A Cluster-Randomized Trial to Evaluate the Impact of an Inclusive, Community-Led Total Sanitation Intervention on Sanitation Access for People with Disabilities in Malawi Article Swipe

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Adam Biran , Lisa Danquah , Joseph J. Chunga , Wolf‐Peter Schmidt , Rochelle Holm , Ambumulire Itimu‐Phiri , Wales Singini , Hazel Jones , Hannah Kuper , Sian White ·

YOU? · · 2018 · Open Access · · DOI: https://doi.org/10.4269/ajtmh.17-0435

Community-led total sanitation (CLTS) is a common method for promoting sanitation in low-income settings. This cluster-randomized trial evaluated an intervention to improve inclusion of people with disability in CLTS through training facilitators. A qualitative study examined intervention acceptability. The trial included 171 people with disabilities (78 control and 93 intervention) living in 15 intervention and 15 control communities. In the intervention arm, respondents were more likely to participate in a community meeting about sanitation (+18.7%, 95% confidence interval [CI]: 3.2, 34.2) and to have been visited to discuss sanitation (+19.7, 95% CI: 0.6, 37.8). More intervention households improved latrine access for the disabled member (+9%, CI: −3.1, 21.0). Inclusive CLTS could improve sanitation access for people with disability but requires support to households beyond that provided in this trial.

Related Topics

Sanitation

Erfurt Latrine Disaster

Open Defecation

Randomized Controlled Trial

Concepts

Sanitation Latrine Intervention (counseling) Cluster randomised controlled trial Open defecation Improved sanitation Randomized controlled trial Environmental health Inclusion (mineral) Cluster (spacecraft) Medicine Psychology Nursing Social psychology Surgery Computer science Programming language Pathology

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Type: article
Language: en
Landing Page: https://doi.org/10.4269/ajtmh.17-0435
PDF: http://www.ajtmh.org/deliver/fulltext/14761645/98/4/tpmd170435.pdf?itemId=%2Fcontent%2Fjournals%2F10.4269%2Fajtmh.17-0435&mimeType=pdf&containerItemId=content/journals/14761645
OA Status: bronze
Cited By: 21
References: 5
Related Works: 10
OpenAlex ID: https://openalex.org/W2786705068

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DOI: https://doi.org/10.4269/ajtmh.17-0435

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Title: A Cluster-Randomized Trial to Evaluate the Impact of an Inclusive, Community-Led Total Sanitation Intervention on Sanitation Access for People with Disabilities in Malawi

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Type: article

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Language: en

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Publication year: 2018

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Publication date: 2018-02-06

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Authors: Adam Biran, Lisa Danquah, Joseph J. Chunga, Wolf‐Peter Schmidt, Rochelle Holm, Ambumulire Itimu‐Phiri, Wales Singini, Hazel Jones, Hannah Kuper, Sian White

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Landing page: https://doi.org/10.4269/ajtmh.17-0435

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PDF URL: https://www.ajtmh.org/deliver/fulltext/14761645/98/4/tpmd170435.pdf?itemId=%2Fcontent%2Fjournals%2F10.4269%2Fajtmh.17-0435&mimeType=pdf&containerItemId=content/journals/14761645

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Concepts: Sanitation, Latrine, Intervention (counseling), Cluster randomised controlled trial, Open defecation, Improved sanitation, Randomized controlled trial, Environmental health, Inclusion (mineral), Cluster (spacecraft), Medicine, Psychology, Nursing, Social psychology, Surgery, Computer science, Programming language, Pathology

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Cited by: 21

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Citations by year (recent): 2025: 1, 2024: 3, 2023: 1, 2022: 5, 2021: 3

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