Impact of the Financial Inclusion Improves Sanitation and Health (FINISH)

Impact of the Financial Inclusion Improves Sanitation and Health (FINISH) 2022- 2024 Intervention. Protocol for a Cluster - Randomized Controlled Trial in Kenya's Homa Bay County and Uganda's Kamwenge District

The goal of this interventional study is to evaluate the impacts of Financial Inclusion improvement sanitation and Health (FINISH) interventions in Kenya's Homa Bay County and Uganda's Kamwenge District among children under five. The main questions it aims to answer are:

1. What is the estimated impact of the FINISH model on health outcomes (diarrhoea occurrence and hygienic behaviour) as well as social (school attendance and sanitation) in the intervention groups?
2. What are the perspectives, attitudes, and practices of various stakeholders (communities, governments, entrepreneurs, and financiers) regarding the FINISH model?
3. What is the cost-effectiveness of the FINISH model, including the amount of leverage funds generated?

The FINISH model postulates that countries will be supported to improve the enabling business environment for sanitation, markets to offer improved safely managed services and products at an affordable price, and formal and informal financial institutions will offer more funding to businesses and households for satiation and hygiene.

Researchers will then compare intervention areas (Homa Bay in Kenya and Kamwenge in Uganda) with control areas (Siaya and Bushenyi in Kenya and Uganda, respectively) to see if the FINISH intervention leads to improved sanitation, health outcomes, and economic benefits.

Study Overview

• Status: Recruiting
• Conditions: Health Knowledge, Attitudes, Practice
• Intervention / Treatment: Behavioral: Financial Inclusion Improves Sanitation and Health

• Study Type: Interventional
• Enrollment (Estimated): 1090
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Josphat Martin Muchangi; Phone Number: 254 0721453712; Email: martin.muchangi@amref.org
• Study Contact Backup: Name: Samuel Muhula; Phone Number: 254 0721958734; Email: samuel.muhula@amref.org

Study Locations

• Kenya
  • Homa Bay, Kenya
    • Recruiting
    • Homa Bay county
    • Contact: Martin Dr Muchangi, PhD; Phone Number: 0721453712; Email: martin.muchangi@amref.org

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• The inclusion criteria for the intervention study involve communities within specific geographic locations (Homa Bay County in Kenya and Kamwenge District in Uganda) targeted by the FINISH Mondial initiative.

Exclusion Criteria:

• to be updated

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Quadruple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Treatment group; The intervention arm involves communities within Homa Bay County in Kenya and Kamwenge District in Uganda, where the FINISH Mondial initiative is implemented. This intervention aims to improve sanitation and health through a public-private partnership model, engaging communities, governments, entrepreneurs, and financiers to enhance sanitation services and supply chains.	Behavioral: Financial Inclusion Improves Sanitation and Health; This innovative model engages transformative partnerships which include four key stakeholders (communities, communities, governments, entrepreneurs, and financiers) to improve sanitation services and supply value chains. The work is two-sided: to create demand for improved sanitation facilities in communities while facilitating microcredit access for people and sanitation businesses on the supply side.
No Intervention: Control group; The control arm includes communities in Siaya County in Kenya and Bushenyi in Uganda, where the FINISH intervention is not implemented, serving as a comparison to evaluate the effectiveness of the intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Health outcome, measured as, Proportion of households with diarrhoea occurrence in children under five years, and social outcome measured as proportion of households whose children missed school due to diarrhoea occurrence	Diarrhoea occurrence in children under 5 years is measured as:- In the past two weeks child/children under 5 years who have had three or more loose or watery stools. households whose children missed school due to diarrhoea occurrence, is measured as proportion of households whose children missed school due to diarrhoeal disease in the past 30 days	4 years, which includes baseline data collection, implementation and endline data collection

Collaborators and Investigators

• Sponsor: Amref Health Africa

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2022
• Primary Completion (Estimated): December 31, 2025
• Study Completion (Estimated): December 31, 2025

Study Registration Dates

• First Submitted: February 26, 2024
• First Submitted That Met QC Criteria: April 4, 2024
• First Posted (Actual): April 10, 2024

Study Record Updates

• Last Update Posted (Actual): April 10, 2024
• Last Update Submitted That Met QC Criteria: April 4, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Keywords: randomized controlled trial; Kenya; sanitation; evaluation; Uganda; cluster; open defecation
• Other Study ID Numbers: P1216/2022

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No