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首页> 外文期刊>BMC research notes >Promoting latrine construction and use in rural villages practicing open defecation: process evaluation in connection with a randomised controlled trial in Orissa, India
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Promoting latrine construction and use in rural villages practicing open defecation: process evaluation in connection with a randomised controlled trial in Orissa, India

机译：促进在露天排便的乡村中建造和使用厕所：在印度奥里萨邦进行的随机对照试验过程评估

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Background Our group conducted a cluster-randomised trial in 100 villages of Orissa, India to measure the impact of a rural sanitation intervention implemented under the government of India's Total Sanitation Campaign, on diarrhoea and soil-transmitted helminth infections. This paper reports on a process evaluation conducted in the context of the trial. Methods Process evaluation data were collected through review of key documentation, quantitative surveys, direct observations, and semi-structured interviews with staff from implementing NGOs and community members. Between March 2011 and March 2012, trained enumerators recorded observations on latrine construction status every 6–8 weeks in the 50 intervention villages and noted activities reported to have taken place based on NGO staff interviews and review of NGO records. A survey among 10% of households in intervention and control villages was conducted to compare levels of awareness of key intervention components. In addition, 10% of village water and sanitation committee (VWSC) members were interviewed to measure their level of involvement in the intervention delivery. Results The percentage of households with a latrine (completed or under construction) increased from 8% at baseline to 66% one year after the start of the intervention in March 2012. Almost none of the intervention households recall any form of participatory community-level activities at the start of the programme, although intervention households were generally more aware of the Total Sanitation Campaign (91% versus 49%, p? Conclusions The levels of coverage achieved and the levels of awareness of the mobilisation process in our intervention villages were lower than planned, but similar to those reported elsewhere in India under the TSC. Our process evaluation highlights important gaps between the TSC guidelines and their implementation on the ground. Trial registration Number on clinicaltrial.gov: NCT01214785
机译：背景我们的小组在印度奥里萨邦的100个村庄进行了一项集群随机试验，以评估在印度全面卫生运动政府的领导下实施的农村卫生干预措施对腹泻和土壤传播的蠕虫感染的影响。本文报告了在试验范围内进行的过程评估。方法通过评估关键文档，定量调查，直接观察以及与实施NGO和社区成员进行的半结构化访谈，收集过程评估数据。在2011年3月至2012年3月之间，受过训练的调查员每6-8周记录50个干预村的厕所建设状况观察结果，并根据非政府组织工作人员的访谈和对非政府组织记录的审查，注意到据报已开展的活动。对干预村和控制村的10％的家庭进行了一项调查，以比较对关键干预组成部分的认识水平。此外，还采访了10％的乡村供水与卫生委员会（VWSC）成员，以衡量他们参与干预措施的程度。结果2012年3月开始干预后的一年，有厕所的家庭（已建成或在建）的百分比从基准的8％增加到66％。几乎没有干预家庭回想起任何形式的参与式社区活动在该计划开始时，尽管干预家庭通常更了解全面卫生运动（91％对49％，p？）结论在我们的干预村中，实现的覆盖水平和对动员过程的认识水平低于计划中的，但与TSC下印度其他地区所报告的类似。我们的过程评估着重指出了TSC指南与其在当地实施之间的重要差距临床试验编号为NCT01214785

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