The Role of Adherence on the Impact of a School-Based Water, Sanitation, and Hygiene Intervention in Mali.

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

SUBMITTER: Garn JV 

PROVIDER: S-EPMC5392652 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature