Evidence map›Paper›PMID 32349712›Full record

ArticleBMC public health2020

Risk reduction of diarrhea and respiratory infections following a community health education program - a facility-based case-control study in rural parts of Kenya.

Miriam Karinja, Raymond Schlienger, Goonaseelan Colin Pillai, Tonya Esterhuizen, Evance Onyango, Anthony Gitau, Bernhards Ogutu

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 27% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

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  8. Microbiology and Epidemiology ofMicroorganisms · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Miriam KarinjaSwiss Tropical and Public Health Institute (Swiss TPH), Basel, Switzerland. mkarinja2001@yahoo.com.ORCID http://orcid.org/0000-0003-0474-9492
Raymond SchliengerQuantitative Safety and Epidemiology, Chief Medical Office & Patient Safety, Novartis Pharma AG, Basel, Switzerland.
Goonaseelan Colin PillaiCP+ Associates GmbH, Basel, Switzerland.
Tonya EsterhuizenDivision of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Evance OnyangoCenter for Research in Therapeutic Sciences (CREATES), Strathmore University, Nairobi, Kenya.
Anthony GitauThe Children's Investment Fund Foundation, Nairobi, Kenya.
Bernhards OgutuCenter for Research in Therapeutic Sciences (CREATES), Strathmore University, Nairobi, Kenya.
Strathmore University · KENovartis (Switzerland) · CHStellenbosch University · ZASwiss Tropical and Public Health Institute · CHUniversity of Cape Town · ZA

Funding

Novartis MED/A6/001/2014
6 · The paper itself

Abstract

backgroundDiarrheal and acute respiratory infections remain a major cause of death in developing countries especially among children below 5 years of age. About 80% of all hospital attendances in Kenya can be attributed to preventable diseases and at least 50% of these preventable diseases are linked to poor sanitation. The purpose of this study was to assess the impact of a community-based health education program, called Familia Nawiri, in reducing the risk of diarrhea and respiratory infections among people living in three rural Kenyan communities.

methodsCases were defined as patients attending the health facility due to diarrhea or a respiratory infection while controls were patients attending the same health facility for a non-communicable disease defined as an event other than diarrhea, respiratory infection. Adjusted odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using a logistic regression model to assess the risk of diarrheal or respiratory infection in association with exposure to the health education program.

resultsThere were 324 cases and 308 controls recruited for the study with 57% of the cases and 59% of the controls being male. Overall, 13% of cases vs. 20% of control patients were exposed to the education program. Participants exposed to the program had 38% lower odds of diarrhea and respiratory infections compared to those not exposed to the program (adjusted OR 0.62, 95% CI 0.41-0.96). A similar risk reduction was observed for participants in the study who resided in areas with water improvement initiatives (adjusted OR 0.65, 95% CI 0.47-0.90). Variables in the adjusted model included water improvement projects in the area and toilet facilities.

conclusionFindings from this study suggest participants exposed to the education program and those residing in areas with water improvement initiatives have a reduced risk of having diarrhea or respiratory infection.

Indexed as

Health EducationRural PopulationAdolescentAdultCase-Control StudiesChildChild, PreschoolDiarrheaFemaleHumansKenyaMaleProgram EvaluationRespiratory Tract InfectionsRisk Reduction BehaviorYoung AdultCase-control studyDiarrheaHealth educationHygieneRespiratory infection

Identifiers

PMID32349712
PMCPMC7191750
OpenAlexW3021226634

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.