Assessing the impact of a school-based latrine cleaning and handwashing program on pupil absence in Nyanza Province, Kenya: a cluster-randomized trial.

作者: Bethany A. Caruso , Matthew C. Freeman , Joshua V. Garn , Robert Dreibelbis , Shadi Saboori

DOI: 10.1111/TMI.12360

关键词: LatrineSanitationMedicineCluster randomised controlled trialEnvironmental protectionToilet FacilityHand disinfectionEnvironmental healthHygieneAbsenteeismSchool based

摘要: Improving school water, sanitation and hygiene (WASH) conditions reduces pupil absence illness. However, these benefits may depend on the of latrines availability consumables. We sought to determine whether a low-cost, policy-relevant, environmental-level latrine cleaning intervention could improve cleanliness, increase its use reduce absenteeism. methods In three-arm, cluster-randomized trial we assessed via periodical roll-call among 17 564 pupils in 60 schools that had previously received WASH improvements as part SWASH+ project. Latrine were also using structured observation. cleanliness increased significantly during post-intervention period receiving package compared controls, did handwashing with soap. found no difference across arms. The additive impact not have been strong enough above beyond reductions attributable original infrastructure basic education received. is important for dignity well-being pupils, investments strategies are necessary ensure toilets clean pupil-friendly.

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