Effects of a community-driven water, sanitation, and hygiene intervention on diarrhea, child growth, and local institutions: A cluster-randomized controlled trial in rural Democratic Republic of Congo
John P Quattrochi e outros, 2025 · PLOS Medicine
The community-led WASH program had no statistically significant effect on 7-day diarrhea prevalence among children under 5 after 3.6 years.
Estimativa · caregiver-reported diarrhea in the last 7 days among children under 5, proportion (0-1)
-0,0100 [-0,0500; 0,0300]
difference in proportion (0-1)
- Desenho
- Experimento aleatório por conglomerados. cluster RCT across 121 village clusters
- População
- Children under 5 in rural villages across four provinces of the Democratic Republic of the Congo, evaluated 3.6 years post-intervention (2022–2023)
- Amostra
- 4.072 · children under 5 years old (1,762 intervention, 2,310 control)
Onde está o número
Results; Table 3, row 'Diarrhea prevalence', columns 'ITT' and 'CI 95%'
The intervention had no effect on diarrhea (adjusted mean difference −0.01 [95% −0.05 to 0.03])
Contexto
What changed: The Healthy Villages program provided funding for water and sanitation infrastructure, trained local WASH committees, and led hygiene promotion campaigns. Comparison: Compared to control clusters receiving no intervention across 121 clusters in four provinces. Limits: Program adherence in the treatment group was 86%, baseline measures were not collected, and diarrhea was caregiver-reported.
Caminho no grafo
- FamíliaInstituições e governança
- TipoParticipação social
- MecanismoGasto setorial sem transferência direta
- ResultadoDoença diarreica
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- Kongo Central · Estado ou região · CD
- Kasai · Estado ou região · CD
- South Kivu · Estado ou região · CD
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23