• 1.

    WHO, 2009. Historical Perspective on Hand Hygiene in Health Care. Available at: https://www.ncbi.nlm.nih.gov/books/NBK144018/. Accessed September 13, 2017.

    • Search Google Scholar
    • Export Citation
  • 2.

    Mortimer K et al. 2017. A cleaner burning biomass-fuelled cookstove intervention to prevent pneumonia in children under 5 years old in rural Malawi (the cooking and pneumonia study): a cluster randomised controlled trial. Lancet 389: 167175.

    • Search Google Scholar
    • Export Citation
  • 3.

    Smith KR, McCracken JP, Weber MW, Hubbard A, Jenny A, Thompson LM, Balmes J, Diaz A, Arana B, Bruce N, 2011. Effect of reduction in household air pollution on childhood pneumonia in Guatemala (RESPIRE): a randomised controlled trial. Lancet 378: 17171726.

    • Search Google Scholar
    • Export Citation
  • 4.

    Clasen T et al. 2014. Effectiveness of a rural sanitation programme on diarrhoea, soil-transmitted helminth infection, and child malnutrition in Odisha, India: a cluster-randomised trial. Lancet Glob Health 2: e645e653.

    • Search Google Scholar
    • Export Citation
  • 5.

    Arnold B, Arana B, Mäusezahl D, Hubbard A, Colford JM Jr., 2009. Evaluation of a pre-existing, 3-year household water treatment and handwashing intervention in rural Guatemala. Int J Epidemiol 38: 16511661.

    • Search Google Scholar
    • Export Citation
  • 6.

    WHO, 2017. Progress on Drinking Water, Sanitation and Hygiene: 2017 Update and SDG Baselines. Geneva, Switzerland: World Health Organization.

  • 7.

    Waterkeyn J, Cairncross S, 2005. Creating demand for sanitation and hygiene through community health clubs: a cost-effective intervention in two districts in Zimbabwe. Soc Sci Med 61: 19581970.

    • Search Google Scholar
    • Export Citation
  • 8.

    WHO, 2014. Field Situation: How to Conduct Safe and Dignified Burial of a Patient who has Died from Suspected or Confirmed Ebola Virus Disease. Geneva, Switzerland: World Health Organization.

  • 9.

    Schmidt W-P, 2015. Seven trials, seven question marks. Lancet Glob Health 3: e659e660.

  • 10.

    McNeil DG Jr., 2014. Latrines May Not Improve The Health Of Poor Children. New York Times.

  • 11.

    Routray P, Schmidt WP, Boisson S, Clasen T, Jenkins MW, 2015. Socio-cultural and behavioural factors constraining latrine adoption in rural coastal Odisha: an exploratory qualitative study. BMC Public Health 15: 880.

    • Search Google Scholar
    • Export Citation
  • 12.

    Boisson S, Stevenson M, Shapiro L, Kumar V, Singh LP, Ward D, Clasen T, 2013. Effect of household-based drinking water chlorination on diarrhoea among children under five in Orissa, India: a double-blind randomised placebo-controlled trial. PLoS Med 10: e1001497.

    • Search Google Scholar
    • Export Citation
  • 13.

    Pope D, Bruce N, Dherani M, Jagoe K, Rehfuess E, 2017. Real-life effectiveness of “improved” stoves and clean fuels in reducing PM2.5 and CO: systematic review and meta-analysis. Environ Int 101: 718.

    • Search Google Scholar
    • Export Citation
  • 14.

    Harshfield E, Lantagne D, Turbes A, Null C, 2012. Evaluating the sustained health impact of household chlorination of drinking water in rural Haiti. Am J Trop Med Hyg 87: 786795.

    • Search Google Scholar
    • Export Citation
  • 15.

    Melo MC, Taddei JA, Diniz-Santos DR, May DS, Carneiro NB, Silva LR, 2007. Incidence of diarrhea: poor parental recall ability. Braz J Infect Dis 11: 571579.

    • Search Google Scholar
    • Export Citation
  • 16.

    Rosa G, Clasen T, 2017. Consistency of use and effectiveness of household water treatment among Indian households claiming to treat their water. Am J Trop Med Hyg 97: 259270.

    • Search Google Scholar
    • Export Citation
  • 17.

    Brown J, Sobsey MD, 2012. Boiling as household water treatment in Cambodia: a longitudinal study of boiling practice and microbiological effectiveness. Am J Trop Med Hyg 87: 394398.

    • Search Google Scholar
    • Export Citation
  • 18.

    Psutka R, Peletz R, Michelo S, Kelly P, Clasen T, 2011. Assessing the microbiological performance and potential cost of boiling drinking water in urban Zambia. Environ Sci Technol 45: 60956101.

    • Search Google Scholar
    • Export Citation
  • 19.

    Dreibelbis R, Winch PJ, Leontsini E, Hulland KRS, Ram PK, Unicomb L, Luby SP, 2013. The integrated behavioural model for water, sanitation, and hygiene: a systematic review of behavioural models and a framework for designing and evaluating behaviour change interventions in infrastructure-restricted settings. BMC Public Health 13: 1015.

    • Search Google Scholar
    • Export Citation
  • 20.

    Burt Z, Njee RM, Mbatia Y, Msimbe V, Brown J, Clasen TF, Malebo HM, Ray I, 2017. User preferences and willingness to pay for safe drinking water: experimental evidence from rural Tanzania. Soc Sci Med 173: 6371.

    • Search Google Scholar
    • Export Citation
  • 21.

    Haas JP, Larson EL, 2007. Measurement of compliance with hand hygiene. J Hosp Infect 66: 614.

  • 22.

    Thomas EA, Barstow CK, Rosa G, Majorin F, Clasen T, 2013. Use of remotely reporting electronic sensors for assessing use of water filters and cookstoves in Rwanda. Environ Sci Technol 47: 1360213610.

    • Search Google Scholar
    • Export Citation
  • 23.

    Caris MG, Labuschagne HA, Dekker M, Kramer MHH, van Agtmael MA, Vandenbroucke-Grauls CMJE, 2018. Nudging to improve hand hygiene. J Hosp Infect 98: 352358.

    • Search Google Scholar
    • Export Citation
  • 24.

    Baker KK, Senesac R, Sewell D, Sen Gupta A, Cumming O, Mumma J, 2018. Fecal fingerprints of enteric pathogen contamination in public environments of Kisumu, Kenya, associated with human sanitation conditions and domestic animals. Environ Sci Technol 52: 1026310274.

    • Search Google Scholar
    • Export Citation
  • 25.

    Medgyesi D, Brogan J, Sewell D, Creve-Coeur J, Kwong L, Baker K, 2018. Where children play: young child exposure to environmental hazards during play in public areas in a transitioning internally displaced persons community in Haiti. Int J Environ Res Public Health 15: 1646.

    • Search Google Scholar
    • Export Citation
  • 26.

    Grover E, Hossain MK, Uddin S, Venkatesh M, Ram PK, Dreibelbis R, 2018. Comparing the behavioural impact of a nudge-based handwashing intervention to high-intensity hygiene education: a cluster-randomised trial in rural Bangladesh. Trop Med Int Health 23: 1025.

    • Search Google Scholar
    • Export Citation
  • 27.

    Enger KS, Nelson KL, Clasen T, Rose JB, Eisenberg JNS, 2012. Linking quantitative microbial risk assessment and epidemiological data: informing safe drinking water trials in developing countries. Environ Sci Technol 46: 51605167.

    • Search Google Scholar
    • Export Citation
  • 28.

    Sobsey MD, Stauber CE, Casanova LM, Brown JM, Elliott MA, 2008. Point of use household drinking water filtration: a practical, effective solution for providing sustained access to safe drinking water in the developing world. Environ Sci Technol 42: 42614267.

    • Search Google Scholar
    • Export Citation
  • 29.

    Colwell RR et al. 2003. Reduction of cholera in Bangladeshi villages by simple filtration. Proc Natl Acad Sci USA 100: 10511055.

  • 30.

    Shaheed A, Rathore S, Bastable A, Bruce J, Cairncross S, Brown J, 2018. Adherence to point-of-use water treatment over short-term implementation: parallel crossover trials of flocculation–disinfection sachets in Pakistan and Zambia. Environ Sci Technol 52: 66016609.

    • Search Google Scholar
    • Export Citation
  • 31.

    Rosa G, Huaylinos ML, Gil A, Lanata C, Clasen T, 2014. Assessing the consistency and microbiological effectiveness of household water treatment practices by urban and rural populations claiming to treat their water at home: a case study in Peru. PLoS One 9: e114997.

    • Search Google Scholar
    • Export Citation
  • 32.

    Whittington D, Jeuland M, Barker K, Yuen Y, 2012. Setting priorities, targeting subsidies among water, sanitation, and preventive health interventions in developing countries. World Dev 40: 15461568.

    • Search Google Scholar
    • Export Citation
  • 33.

    Jeuland MA, Pattanayak SK, 2012. Benefits and costs of improved cookstoves: assessing the implications of variability in health, forest and climate impacts. PLoS One 7: e30338.

    • Search Google Scholar
    • Export Citation
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 

 

The Critical Role of Compliance in Delivering Health Gains from Environmental Health Interventions

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  • 1 University of Michigan School of Public Health, Ann Arbor, Michigan;
  • | 2 Georgia Institute of Technology, Atlanta, Georgia
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Gains in reducing childhood disease burden rely heavily on effective means of preventing environmental exposures. For many environmental health interventions, such as point-of-use water treatment, sanitation, or cookstoves, exposures are strongly influenced by user behaviors and the degree to which participants adhere to the prescribed preventive measures. In this commentary, we articulate the need for increased attention on user behaviors—critically, the careful measurement and inclusion of compliance—to strengthen exposure assessment and health impact trials in environmental health intervention research. We focus here on water, sanitation, and hygiene interventions to illustrate the problem with the understanding that this issue extends to other environmental health interventions.

Author Notes

Address correspondence to Joseph N. S. Eisenberg, University of Michigan School of Public Health, SPH I, 1415 Washington Heights, Ann Arbor, MI 48109. E-mail: jnse@umich.edu

Authors’ addresses: Joseph N. S. Eisenberg, Department of Epidemiology, University of Michigan, Ann Arbor, MI, E-mail: jnse@umich.edu. Michael A. L. Hayashi, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, E-mail: mhayash@umich.edu. Joseph Brown, School of Civil and Environmental Engineering, Georgia Institute of Technology, Atlanta, GA, E-mail: joe.brown@ce.gatech.edu.

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