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Effect of household water treatment with chlorine on diarrhea among children under the age of five years in rural areas of Dire Dawa,eastern Ethiopia:a cluster randomized controlled trial

引用

Infectious Diseases of Poverty 2020年第3期9卷 138-139页

作者： Ephrem Tefera Solomon Sirak Robele Helmut Kloos Bezatu Mengistie Ethiopian Institute of Water Resources Addis Ababa UniversityAddis AbabaEthiopia Haramaya University College of Health and Medical SciencesHararEthiopia 不详

Background:Diarrheal disease is a leading cause of child mortality and morbidity *** water treatment with chlorine significantly reduces morbidity due to waterborne ***,the effect of point-ofuse(POU)water treatment in improving the quality of water in areas where POU is not provided free of charge and the effectiveness of home visits in inspiring household members to use POU regularly have not been *** objective of this study was to evaluate the effectiveness of drinking water disinfection by chlorination on diarrheal disease reduction among children under the age of 5 years in rural eastern ***:A cluster randomized controlled trial was carried out in rural Dire Dawa from October 2018 through January *** 405 households were randomized to intervention and control arms and intervention materials were distributed after conducting a baseline *** trial evaluated the effectiveness of household drinking water disinfection by chlorination in reducing incidence of diarrhea among children under the age of 5 *** households received 1.2%sodium hypochlorite with demonstration of its proper *** in the control households continued with their usual habits of water collection and water *** estimation equations(GEE)with log link Poisson distribution family and exchangeable correlation matrix was used to compute crude incidence rate ratio(IRR),adjusted IRR and the corresponding 95%confidence ***:In the intervention households,in total,281 cases of diarrhea were documented(8.7 cases per 100 personweeks observation);in the control households,in total 446 cases of diarrhea were documented(13.8 cases per 100 person-weeks observation).A 36.0%(adjusted IRR=0.64,95%CI:0.57–0.73)reduction in incidence of diarrhea was observed in the intervention arm when compared with the control *** highest and the lowest reductions were obtained in children of age ranges 1 to 2 years

关键词： Diarrhea Effect Water treatment with chlorine Under-five children WaterGuard cluster randomized controlled trial Ethiopia

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