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

The impact of a school-based water supply and treatment, hygiene, and sanitation programme on pupil diarrhoea: a cluster-randomized trial
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DOI:
10.1017/s0950268813001118
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发表时间:
2014-02-01
影响因子:
4.2
通讯作者:
Rheingans, R.
Rheingans, R.
中科院分区:
医学4区
文献类型:
--
作者:
Freeman, M. C.;Clasen, T.;Rheingans, R.

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改善水、环境卫生和个人卫生(讲卫生运动)对减轻疾病的影响有很好的记录,尽管学校讲卫生运动对学龄儿童的影响尚未得到严格的探讨。我们在肯尼亚尼扬扎省进行了一项随机分组试验,以评估以学校为基础的WASH干预对小学生腹泻病的影响。两个研究人群:学校附近的旱季水源和那些没有。学生参加“水可用”的学校,接受卫生宣传和水处理(HP&WT)和卫生设施的改善,没有显示出任何差异的时期患病率或疾病持续时间相比,学生参加控制学校。那些只接受HP和WT的学校的学生也显示出类似的结果。“缺水”学校的学生得到供水改善、HP&WT和卫生设施,腹泻发病率和患病天数减少。我们的研究显示,学校WASH改善对学生腹泻的影响结果喜忧参半。
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.