Status:
COMPLETED
Hands4Health: A Multi-component Intervention on Hand Hygiene & Well-being in Schools in Nigeria & Palestine (H4H)
Lead Sponsor:
Swiss Tropical & Public Health Institute
Collaborating Sponsors:
University of Applied Sciences and Arts Northwestern Switzerland
Terre des Hommes
Conditions:
Hand Hygiene
Handwashing Behaviour
Eligibility:
All Genders
10-12 years
Phase:
NA
Brief Summary
The aim of this study is to assess the impact of the hands4health hand hygiene multi-component intervention on students and teachers in primary schools with limited access to water in Nigeria and Pale...
Detailed Description
The overall project will follow a multi-center cluster-randomized controlled trial (cRCT) design. Prior to this study, a group of schools in the study's target areas were surveyed by the Tdh (in Niger...
Eligibility Criteria
Inclusion
- Study participants will be primary school students of schools selected to be included in this study. Schools were selected based on accessibility for the study teams, not having a water source directly connected to the building of the school, and having ≤ 7000 students. 50 students between the ages of 10-12 years old from one or two classes (depending on the number of students in classes) of the 5th-7th grades will be included in the study from each included school. However, due to the large size of the schools and the high number of classes in Nigeria, the 50 students will be selected from two classes of the 5th-7th grades close to where the handwashing stations (Gravit'eau) will be positioned. The 50 selected students will be targeted with the handwashing observation (Module 2) and followed for their hygiene-related health outcomes and absenteeism during the course of the study (Module 4), while 25 of them will be targeted with RANAS and well-being survey (Module 1) and 12 of them will be targeted with collecting their hand-rinse samples (Module 3). Students in the selected classes in each school will be delivered a survey to be self-reported by one of their parents about contextual factors that could affect the hygiene practice of students (Module 5 in Palestine only).
- Inclusion criteria Modules 1-4: students must fulfil all the inclusion criteria:
- Primary school students aged 10-12 years attending included schools
- Students must be in the same school for the course of the study (1 year).
- Inclusion criteria Module 5: students must fulfil all the inclusion criteria:
- \- Students of the classes included in the study in each included school in Palestine
- Inclusion criteria Module 6:
- Students of the intervention schools
- Students need to represent each included class in the intervention.
- The teachers invited to participate in the FGDs should be
- Aged ≥ 18 years old
- Permanent employees in the school
- Teaching one of the classes included in the intervention
- Inclusion criteria Module 7:
- The participant needs to be:
- a stakeholder within the community, state, or region of the intervention whose position is related in any way to WASH in schools
- working in one of the intervention schools. They can be hygiene technicians, teachers, school's principal, or in a leading position in the school.
- Aged ≥ 18 years old
- 3 Exclusion criteria Exclusion criteria Modules 1-4: included students must not fulfil any of the following exclusion criteria:
- Refusal to participate by not providing signed consent and assent forms
- Having any medical condition that prevents them from washing their hands
- Having unexplained intermittent attendance in school (school teachers will be consulted and the school's absenteeism records will be checked for that)
- Not being at the same school for the course of the study (1 year)
- Exclusion criteria Module 5: Refusal to participate by the student or his/her parents.
- Exclusion criteria Module 6: Refusals to participate.
- Exclusion criteria Module 7: Refusals to participate
Exclusion
Key Trial Info
Start Date :
June 29 2023
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
August 16 2024
Estimated Enrollment :
2600 Patients enrolled
Trial Details
Trial ID
NCT05964478
Start Date
June 29 2023
End Date
August 16 2024
Last Update
August 30 2024
Active Locations (2)
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1
26 Primary Schools
Maiduguri, Borno State, Nigeria
2
26 Primary Schools
Hebron, Palestinian Territories