Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2015
Design of an Intervention to Minimize Ingestion of Fecal Microbes by Young Children in Rural Zimbabwe.
Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01824940 (Sanitation, Hygiene, Infant Nutrition Efficacy Project), which is not on this map. Cited by 23 papers, 2 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.
Sanitation, Hygiene, Infant Nutrition Efficacy Project
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Nudge strategies for behavior-based prevention and control of neglected tropical diseases: A scoping review and ethical assessment.PLoS neglected tropical diseases · 2021Pooled it
- Use, adoption, and effectiveness of tippy-tap handwashing station in promoting hand hygiene practices in resource-limited settings: a systematic review.BMC public health · 2020Pooled it
- Effect of water, sanitation, and hygiene on childhood growth in Ethiopia: a cluster-randomized trial.International journal of hygiene and environmental health · 2026Trial
- Trial
- Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on child stunting and anaemia in rural Zimbabwe: a cluster-randomised trial.The Lancet. Global health · 2019Trial
- Using Geographic Information Systems and Spatial Analysis Methods to Assess Household Water Access and Sanitation Coverage in the SHINE Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015Trial
- School-age growth and development following infant feeding and/or water, sanitation, and hygiene interventions in rural Zimbabwe: long-term follow-up of a cluster-randomised trial.EClinicalMedicine · 2024Article
- Gastrointestinal parasite prevalence, diversity and association in free-ranging Chacma baboon troops in a semi-arid savanna ecosystem of Zimbabwe.International journal for parasitology. Parasites and wildlife · 2024Article
- Towards transformative WASH: an integrated case study exploring environmental, sociocultural, economic and institutional risk factors contributing to infant enteric infections in rural tribal India.BMC public health · 2021Article
- A One Health Approach to Child Stunting: Evidence and Research Agenda.The American journal of tropical medicine and hygiene · 2021Review
- Multi-Sectoral Participatory Design of a BabyWASH Playspace for Rural Ethiopian Households.The American journal of tropical medicine and hygiene · 2021Article
- The phenomenon of summer diarrhea and its waning, 1910-1930.Explorations in economic history · 2020Article
- Practices and Perspectives on Latrine Use, Child Feces Disposal, and Clean Play Environments in Western Kenya.The American journal of tropical medicine and hygiene · 2020Article
- Article
- Risk Factors Associated with Feeding Children under 2 Years in Rural Malawi-A Formative Study.International journal of environmental research and public health · 2019Article
- Environmental enteric dysfunction and child stunting.Nutrition reviews · 2019Review
- A Community-Designed Play-Yard Intervention to Prevent Microbial Ingestion: A Baby Water, Sanitation, and Hygiene Pilot Study in Rural Zambia.The American journal of tropical medicine and hygiene · 2018Article
- Observe Before You Leap: Why Observation Provides Critical Insights for Formative Research and Intervention Design That You'll Never Get From Focus Groups, Interviews, or KAP Surveys.Global health, science and practice · 2018Article
- Characterizing Potential Risks of Fecal-Oral Microbial Transmission for Infants and Young Children in Rural Zambia.The American journal of tropical medicine and hygiene · 2018Article
- Assessment of the Acceptability and Feasibility of Child Potties for Safe Child Feces Disposal in Rural Bangladesh.The American journal of tropical medicine and hygiene · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
Abstract
We sought to develop a water, sanitation, and hygiene (WASH) intervention to minimize fecal-oral transmission among children aged 0-18 months in the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial. We undertook 4 phases of formative research, comprising in-depth interviews, focus group discussions, behavior trials, and a combination of observations and microbiological sampling methods. The resulting WASH intervention comprises material inputs and behavior change communication to promote stool disposal, handwashing with soap, water treatment, protected exploratory play, and hygienic infant feeding. Nurture and disgust were found to be key motivators, and are used as emotional triggers. The concept of a safe play space for young children was particularly novel, and families were eager to implement this after learning about the risks of unprotected exploratory play. An iterative process of formative research was essential to create a sequenced and integrated longitudinal intervention for a SHINE household as it expects (during pregnancy) and then cares for a new child.
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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.