Creating sustainable cities through decentralised waste management: training of households

ISRCTN ISRCTN25429617
DOI https://doi.org/10.1186/ISRCTN25429617
Secondary identifying numbers REF/2021/08/046464
Submission date
12/12/2021
Registration date
13/12/2021
Last edited
16/01/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
The project examines the adoption and health, environmental and economic impacts of decentralised solid waste management in urban communities (including their households, businesses and waste workers). The aim of the study is to determine whether decentralised waste management provides a cost effective solution for the large volumes of waste that are dumped without treatment in landfills and in the open in many countries, especially in developing economies.

Who can participate?
All households in designated urban areas of Patna, India can participate. From the previous registered study for this project (ISRCTN registry - 40587), a building census was undertaken through door-to-door visits to determine the number of households/businesses. The estimated population is about 20,000 households across the Treatment and Control groups.

What does the study involve?
This listing of households in Treatment and Control groups will be used to create groups of households for treatment. The treatment consists of door to door visits in all buildings in designated areas of Patna to provide information and training to households regarding decentralised waste management. This includes safe waste disposal, recycling, segregation of waste and home composting. It also includes local composting of segregated waste disposed of by households in the Treatment groups by waste workers engaged by the study.
The order of treatment will be randomly assigned to groups of households within the Treatment Area. Households within the treatment area will be grouped based on the waste truck route that they fall under, the number of households on the route and their geographical proximity to each other. The treatment will be delivered in two phases of equal length to equal numbers of groups of households each. Households in truck routes contiguous to the Treatment Area will form the Control and receive no treatment.
The study will collect data related to waste practices and economic, health and environmental characteristics of the households and waste workers, before and after the interventions. The primary outcome being collected is waste practices of households (how much waste do they generate and how do they dispose of it). This will come from self-reported questions on waste practices of households and enumerators' observations of waste practices at the time of waste disposal by households to the municipal waste trucks.

What are the possible benefits and risks of participating?
The risk to participants is minimal and the benefits will be accurate knowledge of waste management in the areas which will be used to develop further research and policy on safe decentralised solid waste management for the households. Field activities are being conducted in cooperation with the city government (Patna Municipal Corporation). WHO guidance for social distancing will be followed to ensure the safety of enumerators, workers and households. Appropriate PPE has been ordered to safeguard against hazardous waste.

Where is the study run from?
London School of Economics (UK)

When is the study starting and how long is it expected to run for?
June 2021 to December 2022

Who is funding the study?
UK Research and Innovation

Who is the main contact?
Dr Swati Dhingra, s.dhingra@lse.ac.uk

Contact information

Dr Swati Dhingra
Scientific

CEP LSE
Houghton Street
London
WC2A 2AE
United Kingdom

ORCiD logoORCID ID 0000-0001-5468-3415
Phone +44 7814623410
Email s.dhingra@lse.ac.uk

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Community
Study typeQuality of life
Participant information sheet 40804 PIS v1 01Sep2021.pdf
Scientific titleInformal labour markets and decentralised solid waste management in urban areas: training of households
Study acronymCityWaste
Study objectivesThe study examines whether decentralised waste management can help improve the environmental, health and economic outcomes of urban areas.
Ethics approval(s)Approved 21/07/2021, London School of Economics Research Ethics Committee (Houghton Street London WC2A 2AE United Kingdom; +44 (0)20 7852 3629; research.ethics@lse.ac.uk), ref: 28362
Health condition(s) or problem(s) studiedSolid waste management in urban areas and diversion of untreated waste from landfills
InterventionThe intervention will provide information and training on solid waste management (such as waste segregation, safe waste disposal and home composting) to households in designated urban areas of Patna (Bihar, India). The latter is referred to as the "Treatment Area" and consists of various routes of municipal waste collection trucks. Households within the treatment area will be grouped based on the waste truck route that they fall under, the number of households on the route and geographical proximity to each other. The treatment will be delivered in two phases of equal length to equal numbers of groups of households each. The order of the treatment will be randomised across truck routes, with half the groups of households being treated in each phase of the treatment. The randomisation is based on picking truck route numbers from an urn. Households within truck routes contiguous to the Treatment Area will form the Control and receive no treatment.
The duration is about 4 months – 9/12/2021 to 21/3/2022
Intervention typeBehavioural
Primary outcome measureWaste generation and recycling of households at the time of enumeration measured through:
1. Self-reported survey questions based on WHO’s WASH questionnaire, with a recall period of 1 week, 2 weeks, 1 month, “usually”, or "last time the waste was disposed"
2. Weekly observations by enumerators on the weight of waste disposed and whether the waste is disposed in segregated form on the day of enumeration.
Secondary outcome measuresHealth, civic and socioeconomic outcomes of waste workers and the community, at the time of
survey enumeration using self-reported survey questions with a weekly/fortnightly recall period (health), weekly recall period (socioeconomic) and annual/"usual" recall period (civic) based on India’s Demographic and Health Surveys, Periodic Labour Force Surveys, LSE Alternative Work Arrangements Survey, American Teens' Knowledge of Climate Change and UNESCAP Waste Management Assessment
Overall study start date03/06/2021
Completion date15/12/2022

Eligibility

Participant type(s)All
Age groupMixed
SexBoth
Target number of participants20000 households estimated for intervention arms and of them, 10000 households estimated for detailed surveying
Key inclusion criteria1. All households in the Treatment Area
2. All waste worker households will be targeted for detailed surveying of waste work.
Key exclusion criteriaIndividuals below 18 years are excluded from all but the 6 environmental education questions in the detailed surveys.
Date of first enrolment16/12/2021
Date of final enrolment21/03/2022

Locations

Countries of recruitment

  • India

Study participating centre

The City of Patna
Patna
800001
India

Sponsor information

London School of Economics and Political Science
University/education

Houghton Street
London
WC2A 2AE
England
United Kingdom

Phone +44 (0)207 9557285
Email h.ogborn@lse.ac.uk
Website https://cep.lse.ac.uk/
ROR logo "ROR" https://ror.org/0090zs177

Funders

Funder type

Government

UK Research and Innovation
Government organisation / National government
Alternative name(s)
UKRI
Location
United Kingdom

Results and Publications

Intention to publish date15/01/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in publicly available repository
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planThe datasets generated during and/or analysed in the current study will be stored in a publicly available repository. Anonymised de-identified data will be made publicly available through the London School of Economics RLAB. https://rlab.lse.ac.uk/
The data will be made available for two years after publication in a peer-reviewed journal, expected to be 15/01/2023 to 14/01/2025.
The data will be made available for research purposes as stated in the consent form.
Only anonymised data and aggregate statistics will be published.
A data management plan is attached.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet version 1 01/09/2021 13/12/2021 No Yes
Basic results 16/01/2024 No No

Additional files

40804 PIS v1 01Sep2021.pdf
ISRCTN25429617_BasicResults.pdf

Editorial Notes

16/01/2024: The basic results have been uploaded as an additional file.
04/07/2023: The intention to publish date was changed from 15/01/2023 to 15/01/2024.
13/05/2022: Subtitle "training of households" added to public and scientific title.
13/12/2021: Trial's existence confirmed by Patna Municipal Corporation