Evaluating a Water Quality Assurance Fund Intervention in Ghana and Kenya
NCT Number: NCT06570005
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Water Quality|Water Treatment|Knowledge|Satisfaction
Interventions: OTHER: Water Quality Assurance Fund
Sponsor: The Aquaya Institute
Collaborators: United States Agency for International Development (USAID)|Conrad N. Hilton Foundation|The Leona M. and Harry B. Helmsley Charitable Trust|Kwame Nkrumah University of Science and Technology (KNUST)|Water Mission
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 4800
Study Design: Allocation: RANDOMIZED|Intervention Model: SEQUENTIAL|Masking: NONE|Primary Purpose: OTHER
Start Date: 2022-12-06
Completion Date: 2025-09-30
Locations: The Aquaya Institute, Accra, Ghana|The Aquaya Institute, Nairobi, Kenya

Summary:
The objective of this study is to evaluate the effects of a novel financial and capacity strengthening intervention (the 'Water Quality Assurance Fund' program) on water safety management in rural Ghana and Kenya. The investigators hypothesize the intervention will improve water system operator knowledge, chlorination practices, and water quality at the point of collection, as well as improve consumer satisfaction, awareness, and willingness-to-pay for water that is tested and treated.

Primary Outcome Measures: Adequate free chlorine residual in water at the point of collection, Free chlorine residual in water at the point of collection above targeted levels of 0.2 mg/L., Baseline, 6-months, 12-months, 18-months, 24-months
Secondary Outcome Measures: Detectable free chlorine residual in water at the point of collection, Free chlorine residual in water at the point of collection above detectable levels of 0.1 mg/L., Baseline, 6-months, 12-months, 18-months, 24-months|E. coli in water at the point of collection, E. coli in water at point of collection (binary and categorical)., Baseline, 6-months, 12-months, 18-months, 24-months|Water system operator knowledge, Water system operator knowledge related to water quality (score out of 32 points on a knowledge assessment)., Baseline, 12-months, 24-months|Consumer awareness, Household respondent is aware enrolled water is tested or treated, Baseline, 12-months, 24-months|Consumer satisfaction, Household respondent is satisfied with water supplier. They will be considered satisfied if they report they are either very satisfied or somewhat satisfied with the water supplier. They will be considered dissatisfied if they report they are either very dissatisfied or somewhat dissatisfied with the water supplier., Baseline, 12-months, 24-months|Willingness-to-pay, Stated willingness-to-pay for treated and tested water for standpipe and private tap users (% increase and absolute increase in local currency)., Baseline, 12-months, 24-months|Adequate free chlorine residual in household stored water, Free chlorine residual in household stored water above targeted levels of 0.2 mg/L., Baseline, 12-months, 24-months|Detectable free chlorine residual in household stored water, Free chlorine residual in household stored water above detectable levels of 0.1 mg/L., Baseline, 12-months, 24-months|E. coli in household stored water, E. coli in household stored water (binary and categorical)., Baseline, 12-months, 24-months
Other Outcome Measures: Water system chlorination frequency, Water system operator reports weekly chlorinating frequency., Baseline, 6-months, 12-months, 18-months, 24-months|Water system revenue, Revenue reported by water systems., Baseline, 6-months, 12-months, 18-months, 24-months|Households use of enrolled water for drinking, Households use of enrolled water for drinking (binary)., Baseline, 12-months, 24-months