Working...
ClinicalTrials.gov
ClinicalTrials.gov Menu

Using Behaviour Change Messaging to Improve Communal Toilets in Dhaka, Bangladesh (WSUP)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT02324075
Recruitment Status : Completed
First Posted : December 24, 2014
Last Update Posted : January 18, 2016
Sponsor:
Collaborator:
Johns Hopkins Bloomberg School of Public Health
Information provided by (Responsible Party):
Stephen P Luby, Stanford University

Brief Summary:

Background (brief):

  1. Burden: In low income neighborhoods in Dhaka many households share toilets which are often unsanitary and their discharge contaminates the community.
  2. Knowledge gap: Behavior change messages have the potential to make people concerned about maintaining shared toilets quality, cleanliness and safety of the facility. There are many contributors to poor sanitation in low income neighborhoods in Dhaka but it's not clear that the situation can be improved with behavior change or even which specific messages to target.
  3. Relevance: Water Sanitation for the Urban Poor (WSUP) is a nongovernmental organization working to improve shared sanitation facilities in Dhaka. They are interested in developing and evaluating a behavior change program to improve shared sanitation in Dhaka and to generate lessons that would be relevant for other low income urban settings globally.

Hypothesis: A behavior change communication intervention can improve the quality and cleanliness of sanitation services available to low-income residents of Dhaka.

Objectives:

  1. To deliver behavior change messages (which target key behaviors influencing the quality and cleanliness of shared sanitation facilities) to randomly selected low-income communities in Dhaka.
  2. To evaluate the effectiveness of a behavior change communication intervention designed to change targeted behaviors related to the quality and cleanliness of shared sanitation facilities.

Methods:

Local non-governmental organizations will deliver the intervention (behavior change communication package) in randomly selected communities. For this study the investigators will assess the impact of this intervention on the targeted behaviors using follow-up surveys and spot checks.


Condition or disease Intervention/treatment Phase
Diarrhea Behavioral: Behavior change Not Applicable

  Show Detailed Description

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 4200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Using Behaviour Change Messaging to Improve Communal Toilets in Dhaka, Bangladesh
Study Start Date : December 2014
Actual Primary Completion Date : September 2015
Actual Study Completion Date : November 2015

Arm Intervention/treatment
Experimental: Behavior change
Behavior change messaging with facilitating hardware
Behavioral: Behavior change
Non governmental organization delivers communication intervention with facilitating hardware, a waste bin and bucket

No Intervention: Control Arm
Standard habits and practices



Primary Outcome Measures :
  1. Presence of visible feces inside the pan in the shared latrine [ Time Frame: baseline and 6 months post intervention ]
    Observer in unannounced visit assesses if feces is inside the pan and estimates quantity


Secondary Outcome Measures :
  1. Presence of visible feces outside the pan in the shared latrine [ Time Frame: baseline and 6 months post intervention ]
    Observer in unannounced visit assesses if feces is outside the pan and estimates quantity

  2. Visible feces on the path leading up to the latrine [ Time Frame: baseline and 6 months post intervention ]
    Observer in unannounced visit assesses if feces is visible on path leading up to the latrine

  3. Visible feces near the latrine but not on the path [ Time Frame: baseline and 6 months post intervention ]
    Observer in unannounced visit assesses if feces is visible near the latrine

  4. Functional latrine [ Time Frame: baseline and 6 months post intervention ]
    Is the latrine operational at the time of the unannounced visit?

  5. Latrine cleanliness [ Time Frame: baseline and 6 months post intervention ]
    8 item checklist for observer to assess cleanliness



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   2 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Residents of low income communities in Dhaka who share toilet facilities with non-family members

Exclusion Criteria:

  • Special groups whose ability to give voluntary informed consent might be compromised

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02324075


Locations
Layout table for location information
Bangladesh
Icddr,B
Dhaka, Bangladesh, 1000
Sponsors and Collaborators
Stanford University
Johns Hopkins Bloomberg School of Public Health
Investigators
Layout table for investigator information
Principal Investigator: STEPHEN P LUBY, M.D. Stanford University

Layout table for additonal information
Responsible Party: Stephen P Luby, Primary Investigator, Stanford University
ClinicalTrials.gov Identifier: NCT02324075     History of Changes
Other Study ID Numbers: SPO-113016
First Posted: December 24, 2014    Key Record Dates
Last Update Posted: January 18, 2016
Last Verified: January 2016

Keywords provided by Stephen P Luby, Stanford University:
sanitation, toilet, urban, behavior change

Additional relevant MeSH terms:
Layout table for MeSH terms
Diarrhea
Signs and Symptoms, Digestive
Signs and Symptoms