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Effect of Contextualized Versus Non-Contextualized Interventions for Improving Hand Washing, Sanitation, and Health in Rural Tanzania

Study Design of a Cluster Randomized Controlled Trial

Bibliographic Data

ID15512855
AuthorsKim Dockx (0000-0002-2142-7471, Rode Kruis-Vlaanderen, corresponding author), Hans Van Remoortel (0000-0003-1942-1799, Rode Kruis-Vlaanderen), Emmy De Buck (0000-0003-4498-9781, Rode Kruis-Vlaanderen), Charlotte Schelstraete, An Vanderheyden, Tiene Lievens, John Thomas Kinyagu (Tanzania Red Cross Society), Simon Mamuya (0000-0002-3104-8176, Muhimbili University of Health and Allied Sciences), Philippe Vandekerckhove (0000-0001-7709-0153, KU Leuven)
Year2019
Volume16
Issue14
Pages2529-2529
Publication date2019-07-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16142529
PMID31311186
OpenAlexW2956485074
LanguageEN
Citations received1
References cited8

Nearly 90% of diarrhea-related mortalities are the result of unsafe drinking water, poor sanitation, and insufficient hygiene. Although "Water, Sanitation, and Hygiene" (WASH) interventions may significantly reduce the risk of diarrheal disease, it is currently unclear which interventions are the most effective. In this study, we aim to determine the importance of contextualizing a WASH intervention to the local context and the needs for increasing impact (Clinicaltrials.gov NCT03709368). A total of 1500 households in rural Tanzania will participate in this cluster randomized controlled trial. Households will be randomized into one of three cohorts: (1) a control group receiving a basic intervention and 1 placebo household visit, (2) an intervention group receiving a basic intervention + 9 additional household visits which are contextualized to the setting using the RANAS approach, and (3) an intervention group receiving a basic intervention + 9 additional household visits, which are not contextualized, i.e., a general intervention. Assessments will take place at a baseline, 1 and 2 years after the start of the intervention, and 1 year after the completion of the intervention. Measurements involve questionnaires and spot checks. The primary outcome is hand-washing behavior, secondary objectives include, the impact on latrine use, health, WASH infrastructure, quality of life, and cost-effectiveness

Cluster randomised controlled trial · Context (archaeology · Environmental health · Geography · Hygiene · Intervention (counseling · Latrine · Psychological intervention · Randomized controlled trial · Sanitation · Socioeconomics · Tanzania · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Global Maternal and Child Health · Medicine · Nursing · Surgery

  • Designing context-specific implementation strategies to improve water, sanitation, and hygiene in urban low-income settlements in Nigeria

    Open Access•Uchenna Ezenwaka, Iheomimichineke Ojiakor et al.•Frontiers in Public Health•2026

  • Effect of a behaviour-change intervention on handwashing with soap in India (SuperAmma)

    Open Access•Adam Biran, Wolf‐peter Schmidt et al.•The Lancet Global Health•2014

  • A systematic approach to behavior change interventions for the water and sanitation sector in developing countries

    Hans-Joachim Mosler•International Journal of…•2012

  • Planned, motivated and habitual hygiene behaviour

    Open Access•Val Curtis, V A Curtis et al.•Health Education Research•2009

  • Hand‐washing, subclinical infections, and growth

    Open Access•Rebecca Langford, Peter Lunn et al.•American Journal of Human Biology•2011

  • From bouncing back, to nurturing emergence

    Open Access•Edwine W Barasa, Edwine Barasa et al.•Health Policy and Planning•2017

  • Effectiveness of group discussions and commitment in improving cleaning behaviour of shared sanitation users in Kampala, Uganda slums

    Open Access•Innocent K Tumwebaze, Hans-Joachim Mosler•Social Science & Medicine•2015

  • Changing handwashing behaviour in southern Ethiopia

    Open Access•Nadja Contzen, Iara Meili et al.•Social Science & Medicine•2015

  • Enhancing handwashing frequency and technique of primary caregivers in Harare, Zimbabwe

    Open Access•Max N D Friedrich, Max Friedrich et al.•Social Science & Medicine•2018

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1
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