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Table 3 Structured observation for sanitation, handwashing, water treatment and lipid-based nutrient supplementation (LNS) feeding practices

From: Achieving optimal technology and behavioral uptake of single and combined interventions of water, sanitation hygiene and nutrition, in an efficacy trial (WASH benefits) in rural Bangladesh

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

–

  1. aRD (risk difference), confidence interval (CI), and p value calculated using generalized linear models (GLM) to measure the difference between each intervention arm and the control arms. Clustered sandwich estimator used for cluster adjustment; the unit of clustering was the repeated events in individual household
  2. bHygienic latrine defined as presence of functional water seal and no visible feces on slab or floor inside
  3. cDenominator was total number of defecation and urination events observed in the HHs which included use of hygienic, non-hygienic latrine and open defecation
  4. dResidual chlorine > 0.2 mg/L with the HUCH method