- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05766826
Coupons for Safe Water Project (Coupons)
March 10, 2023 updated by: University of Chicago
Scaling up Coupons for Safe Water Treatment in Kenya
Guaranteeing access to safe drinking water is still a challenge in rural households in developing countries, and unsafe water sources are responsible for millions of deaths each year around the world.
Coupons for free dilute chlorine solution are a cost-effective and effective way of ameliorating child health and reducing diarrhea incidence.
It is still an empirical challenge, however, to see if the positive health effects will be maintained when the program is implemented at scale.
In this study, investigators conduct a randomized controlled trial (RCT) at scale to study the impacts of a chlorine coupon program implemented at health clinics on child health, including self-reported diarrhea, fever, and cough incidence in the previous two weeks.
Investigators further investigate the pathway of the impact, such as self-reported and objectively measured use of chlorine and frequency of visits to health clinics.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Guaranteeing access to safe drinking water is still a challenge in rural households in developing countries, and unsafe water sources are responsible for millions of deaths each year around the world.
Coupons for free dilute chlorine solution are (i) a cost-effective solution to targeting water treatment for households that need it and will use it and (ii) an effective way of ameliorating child health and reducing diarrhea incidence.
It is still an empirical challenge, however, to see if the positive health effects will be maintained when the program is implemented at scale.
In this study, investigators conduct a randomized controlled trial (RCT) at scale to study the impacts of a chlorine coupon program implemented at health clinics on child health, including self-reported diarrhea, fever, and cough incidence in the previous two weeks.
Investigators further study the pathway of the impact, such as self-reported and objectively measured use of chlorine and frequency of visits to health clinics.
Investigators monitor the program's impact at Health and Demographic Surveillance Systems (HDSS) sites in collaboration with the Kenya Medical Research Institute (KEMRI).
Data collection includes child mortality, as well as verbal autopsies for deceased children.
Data on mortality will be useful for future meta-analyses that pool data from multiple studies in order to estimate the mortality impact of free chlorine distribution schemes.
Study Type
Interventional
Enrollment (Anticipated)
3468
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Akito Kamei, PhD
- Phone Number: +12172006188
- Email: akamei@uchicago.edu
Study Contact Backup
- Name: Elisa M Maffioli, PhD
- Email: elisamaf@umich.edu
Study Locations
-
-
-
Kisumu, Kenya
- Recruiting
- Health and Demographic Surveillance System (HDSS sites)
-
Contact:
- Sammy Khagayi, PhD
- Email: skhagayi@gmail.com
-
Siaya, Kenya
- Recruiting
- Health and Demographic Surveillance System (HDSS) sites
-
Contact:
- Sammy Khagayi, PhD
- Email: skhagayi@gmail.com
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Currently pregnant women
- Women living inside Health and Demographic Surveillance Systems (HDSS) catchment areas.
Exclusion Criteria:
- Women who do not consent.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment Arm
After enrollment over a phone call, they receive a SMS text message with an ID number to receive their coupons at the health facility.
Those coupons can be used to redeem WaterGuard 150mL dilute chlorine.
Participants in this group will receive a packet of coupons that ensure a monthly supply of a150ml bottle of dilute chlorine solution for at least the next 12 months.
These coupons are redeemable in health facilities and other sites registered for the study.
|
Randomly selected women in the treatment group will receive coupons for free chlorine solutions to be redeemed at the health facility each month.
|
Experimental: Control Arm
After enrollment over a phone call, they will not be contacted.
|
Randomly selected women in the treatment group will not receive coupons for free chlorine solutions after enrollment.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Verified chlorine usage - 6 months
Time Frame: The study will measure the presence of free chlorine residual in drinking water 6 months after the program launch.
|
Presence of free chlorine residual in the drinking water, as observed through water testing using chlorine test strips.
Households with a non-zero concentration of residual chlorine are considered to have treated their water.
|
The study will measure the presence of free chlorine residual in drinking water 6 months after the program launch.
|
Verified chlorine usage - 12 months
Time Frame: The study will measure the presence of free chlorine residual in drinking water 12 months after the program launch.
|
Presence of free chlorine residual in the drinking water, as observed through water testing using chlorine test strips.
Households with a non-zero concentration of residual chlorine are considered to have treated their water.
|
The study will measure the presence of free chlorine residual in drinking water 12 months after the program launch.
|
Verified chlorine usage - 18 months
Time Frame: The study will measure the presence of free chlorine residual in drinking water 18 months after the program launch.
|
Presence of free chlorine residual in the drinking water, as observed through water testing using chlorine test strips.
Households with a non-zero concentration of residual chlorine are considered to have treated their water.
|
The study will measure the presence of free chlorine residual in drinking water 18 months after the program launch.
|
Verified chlorine usage - 24 months
Time Frame: The study will measure the presence of free chlorine residual in drinking water 24 months after the program launch.
|
Presence of free chlorine residual in the drinking water, as observed through water testing using chlorine test strips.
Households with a non-zero concentration of residual chlorine are considered to have treated their water.
|
The study will measure the presence of free chlorine residual in drinking water 24 months after the program launch.
|
Verified chlorine usage - 30 months
Time Frame: The study will measure the presence of free chlorine residual in drinking water 30 months after the program launch.
|
Presence of free chlorine residual in the drinking water, as observed through water testing using chlorine test strips.
Households with a non-zero concentration of residual chlorine are considered to have treated their water.
|
The study will measure the presence of free chlorine residual in drinking water 30 months after the program launch.
|
Verified chlorine usage - 36 months
Time Frame: The study will measure the presence of free chlorine residual in drinking water 36 months after the program launch.
|
Presence of free chlorine residual in the drinking water, as observed through water testing using chlorine test strips.
Households with a non-zero concentration of residual chlorine are considered to have treated their water.
|
The study will measure the presence of free chlorine residual in drinking water 36 months after the program launch.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Child morbidity - 6 months
Time Frame: The study assesses child morbidity 6 months after the program launch.
|
Child morbidity will include caregiver-reported diarrhea, fever, and cough incidents and cost related to sickness in the previous two weeks.
This study will be underpowered to detect impacts on mortality, but investigators will collect data on mortality in any case as this study will contribute to a meta-analysis conducted in the future.
|
The study assesses child morbidity 6 months after the program launch.
|
Child morbidity - 12 months
Time Frame: The study assesses child morbidity 12 months after the program launch.
|
Child morbidity will include caregiver-reported diarrhea, fever, and cough incidents and cost related to sickness in the previous two weeks.
This study will be underpowered to detect impacts on mortality, but investigators will collect data on mortality in any case as this study will contribute to a meta-analysis conducted in the future.
|
The study assesses child morbidity 12 months after the program launch.
|
Child morbidity - 18 months
Time Frame: The study assesses child morbidity 18 months after the program launch.
|
Child morbidity will include caregiver-reported diarrhea, fever, and cough incidents and cost related to sickness in the previous two weeks.
This study will be underpowered to detect impacts on mortality, but investigators will collect data on mortality in any case as this study will contribute to a meta-analysis conducted in the future.
|
The study assesses child morbidity 18 months after the program launch.
|
Child morbidity - 24 months
Time Frame: The study assesses child morbidity 24 months after the program launch.
|
Child morbidity will include caregiver-reported diarrhea, fever, and cough incidents and cost related to sickness in the previous two weeks.
This study will be underpowered to detect impacts on mortality, but investigators will collect data on mortality in any case as this study will contribute to a meta-analysis conducted in the future.
|
The study assesses child morbidity 24 months after the program launch.
|
Child morbidity - 30 months
Time Frame: The study assesses child morbidity 30 months after the program launch.
|
Child morbidity will include caregiver-reported diarrhea, fever, and cough incidents and cost related to sickness in the previous two weeks.
This study will be underpowered to detect impacts on mortality, but investigators will collect data on mortality in any case as this study will contribute to a meta-analysis conducted in the future.
|
The study assesses child morbidity 30 months after the program launch.
|
Child morbidity - 36 months
Time Frame: The study assesses child morbidity 36 months after the program launch.
|
Child morbidity will include caregiver-reported diarrhea, fever, and cough incidents and cost related to sickness in the previous two weeks.
This study will be underpowered to detect impacts on mortality, but investigators will collect data on mortality in any case as this study will contribute to a meta-analysis conducted in the future.
|
The study assesses child morbidity 36 months after the program launch.
|
Self-reported health facility attendance - 6 months
Time Frame: The study assesses the self-reported health facility attendance 6 months after the program launch.
|
Participants will be surveyed about recent visits to health facilities.
For women who are currently pregnant or delivered a baby in the last 12 months, the study asks the number of antenatal care visits.
For women who have children under age 5, we collect data on the number of postnatal care.
|
The study assesses the self-reported health facility attendance 6 months after the program launch.
|
Self-reported health facility attendance - 12 months
Time Frame: The study assesses the self-reported health facility attendance 12 months after the program launch.
|
Participants will be surveyed about recent visits to health facilities.
For women who are currently pregnant or delivered a baby in the last 12 months, the study asks the number of antenatal care visits.
For women who have children under age 5, we collect data on the number of postnatal care.
|
The study assesses the self-reported health facility attendance 12 months after the program launch.
|
Self-reported health facility attendance - 18 months
Time Frame: The study assesses the self-reported health facility attendance 18 months after the program launch.
|
Participants will be surveyed about recent visits to health facilities.
For women who are currently pregnant or delivered a baby in the last 12 months, the study asks the number of antenatal care visits.
For women who have children under age 5, we collect data on the number of postnatal care.
|
The study assesses the self-reported health facility attendance 18 months after the program launch.
|
Self-reported health facility attendance - 24 months
Time Frame: The study assesses the self-reported health facility attendance 24 months after the program launch.
|
Participants will be surveyed about recent visits to health facilities.
For women who are currently pregnant or delivered a baby in the last 12 months, the study asks the number of antenatal care visits.
For women who have children under age 5, we collect data on the number of postnatal care.
|
The study assesses the self-reported health facility attendance 24 months after the program launch.
|
Self-reported health facility attendance - 30 months
Time Frame: The study assesses the self-reported health facility attendance 30 months after the program launch.
|
Participants will be surveyed about recent visits to health facilities.
For women who are currently pregnant or delivered a baby in the last 12 months, the study asks the number of antenatal care visits.
For women who have children under age 5, we collect data on the number of postnatal care.
|
The study assesses the self-reported health facility attendance 30 months after the program launch.
|
Self-reported health facility attendance - 36 months
Time Frame: The study assesses the self-reported health facility attendance 36 months after the program launch.
|
Participants will be surveyed about recent visits to health facilities.
For women who are currently pregnant or delivered a baby in the last 12 months, the study asks the number of antenatal care visits.
For women who have children under age 5, we collect data on the number of postnatal care.
|
The study assesses the self-reported health facility attendance 36 months after the program launch.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Michael Kremer, PhD, University of Chicago
- Principal Investigator: Pascaline Dupas, PhD, Stanford University
- Principal Investigator: Elisa M Maffioli, PhD, University of Michigan
- Principal Investigator: Akito Kamei, PhD, University of Chicago
- Principal Investigator: Sammy Khagayi, PhD, Kenya Medical Research Institute
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 21, 2023
Primary Completion (Anticipated)
February 28, 2026
Study Completion (Anticipated)
October 1, 2026
Study Registration Dates
First Submitted
February 2, 2023
First Submitted That Met QC Criteria
March 10, 2023
First Posted (Actual)
March 13, 2023
Study Record Updates
Last Update Posted (Actual)
March 13, 2023
Last Update Submitted That Met QC Criteria
March 10, 2023
Last Verified
March 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- DILChlorine Coupons Project
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Once the analysis is complete, the de-identified data will be deposited in the public server for replicability of the research analysis.
IPD Sharing Time Frame
After the completion of the whole study
IPD Sharing Access Criteria
The de-identified data will be deposited in the public server
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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