The impact of a school-based water supply and treatment, hygiene, and sanitation programme on pupil diarrhoea: a cluster-randomized trial

被引：67
|
作者：
Freeman, M. C. [1 ]
Clasen, T. [2 ]
Dreibelbis, R. [3 ]
Saboori, S. [1 ]
Greene, L. E. [1 ]
Brumback, B. [4 ]
Muga, R. [5 ]
Rheingans, R. [6 ]
机构：
[1] Emory Univ, Dept Environm Hlth, Ctr Global Safe Water, Atlanta, GA 30322 USA
[2] London Sch Hyg & Trop Med, Fac Infect & Trop Dis, London WC1, England
[3] Emory Univ, Hubert Dept Global Hlth, Ctr Global Safe Water, Atlanta, GA 30322 USA
[4] Univ Florida, Dept Biostat, Gainesville, FL 32611 USA
[5] Great Lakes Univ Kisumu, Trop Inst Community Hlth & Dev, Kisumu, Kenya
[6] Univ Florida, Dept Global & Environm Hlth, Gainesville, FL 32611 USA
来源：
EPIDEMIOLOGY AND INFECTION | 2014年 / 142卷 / 02期
基金：
美国国家科学基金会;
关键词：
Diarrhoea; hand hygiene; water (quality); water (safe); waterborne infections; SYSTEMATIC ANALYSIS; DRINKING-WATER; GLOBAL BURDEN; CHILD HEALTH; 21; REGIONS; DISEASE; MORBIDITY; RECALL; INTERVENTIONS; CONTAMINATION;
D O I：
10.1017/S0950268813001118
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
The impact of improved water, sanitation, and hygiene (WASH) access on mitigating illness is well documented, although impact of school-based WASH on school-aged children has not been rigorously explored. We conducted a cluster-randomized trial in Nyanza Province, Kenya to assess the impact of a school-based WASH intervention on diarrhoeal disease in primary-school pupils. Two study populations were used: schools with a nearby dry season water source and those without. Pupils attending 'water-available' schools that received hygiene promotion and water treatment (HP&WT) and sanitation improvements showed no difference in period prevalence or duration of illness compared to pupils attending control schools. Those pupils in schools that received only the HP&WT showed similar results. Pupils in 'water-scarce' schools that received a water-supply improvement, HP&WT and sanitation showed a reduction in diarrhoea incidence and days of illness. Our study revealed mixed results on the impact of improvements to school WASH improvements on pupil diarrhoea.
引用
收藏
页码：340 / 351
页数：12
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