This is a matched-cohort study designed to assess the health impact of a rural demand-driven water and sanitation intervention that provides piped treated water and household level pour-flush latrines and bathing rooms, as implemented by Gram Vikas.
We will undertake a matched-cohort study among 84 villages in Ganjam district, Orissa, India to assess the health impact of a program that provides improved water supplies and sanitation to rural villages.
Study Type
OBSERVATIONAL
Enrollment
2,940
Village-level reticulated water supply with distribution to household taps; pour-flush pit latrines.
London School of Hygiene & Tropical Medicine
London, United Kingdom
Reported diarrhoea in children <5 years
Time frame: 7-day recall, assessed 4 times during 3-month follow-up rounds
Reported lower respiratory infection in children <5
Time frame: 7-day recall, assessed 4 times during 3-month follow-up rounds
Diarrhoea among all ages
Time frame: 7-day recall, assessed 4 times during 3-month follow-up roundsits
Lower respiratory infection among all ages
Time frame: 7-day recall, assessed 4 times during 3-month follow-up roundsts
Soil-transmitted helminth infection
Stool samples taken and assayed for ascaris, trichuris, hookworm
Time frame: Point prevalence assessed in rounds 2 (approximately 90-120 days after study commencement) and 4 (approximately 240 to 360 days after study commencement)
Height-for-age among children < 2 years
Children height measured and HAZ scores computed
Time frame: Assessed approximately every 90 days for a total of four measurement over study period
Weight-for-age among children <5
Children weighed and WAZ scores computed
Time frame: Assessed approximately every 90 days for a total of four measurement over study periodAssessed during all four follow up rounds
Biomarkers of environmental enteropathy and enteric infection
Time frame: Assessed once during round 3 (approximately 180 to 240 days following commencement of study
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