Effects of adding household water filters to Rwanda’s Community-Based Environmental Health Promotion Programme: a cluster-randomized controlled trial in Rwamagana district

Autor: Sabrina Haque, Miles A. Kirby, Laurien Iyakaremye, Alemayehu Gebremariam, Getachew Tessema, Evan Thomas, Howard H. Chang, Thomas Clasen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: npj Clean Water, Vol 5, Iss 1, Pp 1-11 (2022)
Druh dokumentu: article
ISSN: 2059-7037
DOI: 10.1038/s41545-022-00185-y
Popis: Abstract Unsafe drinking water remains a major cause of mortality and morbidity. While Rwanda’s Community-Based Environmental Health Promotion Programme (CBEHPP) promotes boiling and safe storage, previous research found these efforts to be ineffective in reducing fecal contamination of drinking water. We conducted a cluster randomized control led trial to determine if adding a household water filter with safe storage to the CBEHPP would improve drinking water quality and reduce child diarrhea. We enrolled 1,199 households with a pregnant person or child under 5 across 60 randomly selected villages in Rwamagana district. CBEHPP implementers distributed and promoted water purifiers to a random half of villages. We conducted two unannounced follow-up visits over 13–16 months after the intervention delivery. The intervention reduced the proportions of households with detectable E. coli in drinking water samples (primary outcome) by 20% (PR 0.80, 95% CI 0.74–0.87, p
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