ArticleThe American journal of tropical medicine and hygiene2017
The Role of Adherence on the Impact of a School-Based Water, Sanitation, and Hygiene Intervention in Mali.
Article in The American journal of tropical medicine and hygiene, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- 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
- Impact of a school-based water, sanitation and hygiene programme on children's independent handwashing and toothbrushing habits: a cluster-randomised trial.International journal of public health · 2020Trial
- The impact of an operation and management intervention on toilet usability in schools in the Philippines: a cluster randomised controlled trial.BMC public health · 2019Trial
- 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
- The impact of school water, sanitation, and hygiene improvements on infectious disease using serum antibody detection.PLoS neglected tropical diseases · 2018Trial
- 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
- Evaluating the outcomes of a school-based intervention on water, sanitation, and hygiene practices in urban slums of Nigeria: a qualitative evaluation based on implementation research outcome frameworks.BMC public health · 2026Article
- Stakeholder priorities for sustaining operations and maintenance of school sanitation facilities in Kampala City, Uganda.Discover public health · 2026Article
- Risk-based prioritization of operation and maintenance indicators for school sanitation decision support in Kampala City, Uganda.Discover water · 2026Article
- Effectiveness of the newly designed WASH implementation strategy on WASH practices, diarrheal diseases, respiratory illness, and absenteeism among ashram school children.Journal of family medicine and primary care · 2025Article
- Exploring Associations Between WaSH-Related Health Outcomes and Terrorist Activities in the Sahel: A Scoping Review.Public health reviews · 2025Review
- Influence of hydrometeorological risk factors on child diarrhea and enteropathogens in rural Bangladesh.PLoS neglected tropical diseases · 2024Article
- Enhancing the effectiveness of infectious disease health education for children and adolescents in China: a national multicenter school-based trial.BMC public health · 2023Article
- Female-friendly toilets in schools in Burkina Faso: A mixed-methods study using photo-elicitation.Journal of global health · 2022Article
- Drinking water, sanitation, and hygiene (WASH) situation in primary schools of Pakistan: the impact of WASH-related interventions and policy on children school performance.Environmental science and pollution research international · 2022Article
- Interventions promoting uptake of water, sanitation and hygiene (WASH) technologies in low- and middle-income countries: An evidence and gap map of effectiveness studies.Campbell systematic reviews · 2021Article
- Attributes of drinking water, sanitation, and hygiene associated with microbiological water quality of stored drinking water in rural schools in Mozambique and Uganda.International journal of hygiene and environmental health · 2021Article
- Personal hygiene in schools: retrospective survey in the northern part of Côte d'Ivoire.Journal of preventive medicine and hygiene · 2021Article
- Quantitative Microbial Risk Assessment of Drinking Water Quality to Predict the Risk of Waterborne Diseases in Primary-School Children.International journal of environmental research and public health · 2020Article
- Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AbstractStudies assessing the impacts of school-based water, sanitation, and hygiene (WASH) interventions have revealed inconsistent improvements in pupils' health and educational outcomes. This may be in part due to suboptimal project fidelity or adherence. As part of a matched-control trial of a comprehensive school-based WASH project in Mali, we measured the degree to which schools met four prespecified WASH targets, comprised of 15 criteria, 0-3 years after program implementation. We compared achievement of the targets and criteria between beneficiary and matched control schools, and compared achievement within beneficiary schools at baseline and at follow-up visits. We assessed the "as-treated" associations between WASH target achievement and pupil diarrhea, respiratory symptoms, and absence. Between 44% and 81% of beneficiary schools achieved each target. Although adherence was inconsistent across schools, beneficiary schools, on average, met more WASH targets than matched control schools, and beneficiary schools also met more WASH targets at follow-up than at baseline. Very few of the targets were individually associated with health and absenteeism outcomes. Increasing achievement of multiple WASH targets together was associated with a lower odds of pupils having diarrhea (
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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.