Clinical trial NCT06356636: Impact of the Financial Inclusion Improves Sanitation and Health
Official title: Impact of the Financial Inclusion Improves Sanitation and Health (FINISH) 2022- 2024 Intervention. Protocol for a Cluster - Randomized Controlled Trial in Kenya's Homa Bay County and Uganda's Kamwenge District
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Health Knowledge, Attitudes, Practice
Keywords: cluster
randomized controlled trial
sanitation
evaluation
open defecation
Uganda
Kenya
Lead sponsor: Amref Health Africa
Sponsor class: OTHER
First posted: 2024-04-10
Enrollment: 1090
Sex: ALL
Minimum age (years): 0
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The participants are divided into two or more groups, with each group receiving a different intervention or a control condition. The outcomes of each group are compared at the end of the study to assess the effectiveness of the intervention.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The goal of this interventional study is to evaluate the impacts of Financial Inclusion improvement sanitation and Health (FINISH) interventions in Kenya's Homa Bay County and Uganda's Kamwenge District among children under five. The main questions it aims to answer are:

1. What is the estimated impact of the FINISH model on health outcomes (diarrhoea occurrence and hygienic behaviour) as well as social (school attendance and sanitation) in the intervention groups?
2. What are the perspectives, attitudes, and practices of various stakeholders (communities, governments, entrepreneurs, and financiers) regarding the FINISH model?
3. What is the cost-effectiveness of the FINISH model, including the amount of leverage funds generated?

The FINISH model postulates that countries will be supported to improve the enabling business environment for sanitation, markets to offer improved safely managed services and products at an affordable price, and formal and informal financial institutions will offer more funding to businesses and households for satiation and hygiene.

Researchers will then compare intervention areas (Homa Bay in Kenya and Kamwenge in Uganda) with control areas (Siaya and Bushenyi in Kenya and Uganda, respectively) to see if the FINISH intervention leads to improved sanitation, health outcomes, and economic benefits.


Eligibility criteria: Inclusion Criteria:

* The inclusion criteria for the intervention study involve communities within specific geographic locations (Homa Bay County in Kenya and Kamwenge District in Uganda) targeted by the FINISH Mondial initiative.

Exclusion Criteria:

* to be updated

Primary outcomes:
measure: Health outcome, measured as, Proportion of households with diarrhoea occurrence in children under five years, and social outcome measured as proportion of households whose children missed school due to diarrhoea occurrence
timeFrame: 4 years, which includes baseline data collection, implementation and endline data collection
Secondary outcomes:
Other outcomes:
Locations:
city: Homa Bay
country: Kenya
facility: Homa Bay county
Study officials:
References: