Study design and rationale for a cluster randomized trial of a safe child feces management intervention in rural Odisha, India

Poor child feces management (CFM) is believed to be an important source of exposure to enteric pathogens that contribute to a large disease burden in low-income settings. While access to sanitation facilities is improving, national surveys indicate that even households with latrines often do not saf...

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Bibliographic Details
Published in:BMC public health 2022-01, Vol.22 (1), p.106-12, Article 106
Main Authors: Sclar, Gloria D, Bauza, Valerie, Mosler, Hans-Joachim, Bisoyi, Alokananda, Chang, Howard H, Clasen, Thomas F
Format: Article
Language:English
Subjects:
Basins
Behavior
Behavior change
Caregivers
Child
Child feces
Children & youth
Clusters
Contamination
Defecation
Design
Drinking water
Education
Environmental behavior
Evaluation
Family Characteristics
Fecal coliforms
Feces
Hardware
Health aspects
Health promotion
Health surveys
Households
Humans
Hygiene
Income
India
Intervention
Latrine training
Latrines
Maternal & child health
Methods
Norms
Polls & surveys
Population
Preschool children
Randomized Controlled Trials as Topic
Refuse and refuse disposal
Rural Population
Safe disposal
Sanitation
Sanitation - methods
Sanitation facilities
Soil management
Study and teaching
Study Protocol
Theory-based intervention
Toilet Facilities
Toilet training
Training
Villages
Waste management
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Summary:Poor child feces management (CFM) is believed to be an important source of exposure to enteric pathogens that contribute to a large disease burden in low-income settings. While access to sanitation facilities is improving, national surveys indicate that even households with latrines often do not safely dispose of their child's feces. Working with caregivers in rural Odisha, India, we co-developed an intervention aimed at improving safe disposal of child feces and encouraging child latrine use at an earlier age. We describe the rationale for the intervention and summarize the protocol for a cluster randomized trial (CRT) to evaluate its effectiveness at changing CFM practices. The intervention consists of six behavior change strategies together with hardware provision: wash basin and bucket with lid to aid safe management of soiled nappies and a novel latrine training mat to aid safe disposal and latrine training. The intervention will be offered at the village level to interested caregivers of children
ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-021-12405-0