SynthesisInternational journal of environmental research and public health2012
Water and sanitation in schools: a systematic review of the health and educational outcomes.
Synthesis in International journal of environmental research and public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
78 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- The effects of school-based hygiene intervention programme: Systematic review and meta-analysis.PloS one · 2024Pooled it
- Water, Sanitation and Hygiene in Schools in Low- and Middle-Income Countries: A Systematic Review and Implications for the COVID-19 Pandemic.International journal of environmental research and public health · 2022Pooled it
- Open defecation-free slippage and its associated factors in Ethiopia: a systematic review.Systematic reviews · 2020Pooled it
- Water, Sanitation and Hygiene (WASH) in Schools in Low-Income Countries: A Review of Evidence of Impact.International journal of environmental research and public health · 2019Pooled it
- Pooled it
- Effectiveness of hand hygiene interventions in reducing illness absence among children in educational settings: a systematic review and meta-analysis.Archives of disease in childhood · 2016Pooled it
- Improving Toilet Usability and Cleanliness in Public Schools in the Philippines Using a Packaged Operation and Maintenance Intervention.International journal of environmental research and public health · 2022Trial
- The Sustainability and Scalability of Private Sector Sanitation Delivery in Urban Informal Settlement Schools: A Mixed Methods Follow Up of a Randomized Trial in Nairobi, Kenya.International journal of environmental research and public health · 2020Trial
- Benefits and Costs of a Community-Led Total Sanitation Intervention in Rural Ethiopia-A Trial-Based ex post Economic Evaluation.International journal of environmental research and public health · 2020Trial
- Impact of school-based malaria case management on school attendance, health and education outcomes: a cluster randomised trial in southern Malawi.BMJ global health · 2020Trial
- Impact of a school-based water, sanitation, and hygiene intervention on school absence, diarrhea, respiratory infection, and soil-transmitted helminths: results from the WASH HELPS cluster-randomized trial.Journal of global health · 2019Trial
- Effect of an equipment-behavior change intervention on handwashing behavior among primary school children in Kenya: the Povu Poa school pilot study.BMC public health · 2019Trial
- Design, Intervention Fidelity, and Behavioral Outcomes of a School-Based Water, Sanitation, and Hygiene Cluster-Randomized Trial in Laos.International journal of environmental research and public health · 2018Trial
- Estimating the Effect of School Water, Sanitation, and Hygiene Improvements on Pupil Health Outcomes.Epidemiology (Cambridge, Mass.) · 2016Trial
- Access to waterless hand sanitizer improves student hand hygiene behavior in primary schools in Nairobi, Kenya.The American journal of tropical medicine and hygiene · 2013Trial
- The links between adolescent health and education: pathways, impacts and economic modelling.Health policy and planning · 2026Article
- The Role of Sanitary Pads in School Achievement in Low-Income Settings.Social science research · 2026Article
- Hand Hygiene Practices in School Populations: Assessing Their Impact on Infectious Disease Outbreaks.Journal of paediatrics and child health · 2026Review
- Policy to practice: insights from implementation of a school-based sanitary napkin distribution programme in Odisha, India.Health research policy and systems · 2025Article
- WASH and learn: a scoping review of health, education and gender equity outcomes of school-based water, sanitation and hygiene in low-income and middle-income countries.BMJ global health · 2025Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A systematic review of the literature on the effects of water and sanitation in schools was performed. The goal was to characterize the impacts of water and sanitation inadequacies in the academic environment. Published peer reviewed literature was screened and articles that documented the provision of water and sanitation at schools were considered. Forty-one peer-reviewed papers met the criteria of exploring the effects of the availability of water and/or sanitation facilities in educational establishments. Chosen studies were divided into six fields based on their specific foci: water for drinking, water for handwashing, water for drinking and handwashing, water for sanitation, sanitation for menstruation and combined water and sanitation. The studies provide evidence for an increase in water intake with increased provision of water and increased access to water facilities. Articles also report an increase in absenteeism from schools in developing countries during menses due to inadequate sanitation facilities. Lastly, there is a reported decrease in diarrheal and gastrointestinal diseases with increased access to adequate sanitation facilities in schools. Ensuring ready access to safe drinking water, and hygienic toilets that offer privacy to users has great potential to beneficially impact children's health. Additional studies that examine the relationship between sanitation provisions in schools are needed to more adequately characterize the impact of water and sanitation on educational achievements.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.