Indicators n/N (%) | Control | Water | Sanitation | Handwashing | Nutrition | WSH | Nutrition+WSH | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
(%) n/N | (%) n/N | RDa (CI) p value | (%) n/N | RD (CI) p value | (%) n/N | RD (CI p value | (%) n/N | RD (CI) p value | (%) n/N | RD (CI) p value | (%) n/N | RD (CI) p value | |
Sanitation practices | |||||||||||||
 Observed adult use of hygienic latrineb | (40) 38/94c | (44) 16/36 | 4 (− 31, 39) 0.82 | (94) 32/34 | 54 (28, 79 < .001 | (27) 8/30 | −14 (− 49,21) 0.44 | (31) 13/42 | − 9 (− 41,23) 0.56 | (97) 37/38 | 57 (32,82) < .001 | (95) 35/37 | 54 (29,80) < .001 |
 Observed child defecation in potty or hygienic latrine | (32) 22/69 | (29) 9/31 | −3 (− 49,44) 0.90 | (54) 21/39 | 22 (−18,61) 0.28 | (9.1) 2/22 | −23 (− 61,-15) 0.24 | (5.9) 2/34 | − 26 (− 63,11) 0.17 | (37) 13/35 | 5 (− 38,48) 0.81 | (40) 16/40 | 8 (− 31,47) 0.70 |
 Safe disposal of human feces | (16) 12/76 | (13) 4/30 | −2 (− 32,27) 0.87 | (36) 14/39 | 20 (− 11,51) 0. | (3.2) 1/31 | − 13 (− 39,-14) 0.40 | (5.3) 2/38 | −.11 (− 38,17) 0.45 | (38) 13/34 | .22 (− 11,56) 0.19 | (30) 14/47 | .14 (− 16,44) 0.25 |
 Use of sani-scoop for human feces handling | – | – | – | (27) 6/22 | – | – | – | – | – | (25) 5/20 | – | (38)11/29 | – |
 Use of sani-scoop for animal feces handling | – | – | – | (15) 16/105 | – | – | – | – | – | (21) 24/116 | – | (12) 12/102 | – |
Handwashing practices | |||||||||||||
 Handwashing with soap | |||||||||||||
  After toilet use | (29) 25/87 | (18) 6/34 | −11 (−35,13) 0.37 | (30) 10/33 | 2 (−24,27) 0.90 | (67) 18/27 | 38 (11,64) < .005 | (40) 16/40 | 11 (−15,38) 0.41 | (74) 26/35 | 46 (19,72) < .001 | (67) 20/30 | 38 (10,65) < .007 |
  After cleaning child’s anus | (26) 18/69 | (39) 12/31 | 13 (− 7,.32) 0.21 | (34) 14/41 | .8 (−12,28) 0.43 | (61) 14/23 | 35 (12,58) 0.003 | (37) 13/35 | 11 (− 13,35) 0.36 | (69) 24/35 | 42 (6,78) < .020 | (72) 28/39 | 46 (26,66) < .001 |
  Before infant feeding | (1.8) 6/343 | (4.0) 9/227 | 2 (−2,6) 0.27 | (1.9) 3/160 | .1 (−2,2) 0.92 | (16) 26/161 | 14 (2,27) 0.02 | (2.9) 5/174 | 1 (−2,4) 0.44 | (9.0) 14/155 | 7 (2,13) 0.008 | (5.3) 10/190 | 4 (−.1,7) 0.06 |
  Before eating | (0.7) 4/546 | (.3) 1/296 | −.3 (−1,1) .42 | (1.5) 4/262 | 0.7 (−.8,2) .34 | (6.9) 21/306 | 6 (3,9) < .001 | (1.7) 5/297 | 1 (− 1,3) .30 | (11) 34/300 | 11 (5,16) < .001 | (5.1) 16/317 | 4 (1,7) 0.007 |
  Before food preparation | (.5) 1/186 | (1.9) 2/104 | 1 (−2,4) 0.35 | (0) 0/106 | −.5 (−.1,.5) 0.32 | (5.0) 6/121 | 4 (.4,8.0) 0.03 | (0) 0/118 | − 5 (−1,.5) 0.31 | (8.7) 9/104 | 8 (2,14) 0.005 | (5.0) 6/119 | 5 (−1,10) 0.11 |
  After cutting vegetables to be cooked | (0.6) 1/161 | (3.0) 2/67 | 2 (−3,8) 0.41 | (0) 0/88 | −.6 (−1,.6) 0.31 | (5.0) 4/80 | 4 (−.3,9) 0.07 | (1.0) 1/100 | 4 (− 2,3) 0.75 | (5.8) 5/86 | 5 (.1,10) 0.03 | (4.2) 4/95 | 4 (− 1,9) 0.15 |
  After handling raw meat/fish | (6.0) 4/67 | (0) 0/23 | −6 (−11,-.3) 0.04 | (8.6) 3/35 | 3 (−8,13) 0.63 | (44) 8/18 | 38 (7,70) 0.01 | (3.9) 1/26 | −2 (− 11,7) 0.65 | (18) 3/17 | 12 (− 9,30) 0.27 | (32) 12/38 | 25 (12,39) < .001 |
  All food handling events | (1.0) 10/960 | (1.0) 5/490 | −.02 (−1,1) 0.97 | (1.4) 7/491 | .4 (− 1,2) 0.60 | (7.4) 39/525 | 6 (3,9) < .001 | (1.3) 7/541 | .3 (− 1,2) 0.72 | (10.1)51/507 | 9 (6,12) < .001 | (6.7) 38/569 | 6 (3,8) < .001 |
Water practices | |||||||||||||
 Water treatment-related events | |||||||||||||
  Proportion of households observed to store water | (51) 55/108 | (48) 26/54 | −3 (−19,13) 0.74 | (49) 27/55 | −2 (− 18,14) 0.83 | (51) 27/53 | .01 (− 16,16) 0.99 | (48) 26/54 | − 3 (− 19,13) 0.74 | (53) 28/53 | .02 (− 14,18) 0.82 | (62) 34/55 | 10 (−5,27) 0.18 |
  Storage container fully covered | (18) 13/74 | (77) 27/35 | 60 (41,78) < .001 | (38) 16/42 | 20 (−.3,41) 0.05 | (31) 13/42 | 13 (−9,35) 0.23 | (19) 7/37 | 1 (−16,18) 0.88 | (55) 21/38 | 38 (19,57) < .001 | (62) 31/50 | 44 (24,65) < .001 |
  Water stored with residual chlorination detectedd | 0/70 (0) | (70) 23/33 | 69 (54,85) < .001 | 0/41 (0) | 0 (− 0,0) 1 | 0/42 (0) | 0 (− 0,0) 1 | 0/37 (0) | 0 (− 0,0) 1 | (50) 18/36 | 50 (33,66) < .001 | (65) 30/46 | 65 (51,80) < .001 |
  Drinking stored water; index child or its mother | (81) 208/258 | (97) 167/172 | 16 (10,23) < .001 | (81.3) 113/139 | .7 (−8,9) 0.88 | (83) 96/116 | 2 (− 9,12) 0.70 | (85)126/148 | 5 (−5,14) 0.34 | (97) 109/113 | 16 (10,22) < .001 | (97) 113/117 | 16 (10,22) < .001 |
  Drinking stored water; other household members | (87) 222/256 | (90) 146/162 | 3 (−6,12) 0.46 | (78.4) 105/134 | −8 (−18,2) 0.10 | (83) 134/162 | −4 (−16,.8) 0.51 | (89) 122/137 | 2 (− 6,10) 0.58 | (96) 141/147 | 9 (3,16) 0.004 | (83) 144/173 | −3 (−18,12) 0.65 |
Water collection and storage practices | |||||||||||||
  Rinsed container with water | (42) 31/74 | (60) 21/35 | 18 (5,42) 0.13 | (43) 18/42 | 1 (−23,25) 0.94 | (33) 14/42 | −9 (−31,14) 0.46 | (41) 15/37 | −1 (− 26,26) 0.91 | (58) 22/38 | 16 (−8,40) 0.10 | (34) 17/50 | − 8 (− 29,14) 0.47 |
  Washed hands with only water | (27) 20/74 | (34) 12/35 | 7 (−14,29) 0.51 | (41) 17/42 | 13 (−11,37) 0.27 | (14) 6/42 | −13 (− 29,4) 0.13 | (24) 9/37 | −3 (−23,17) 0.79 | (40) 15/38 | 12 (− 11,36) 0.31 | (16) 8/50 | − 11 (− 29,7) 0.22 |
  Washed hands with water and soap | (1.4) 1/74 | (14) 5/35 | 13 (.3,26) 0.04 | (0) 0/42 | −1 (−4,1) 0.31 | (0) 0/42 | −1 (−4,1) 0.31 | (0) 0/37 | − 1 (− 4,1) 0.31 | (7.9) 3/38 | 7 (−2,16) 0.16 | (0) 0/50 | − 1 (− 4,1) 0.31 |
Serving stored drinking water | |||||||||||||
  Rinsed glass with drinking water | (15) 76/514 | (7.8) 26/334 | −7 (−13,-1) 0.02 | (20) 55/273 | 5 (−.4,14) 0.24 | (11) 30/278 | −4 (−10,2) 0.21 | (14) 40/285 | −.8 (− 7,6) 0.83 | (8.1) 21/260 | − 7 (− 13,-1) 0.03 | (7.6) 22/290 | − 7 (− 13,-2) 0.01 |
  Washed hands with only water | (5.5) 28/514 | (4.5) 15/334 | − 1 (−5,3) 0.65 | (4.4) 12/273 | −1 (−6,4) 0.69 | (3.2) 9/278 | −2 (−6,2) 0.29 | (3.2) 9/285 | −2 (− 6,2) 0.24 | (3.5) 9/260 | − 2 (− 6,2) 0.31 | (1.4) 4/290 | − 4 (− 7,-1) 0.01 |
Drinking water stored in the study provided container (topaz); index child or its mother | – | (74) 128/172 | – | – | – | – | – | – | – | (66) 74/113 | – | (68)80/118 | – |
Drinking water stored in the study provided container (topaz); other household members | – | (40) 65/162 | – | – | – | – | – | – | – | (57) 84/147 | – | (42) 72/173 | – |
Nutrition practices | |||||||||||||
 LNS events | |||||||||||||
  Observed LNS serving (at least 1) | – | – | – | – | – | – | – | (56) 30/54 | – | – | – | (59) 32/54 | – |
  Consumption (index child) |  |  |  |  |  |  |  |  |  |  |  |  |  |
  Consumed 1 full sachet | – | – | – | – | – | – | – | (65) 26/40 | – | – | – | (97) 31/32 | – |
  Consumed 2 full sachet | – | – | – | – | – | – | – | (0) 0/40 | – | – | – | (0) 0/32 | – |
  Partially from left over sachet | – | – | – | – | – | – | – | (13) 5/40 | – | – | – | (0) 0/32 | – |
  Partially eaten and stored | – | – | – | – | – | – | – | (18) 7/40 | – | – | – | (0) 0/32 | – |
  Partially eaten and thrown away | – | – | – | – | – | – | – | (5) 2/40 | – | – | – | (3.1) 1/32 | – |
  Mother’s hands washed with soap before feeding LNS | – | – | – | – | – | – | – | (13) 5/40 | – | – | – | (31) 10/32 | – |