Table 1 Diarrhea and dengue interventions implemented in rural primary schools in La Mesa and Anapoima municipalities, Cundinamarca, Colombia
Component | Intervention | Frequency of intervention | Objectively verifiable indicators | Sources of verification | Expected outcome |
|---|---|---|---|---|---|
(a) Diarrhea interventions (DIA) | |||||
Drinking water quality | Drinking water filters | Continuous | Values of water quality parametersa | Field collection | Clean water supply |
Cover drinking containers with lids | Continuous | Observational index: lid fitted correctly (yes/no) | Field observation | Clean water supply. Ensuring no additional contamination to water | |
Cleaning water storage containers | At least once per semester | Observational index: appearance clean (yes/no) | Field observation + responsible municipal authority | Clean water supply. Ensuring no additional contamination to water | |
Hygiene | Promotion of hand-washing with soap | Daily | 1. Presence of soap (yes/no). | Field observation survey (for indicator 1 and 2). Questionnaire (for indicator 3). | Hand-washing practices carried out and maintained (as taught in educational campaign) |
2. Availability of water for hand-washing (yes/no). | |||||
3. Frequency of hand-washing with soap by school pupils | |||||
Promotion of proper use and cleaning of toilets | Daily | Toilet cleanliness score | Field observation | Eliminate potential routes for feces ingestion during toilet use | |
Education and training | Educational campaign on diarrheal disease, hand-washing, hygiene, health and water relationships | Monthly modules | KAP score | KAP questionnaire | Children acquired proper hygiene and sanitation knowledge and practices |
(b) Dengue interventions (DEN) | |||||
Adult mosquitoes | Insecticide treated curtains | Continuous | Aedes aegypti adult mosquito density | Field collections | Reduce adult mosquito density |
Immature mosquitoes | Cover containers with lids or covers | Continuous | Aedes aegypti larval and pupal density | Field collections | Reduce immature mosquito density |
Treatment with pyriproxifen in containers that cannot be fitted with lids or covers | Continuous with weekly follow-up | Aedes aegypti larval and pupal density | Field collections | Reduce immature mosquito density | |
Solid waste management | Larval source control through solid waste management | At least once per semester | Number of positive Aedes aegypti immature breeding sites in solid waste | Field observation | Elimination of breeding sites |
Education and training | Educational campaign on dengue disease; vector biology, ecology, and control; role of solid waste; water and health relationships | Monthly modules | KAP score | KAP questionnaire | Children acquired knowledge and practices on dengue and mosquito control |