Ancestors)

Population Characteristics

Central Study Contacts

Josphat Martin Muchangi

CONTACT

0721453712; martin.muchangi@amref.org

Samuel Muhula

CONTACT

0721958734; samuel.muhula@amref.org

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: to be updated
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: 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.

Study Record Dates

• First Submitted: February 26, 2024
• First Posted: April 10, 2024
• Study Start: January 1, 2022
• Primary Completion: December 31, 2025
• Study Completion: December 31, 2025
• Last Updated: April 10, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will share

Locations

KE (1)