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TitleImpact of a school-based hygiene promotion and sanitation intervention on pupil hand contamination in Western Kenya : a cluster randomized trial
Publication TypeJournal Article
Year of Publication2012
AuthorsGreene, LE, Freeman, MC, Akoko, D, Saboori, S, Moe, C, Rheingans, R
Paginationp. 385 - 393; 3 tab.; 3 fig.
Date Published2012-03-01
PublisherAmerican Society of Tropical Medicine and Hygiene
Place PublishedDeerfield, Illinois
Keywordsdiarrhoeal diseases, hand washing, kenya western region, personal hygiene, school sanitation and hygiene education program, soap, toilet hygiene

Handwashing with soap effectively reduces exposure to diarrhea-causing pathogens. Interventions to improve hygiene and sanitation conditions in schools within low-income countries have gained increased attention; however, their impact on schoolchildren’s exposure to fecal pathogens has not been established. Our trial examined whether a school-based water, sanitation, and hygiene intervention reduced Escherichia coli contamination on pupils’ hands in western Kenya. A hygiene promotion and water treatment intervention did not reduce risk of E. coli presence
(relative risk [RR] = 0.92, 95% confidence interval [CI] = 0.54–1.56); the addition of new latrines to intervention schools significantly increased risk among girls (RR = 2.63, 95% CI = 1.29–5.34), with a non-significant increase among boys (RR = 1.36, 95% CI = 0.74–2.49). Efforts to increase usage of school latrines by constructing new facilities may pose a risk to children in the absence of sufficient hygiene behavior change, daily provision of soap and water, and anal cleansing materials. [authors abstract]

NotesWith 41 references
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