Evaluation of a Handwashing Promotion Program in Three Countries

Study Overview
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Brief Summary
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The purpose of this study is to assess whether simple, school-based handwashing promotion impacts health and hygiene knowledge among students and their families.

Official Title
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Evaluation of a School-based Handwashing Promotion Program in Three Countries

Conditions
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Infectious Disease, Respiratory Illness, Absenteeism

Intervention / Treatment
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* Behavioral: Procter & Gamble school-based handwashing promotion program
* Behavioral: expanded school-based handwashing promotion


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 19 students per first grade class Piped water tap available to every 30 first grade students for handwashing Exclusion Criteria: Compulsory handwashing or distribution of hand wipes before school lunch Commercial handwashing promotion at school during previous 5 years
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: 1<br>Randomly selected schools will not receive handwashing intervention | |
| Experimental: 2<br>Randomly selected schools will get standard commercial school-based handwashing promotion | Behavioral: Procter & Gamble school-based handwashing promotion program<br>* Handwashing promotion lesson and materials targeting first grade students<br>|
| Experimental: 3<br>Randomly selected schools will receive standard commercial school-based handwashing promotion program, plus an added level of handwashing promotion (varies by country) | Behavioral: expanded school-based handwashing promotion<br>* Procter & Gamble's standard school-based handwashing promotion education and materials targeting first grade students, plus a program enhancement. In China, enhancement consists of a supply of soap for school sinks. In Pakistan, enhancement consists of soap for school sinks, plus enlistment of a peer hygiene champion in each first grade class. In the Philippines, enhancement consists of enlistment of a peer hygiene champion in each first grade class.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| student school absences / 100 student-weeks of observation |  | one semester | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Student absences due to respiratory illness / 100 student-weeks of observation |  | one semester | 
| student absences due to infectious syndromes / 100 student-weeks of observation |  | one semester | 
| longitudinal prevalence of infectious syndromes among students' family members |  | one semester | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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schools, handwashing, prevention and control, communicable diseases, absenteeism