A Cluster-Randomized Trial Assessing The Impact Of School Water, Sanitation, And Hygiene Improvements On Pupil Enrollment And Gender Parity In Enrollment

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Richard Rheingans Ph.D., Department Chair (Creator)
Institution
Appalachian State University (ASU )
Web Site: https://library.appstate.edu/

Abstract: We employed a cluster randomized trial design to measure the impact of a school based water, sanitation, and hygiene (WASH) improvement on pupil enrollment and on gender parity in enrollment, in primary schools in Nyanza Province, Kenya (2007-2009). Among schools with poor water access during the dry season, those that received a water supply, hygiene promotion and water treatment (HP&WT) and sanitation improvement, demonstrated increased enrollment (ß=0.091 [0.009, 0.173] p=0.03), which translates to 26 additional pupils per school on average. The proportion of girls enrolled in school also increased by 4% (prevalence ratio (PR)=1.04 [1.00, 1.07] p=0.02). Among schools with better baseline water access during the dry season (schools that didn't receive a water source), we found no evidence of increased enrollment in schools that received a HP&WT intervention (ß=0.016 [-0.039, 0.072] p=0.56) or the HP&WT and sanitation intervention (ß=0.027 [-0.028, 0.082]p=0.34), and there was no evidence of improved gender parity (PR=0.99 [0.96, 1.02] p=0.59, PR=1.00 [0.97, 1.02] p=0.75, respectively). Our findings suggest that increased school enrollment and improved gender parity may be influenced by a comprehensive WASH program that includes an improved water source; schools with poor water access during the dry season may benefit most from these interventions.

Additional Information

Publication
Richard D. Rheingans, Joshua V. Garn, Leslie E. Greene, Robert Dreibelbis, Shadi Saboori, and Matthew C. Freeman(2013) "A Cluster-Randomized Trial Assessing The Impact Of School Water, Sanitation, And Hygiene Improvements On Pupil Enrollment And Gender Parity In Enrollment" Version of Record Available From (www.researchgate.net)
Language: English
Date: 2013
Keywords
enrollment, gender parity, Kenya, sanitation, WASH

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