DIARRHEA PREVENTION IN A KENYAN SCHOOL THROUGH THE USE OF A SIMPLE SAFE WATER AND HYGIENE INTERVENTION
Abstract
To prevent diarrhea in rural Western Kenya, we implemented the Safe Water System (water treatment with bleach, safe storage, and behavior-change communications) in 2000. We implemented a pilot project in a school in May 2003. Teachers taught students about safe water and hygiene. Safe water storage vessels were placed between classrooms. Two large water tanks for handwashing were positioned by the kitchen and latrines. The vessels were filled daily with water, which was treated with bleach and monitored for free chlorine residuals. Daily student care logs at the local clinic were reviewed. Clinic visits for diarrhea peaked during the January through March period in 2002 at 130 and in 2003 at 71, but in 2004, after project implementation, only 13 diarrhea episodes were recorded. The project saved the school about $5.49 per student per year. The project has been expanded to 70 schools, and an evaluation is planned.
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Fourteen (78%) of the 18 publications that reported disease-related outcomes found reductions in diarrhoeal disease and other hygiene-related diseases, such as respiratory illness and soil-transmitted helminths, among students at intervention schools.
“Fourteen (78%) of the 18 publications that reported disease-related outcomes found reductions in diarrhoeal disease and other hygiene-related diseases, such as respiratory illness and soil-transmitted helminths, among students at intervention schools (c.f. [7,18,21,28]).”
From Water, Sanitation and Hygiene (WASH) in Schools in Low-Income Countries: A Review of Evidence of Impact (2019) · cites this paper as [28]
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References 9 · Cited by 42
- Authors
- MIGELE, J., OMBEKI, S., AYALO, M., BIGGERSTAFF, M., & QUICK, R.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- QUICK, ROBERT
- Venue
- The American Journal of Tropical Medicine and Hygiene
- Published
- 2007-02
- Volume
- 76
- Issue
- 2
- Pages
- 351-353
- ISSN
- 0002-9637 (ISSN-L)
- OpenAlex
- W1849429639
- Cited by
- 42
- References
- 9
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 3 · 2017: 5 · 2015: 5 · 2014: 2 · 2013: 4 · 2012: 6
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Physical Sciences › Environmental Science › Water Science and Technology › Water Resource Management and Quality
- Life Sciences › Agricultural and Biological Sciences › Food Science › Food Safety and Hygiene
- Keywords
- diarrhea prevention, school-based intervention, bleach disinfection, water storage, hand washing, hygiene education, behavior change communication, free residual chlorine, rural Kenya, cost-effectiveness, school health
- MeSH terms
- Animals, Diarrhea, Hand Disinfection, Humans, Hygiene, Kenya, Pilot Projects, Rural Population, Schools, Water Purification
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