EVALUATION OF A WATER-SANITATION INTERVENTION IN EGYPT
EVALUATION OF A WATER-SANITATION INTERVENTION IN EGYPT
批准号:
3778540
负责人:
J D CLEMENS
金额:
$0.0万
依托单位国家:
美国
项目类别:
财政年份:
--
资助国家:
美国
项目状态:
未结题
起止时间:
至
中文摘要
该实地项目的目的是评估联合行动的影响
饮水卫生干预对儿童腹泻发病的影响
居住在Assiut的研究人群的其他目标结果
上埃及的一个省。20个村庄,其中包括一个
大约10,000人的人口被随机分配到
接受干预(N=10)或不干预(N=10)。这个
干预措施包括提供印度马克二号管井和
家庭厕所,以及一个教育方案,强调
个人卫生和饮水行为。以评估该计划的影响
干预后,这些村庄的所有家庭都接受了
在一年的随访期内进行纵向监测。虽然
腹泻发作的基线发病率(每1000人日
3岁以下儿童的随访率与
干预(29)和控制(29)社区,零时率后
与干预措施相比,干预期间腹泻减少了17%(p<0.0001
控制社区。保护性关联性略高于
血性腹泻(25%,p<0.05)和持续性腹泻(26%,p<0.05
(0001),这表明干预可能不仅减少了
腹泻的风险,也是腹泻的严重程度。相比之下,没有
对呼吸道感染发生的影响是明显的,表明
在干预社区中腹泻的下降并没有
很可能是由于确定偏差所致。它特别令人感兴趣
干预社区显示出人均
用水量,但新的水泵继续产生
被粪便中的大肠菌污染。有数据表明,这种有益的
干预的效果可能在一定程度上通过增加
尽管水本身被粪便污染,但水的消耗量仍然很低。
分析工作将在2014财年继续进行。
英文摘要
The purpose of this field project is to evaluate the impact of a combined
water-sanitation intervention on the occurrence of pediatric diarrhea and
other targeted outcomes in a study population residing in the Assiut
governorate of Upper Egypt. 20 villages, which together included a
population of approximately 10,000 persons, were randomly assigned to
receive the intervention (N=10) or no intervention (N=10). The
intervention consisted of provision of India Mark II tubewells and
household latrines, together with an educational package stressing
personal hygiene and water behaviors. To assess the impact of the
intervention, all families in these villages were followed with
longitudinal surveillance during a one-year follow-up period. Although
the baseline incidence of diarrheal episodes (per 1000 person-days of
follow-up) in children under three years of age was similar in
intervention (29) and control (29) communities, after zero-time rates of
diarrhea decreased 17% (p less than .0001) in the intervention relative to
the control communities. Protective associations were slightly higher for
blood diarrhea (25%, p less than .05) and persistent diarrhea (26%, p less
than .0001), suggesting that the intervention might have reduced not only
the risk of diarrhea but also the severity of diarrhea. In contrast, no
impact on the occurrence of respiratory infections was evident, indicating
that the decline of diarrhea in the intervention communities was not
likely to be due to ascertainment bias. It was of particular interest
that intervention communities exhibited a marked increase of per capita
water consumption, but that the new pumps continued to produce water that
was contaminated by fecal coliforms. There data suggest that the salutary
effect of the intervention may have been mediated, in part, by increased
water consumption, though the water itself was fecally contaminated.
Analyses will continue in FY94.
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EVALUATION OF A WATER-SANITATION INTERVENTION IN EGYPT
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批准号:2575619
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
MATERNAL CHILD HEALTH PROJECT OF ASSIUT, EGYPT
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批准号:3778676
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项目类别:
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资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
EPIDEMIOLOGY OF TYPHOID FEVER IN INDIA
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批准号:6162535
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
ENTEROTOXIGENIC E. COLI SEROEPIDEMIOLOGY EVALUATIONS IN ALEXANDRIA, EGYPT
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批准号:3756774
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
FIELD TRIAL OF ORAL CHOLERA VACCINES IN BANGLADESH
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批准号:5203298
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
FIELD TRIAL OF ORAL CHOLERA VACCINES IN BANGLADESH
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批准号:3778538
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
-
依托单位:
STUDIES OF THE EPIDEMIOLOGY OF PEDIATRIC SHIGELLOSIS IN BANGLADESH
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批准号:3778543
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
FIELD TRIAL OF ORAL CHOLERA VACCINES IN BANGLADESH
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批准号:3842271
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项目类别:
-
资助金额:$0.0万
-
财政年份:--
-
负责人:J D CLEMENS
-
依托单位:
ENTEROTOXIGENIC E. COLI SEROEPIDEMIOLOGY EVALUATIONS IN ALEXANDRIA, EGYPT
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批准号:3778675
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项目类别:
-
资助金额:$0.0万
-
财政年份:--
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负责人:J D CLEMENS
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依托单位:
EVALUATION OF A WATER-SANITATION INTERVENTION IN EGYPT
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批准号:6162425
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
-
依托单位:
EVALUATION OF A WATER-SANITATION INTERVENTION IN EGYPT
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批准号:3756647
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项目类别:
-
资助金额:$0.0万
-
财政年份:--
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负责人:J D CLEMENS
-
依托单位:
EVALUATION OF A WATER-SANITATION INTERVENTION IN EGYPT
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批准号:3842273
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项目类别:
-
资助金额:$0.0万
-
财政年份:--
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负责人:J D CLEMENS
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依托单位:
EPIDEMIOLOGY OF TYPHOID FEVER IN INDIA
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批准号:2452884
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
FIELD TRIAL OF KILLED ORAL CHOLERA VACCINES IN VIETNAM
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批准号:2452885
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
ETEC EPIDEMIOLOGY AND VACCINE RESEARCH IN LOWER EGYPT
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批准号:2449784
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项目类别:
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资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
-
依托单位:
ETEC EPIDEMIOLOGY AND VACCINE RESEARCH IN LOWER EGYPT
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批准号:6162522
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
STUDIES OF THE EPIDEMIOLOGY OF PEDIATRIC SHIGELLOSIS IN BANGLADESH
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批准号:5203301
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
EVALUATION OF A WATER-SANITATION INTERVENTION IN EGYPT
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批准号:6108003
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项目类别:
-
资助金额:$0.0万
-
财政年份:--
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负责人:J D CLEMENS
-
依托单位:
FIELD TRIAL OF KILLED ORAL CHOLERA VACCINES IN VIETNAM
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批准号:6162536
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项目类别:
-
资助金额:$0.0万
-
财政年份:--
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负责人:J D CLEMENS
-
依托单位:
EVALUATION OF A WATER-SANITATION INTERVENTION IN EGYPT
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批准号:5203300
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项目类别:
-
资助金额:$0.0万
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财政年份:--
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负责人:J D CLEMENS
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依托单位:
海外基金