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Impact of the “BALatrine” Intervention on Soil-Transmitted Helminth Infections in Central Java, Indonesia: A Pilot Study

Many latrine campaigns in developing countries fail to be sustained because the introduced latrine is not appropriate to local socio-economic, cultural and environmental conditions, and there is an inadequate community health education component. We tested a low-cost, locally designed and constructe...

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Autores principales: Gray, Darren J, Kurscheid, Johanna M, Park, MJ, Laksono, Budi, Wang, Dongxu, Clements, Archie CA, Hadisaputro, Suharyo, Sadler, Ross, Stewart, Donald E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958350/
https://www.ncbi.nlm.nih.gov/pubmed/31817651
http://dx.doi.org/10.3390/tropicalmed4040141
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author Gray, Darren J
Kurscheid, Johanna M
Park, MJ
Laksono, Budi
Wang, Dongxu
Clements, Archie CA
Hadisaputro, Suharyo
Sadler, Ross
Stewart, Donald E
author_facet Gray, Darren J
Kurscheid, Johanna M
Park, MJ
Laksono, Budi
Wang, Dongxu
Clements, Archie CA
Hadisaputro, Suharyo
Sadler, Ross
Stewart, Donald E
author_sort Gray, Darren J
collection PubMed
description Many latrine campaigns in developing countries fail to be sustained because the introduced latrine is not appropriate to local socio-economic, cultural and environmental conditions, and there is an inadequate community health education component. We tested a low-cost, locally designed and constructed all-weather latrine (the “BALatrine”), together with community education promoting appropriate hygiene-related behaviour, to determine whether this integrated intervention effectively controlled soil-transmitted helminth (STH) infections. We undertook a pilot intervention study in two villages in Central Java, Indonesia. The villages were randomly allocated to either control or intervention with the intervention village receiving the BALatrine program and the control village receiving no program. STH-infection status was measured using the faecal flotation diagnostic method, before and eight months after the intervention. Over 8 months, the cumulative incidence of STH infection was significantly lower in the intervention village than in the control village: 13.4% vs. 27.5% (67/244 vs. 38/283, p < 0.001). The intervention was particularly effective among children: cumulative incidence 3.8% (2/53) for the intervention vs. 24.1% (13/54) for the control village (p < 0.001). The integrated BALatrine intervention was associated with a reduced incidence of STH infection. Following on from this pilot study, a large cluster-randomised controlled trial was commenced (ACTRN12613000523707).
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spelling pubmed-69583502020-01-23 Impact of the “BALatrine” Intervention on Soil-Transmitted Helminth Infections in Central Java, Indonesia: A Pilot Study Gray, Darren J Kurscheid, Johanna M Park, MJ Laksono, Budi Wang, Dongxu Clements, Archie CA Hadisaputro, Suharyo Sadler, Ross Stewart, Donald E Trop Med Infect Dis Article Many latrine campaigns in developing countries fail to be sustained because the introduced latrine is not appropriate to local socio-economic, cultural and environmental conditions, and there is an inadequate community health education component. We tested a low-cost, locally designed and constructed all-weather latrine (the “BALatrine”), together with community education promoting appropriate hygiene-related behaviour, to determine whether this integrated intervention effectively controlled soil-transmitted helminth (STH) infections. We undertook a pilot intervention study in two villages in Central Java, Indonesia. The villages were randomly allocated to either control or intervention with the intervention village receiving the BALatrine program and the control village receiving no program. STH-infection status was measured using the faecal flotation diagnostic method, before and eight months after the intervention. Over 8 months, the cumulative incidence of STH infection was significantly lower in the intervention village than in the control village: 13.4% vs. 27.5% (67/244 vs. 38/283, p < 0.001). The intervention was particularly effective among children: cumulative incidence 3.8% (2/53) for the intervention vs. 24.1% (13/54) for the control village (p < 0.001). The integrated BALatrine intervention was associated with a reduced incidence of STH infection. Following on from this pilot study, a large cluster-randomised controlled trial was commenced (ACTRN12613000523707). MDPI 2019-12-06 /pmc/articles/PMC6958350/ /pubmed/31817651 http://dx.doi.org/10.3390/tropicalmed4040141 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gray, Darren J
Kurscheid, Johanna M
Park, MJ
Laksono, Budi
Wang, Dongxu
Clements, Archie CA
Hadisaputro, Suharyo
Sadler, Ross
Stewart, Donald E
Impact of the “BALatrine” Intervention on Soil-Transmitted Helminth Infections in Central Java, Indonesia: A Pilot Study
title Impact of the “BALatrine” Intervention on Soil-Transmitted Helminth Infections in Central Java, Indonesia: A Pilot Study
title_full Impact of the “BALatrine” Intervention on Soil-Transmitted Helminth Infections in Central Java, Indonesia: A Pilot Study
title_fullStr Impact of the “BALatrine” Intervention on Soil-Transmitted Helminth Infections in Central Java, Indonesia: A Pilot Study
title_full_unstemmed Impact of the “BALatrine” Intervention on Soil-Transmitted Helminth Infections in Central Java, Indonesia: A Pilot Study
title_short Impact of the “BALatrine” Intervention on Soil-Transmitted Helminth Infections in Central Java, Indonesia: A Pilot Study
title_sort impact of the “balatrine” intervention on soil-transmitted helminth infections in central java, indonesia: a pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958350/
https://www.ncbi.nlm.nih.gov/pubmed/31817651
http://dx.doi.org/10.3390/tropicalmed4040141
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