The impact of improved sanitation on the diarrhoeal reduction of under-five children in Democratic Republic of Congo
| ISRCTN | ISRCTN10419317 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN10419317 |
| Secondary identifying numbers | N/A |
- Submission date
- 21/02/2015
- Registration date
- 13/03/2015
- Last edited
- 20/09/2017
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Digestive System
Plain English Summary
Background and study aims
Diarrhoea is a major killer of children under five, accounting for 11% of child death in 2013. Human waste and poor sanitation is also associated with worm infections, trachoma (a bacterial eye infection ), lymphatic filariasis (a parasitic infection that leads to elephantiasis) and schistosomiasis. However, without a significant acceleration in progress, the Millennium Development Goals (MDG) target on sanitation coverage is unlikely to be met. Current trends show that the total number of people without access to improved sanitation will still be around 2.4 billion. The aim of this study is to find evidence for the impact of improved sanitation on diarrhoea for children under the age of five. This study will play a central role in speeding up a reduction in diarrhoea-specific disease and death amongst children across the globe by demonstrating clear evidence of effectiveness of improved sanitation with rigorous methodology.
Who can participate?
Households with at least one child under five and living in a study area.
What does the study involve?
Villages recruited to this study are divided into a number of “quartiers”, or divisions. Each quartier is randomly allocated into one of two groups, the intervention group or the control group. A sanitation campaign is delivered to the people living in one of the intervention groups. The aim of this campaign is to increase the availability of latrines (a deep hole that is used as a toilet) using community-led total sanitation (CLTS) principles, where communities are encouraged to take steps to stop open defecation. Boreholes are drilled in all communities in either group. During this study, people in the intervention group are activity encouraged to use the improved latrine facilities voluntarily. As the principle of CLTS are being applied to this project, details latrine design and materials are developed by the community people themselves. Assessments include the incidence of diarrhoea in the under fives, improvements in latrine facilities and improvements in the number of people using the latrines.
What are the possible benefits and risks of participating?
No financial subsidies will be provided since the principle of Community Led Total Sanitation should be strictly complied with. It is expected that the participants will be less likely to contract diarrhoea and it will eventually benefit their neighbours also. After the study is over, water facilities will be connected for all in the community both for the intervention group and the control group.
Where is the study run from?
Idiofa health office, Bandundu province (Democratic Republic of Congo)
When is the study starting and how long is it expected to run for?
December 2014 to December 2015
Who is funding the study?
Korea International Cooperation Agency
Who is the main contact?
Dr Seungman Cha
jesusdongja@hanmail.net
Contact information
Scientific
Siheungsi Siheungdaero 73-gil 11
Seoul
153-762
Korea, South
| Phone | 82-10-3959-3286 |
|---|---|
| jesusdongja@hanmail.net |
Study information
| Study design | Intervention study using phased-in and factorial design: cluster randomized control trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Cluster randomised trial |
| Study setting(s) | Community |
| Study type | Prevention |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet |
| Scientific title | Effect of improved sanitation on diarrhoea incidence of under-five children in Idiofa territory, Bandundu province, DR Congo using cluster randomized controlled trial |
| Study hypothesis | Improved sanitation will reduce the diarrhoeal incidence of under-five children in Idiofa territory, Bandundu province, DR Congo by 50%. |
| Ethics approval(s) | Not provided at time of registration |
| Condition | The coverage of improved sanitation is exceedingly low in many rural area of DR Congo although diarrhoea is the main killer of children under five. |
| Intervention | For intervention arms, sanitation compaign will be conducted for increasing latrine coverage using CLTS principle and boreholdes will be drilled in the communities of both arms. Drilling boreholes will be undertaken in the second phase of the project. |
| Intervention type | Behavioural |
| Primary outcome measure | Diarrhoeal incidence of under-five children (cases /child*weeks) |
| Secondary outcome measures | 1. Uptake of improved latrine (%) 2. Utilization of improved latrine (%) |
| Overall study start date | 15/12/2014 |
| Overall study end date | 31/12/2015 |
Eligibility
| Participant type(s) | All |
|---|---|
| Age group | Child |
| Upper age limit | 5 Years |
| Sex | Both |
| Target number of participants | 720 households; all the children in the 720 households |
| Participant inclusion criteria | Household with children under five years |
| Participant exclusion criteria | 1. Households rejecting registration 2. Households rejecting filling in informed consent form |
| Recruitment start date | 15/12/2014 |
| Recruitment end date | 15/12/2015 |
Locations
Countries of recruitment
- Congo, Democratic Republic
Study participating centre
-
Congo, Democratic Republic
Sponsor information
Government
825 Daewangpangyo-ro
Sejeong-gu
Seongman-si
Gyeonggi-do
461-833
Korea, South
"ROR" |
https://ror.org/0106d7657 |
|---|
Funders
Funder type
Government
Government organisation / National government
- Alternative name(s)
- KOICA
- Location
- Korea, South
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | protocol | 19/09/2017 | Yes | No |
Editorial Notes
20/09/2017: Publication reference added.
