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Evaluation of the Role of School Children in the Promotion of Point-of-Use Water Treatment and Handwashing in Schools and Households—Nyanza Province, Western Kenya, 2007
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We installed drinking water and handwashing stations in 17 rural schools and trained teachers to promote water treatment and hygiene to pupils. We gave schools flocculent-disinfectant powder and hypochlorite solution for water treatment. We conducted a baseline water handling survey of pupils' parents from 17 schools and tested stored water for chlorine. We trained teachers and students about hygiene, installed water stations, and distributed instructional comic books to students. We conducted follow-up surveys and chlorine testing at 3 and 13 months. From baseline to 3-month follow-up, parental awareness of the flocculent-disinfectant increased (49–91%, P < 0.0001), awareness of hypochlorite remained high (93–92%), and household use of flocculent-disinfectant (1–7%, P < 0.0001) and hypochlorite (6–13%, P < 0.0001) increased, and were maintained after 13 months. Pupil absentee rates decreased after implementation by 26%. This school-based program resulted in pupil-to-parent knowledge transfer and significant increases in household water treatment practices that were sustained over 1 year.
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“Interventions that deliver hand-washing promotion and point-of-use water treatment have reported reductions in student absence of between 21% [32] and 61% [38] with one study specifically identifying reduced absence among girls (i.e., 58% reduction in the odds of absence for girls) [21].”
From Water, Sanitation and Hygiene (WASH) in Schools in Low-Income Countries: A Review of Evidence of Impact (2019) · cites this paper as [32]
In the citing paper
“Six studied examined whether WASH interventions in schools led to reductions in the family and community burden of WASH-related diseases and improved WASH knowledge at the family and community level. They provide very limited evidence of improvements in WASH-related knowledge and behavior and reduced WASH-related disease among family [14,32,33].”
From Water, Sanitation and Hygiene (WASH) in Schools in Low-Income Countries: A Review of Evidence of Impact (2019) · cites this paper as [32]
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Metadata
- Authors
- Blanton, E., Ombeki, S., Oluoch, G. O., Mwaki, A., Wannemuehler, K., & Quick, R.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Blanton, Elizabeth
- Venue
- The American Society of Tropical Medicine and Hygiene
- Published
- 2010-04
- Volume
- 82
- Issue
- 4
- Pages
- 664-671
- ISSN
- 0002-9637 (ISSN-L)
- 1476-1645
- PMC
- PMC2844562
- OpenAlex
- W2166137638
- Cited by
- 114
- References
- 24
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 13 · 2022: 1 · 2021: 10 · 2020: 2 · 2019: 11 · 2018: 5 · 2017: 10 · 2016: 6 · 2015: 9 · 2014: 11 · 2013: 8 · 2012: 12
- FWCI
- 8.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (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
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Water Treatment and Disinfection
- Keywords
- household water treatment, hand washing, hypochlorite, stored drinking water, residual chlorine, teacher professional development, school absenteeism, rural schools, Nyanza Province
- MeSH terms
- Adolescent, Child, Data Collection, Disinfectants, Female, Hand Disinfection, Humans, Kenya, Male, Parent-Child Relations, School Health Services, Schools, Time Factors, Water Purification, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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