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Evaluating In-line Chlorination in Nigeria

14 mai 2026 mis à jour par: Amy Janel Pickering, University of California, Berkeley

In-line Chlorination for Drinking Water Treatment in Nigeria

This study evaluates the implementation and effectiveness of in-line chlorination (ILC) for improving drinking water quality in rural Nigeria. Unsafe drinking water remains a major contributor to diarrheal disease, particularly among children under five. Inline chlorination is a passive water treatment approach that automatically doses chlorine at community water systems without requiring electricity or daily user action. Two cluster randomized controlled trials will be conducted in Kano State (North-West Nigeria) and Cross River State (South-South Nigeria). Communities will be randomized to either receive in-line chlorination installed at eligible communal water systems or serve as controls with no chlorination. The unit of randomization is a community or a cluster of communities that share water system for drinking water. The primary objective is to estimate the causal impact of in-line chlorination on household drinking water quality. Outcomes include the prevalence of Escherichia coli contamination in tap water and stored household water as well as the presence of free chlorine residual. Secondary objectives assess water source usage and adoption of chlorinated sources, as well as reduction in diarrheal disease. Implementation fidelity and operational performance of chlorination devices will also be monitored.

Aperçu de l'étude

Statut

Pas encore de recrutement

Les conditions

Intervention / Traitement

Type d'étude

Interventionnel

Inscription (Estimé)

2655

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Sauvegarde des contacts de l'étude

  • Nom: Elisa M Maffioli
  • Numéro de téléphone: +1.443.875.4930
  • E-mail: elisamaf@umich.edu

Lieux d'étude

  • Nigeria
    • Cross River State
      • Yala, Cross River State, Nigeria
    • Kano State
      • Makuda, Kano State, Nigeria

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Enfant
  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Oui

La description

Inclusion Criteria:

  • Adult (18+) or emancipated minor (15+) pregnant women and women with children under 5 years old who do not plan to permanently move in the next 12 months.
  • Must be knowledgeable about the household's water collection and management practices

Exclusion Criteria:

  • Non-age-eligible women. Men and non-emancipated minors. Women who do not consent.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: La prévention
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Arm 1: Inline Chlorination (ILC) with Behavioral Change Communication (BCC)
Communities randomized to this arm will receive inline chlorination installed at eligible communal drinking water systems, such as boreholes or handpumps, and behavioral change communication.
Dispositif: In-line Chlorination (ILC) with Behavioral Change Communication (BCC)
In-line chlorination devices will be installed on all compatible communal water systems within treatment communities. Devices automatically dose chlorine proportional to water flow without requiring electricity or daily user input. Technologies will include TuriTap liquid dosers installed at handpumps and CTI-8 tablet dosers installed at tanks or piped systems. Devices will be calibrated and routinely monitored to maintain chlorine residual within recommended ranges. In addition to device installation, communities will participate in behavior change communication (BCC) activities designed to support understanding and acceptance of chlorinated water. BCC activities will include community sensitization meetings conducted by the implementing partner. Meetings will provide information on the purpose of chlorination through the in-line chlorination devices, expected benefits and limitations, safe water handling practices, and guidance for addressing taste or odor concerns.
Aucune intervention: Arm 2: Control (No Chlorination)
Communities randomized to this arm will not receive inline chlorination during the study period and will continue their usual water collection and treatment practices.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Proportion of water source samples with detectable free chlorine residual.
Délai: About 4-, 8-, and 12-month follow ups after device installations
Measured as >0.1 ppm.
About 4-, 8-, and 12-month follow ups after device installations
Proportion of household stored drinking water samples with detectable free chlorine residual.
Délai: About 4-, 8-, and 12-month follow ups after device installations
Measured as >0.1 ppm.
About 4-, 8-, and 12-month follow ups after device installations
Proportion of household stored drinking water samples positive for Escherichia coli.
Délai: About 4-, 8-, and 12-month follow ups after device installations
Measured as >1 MPN/100 mL of water by culture-based assay
About 4-, 8-, and 12-month follow ups after device installations

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Proportion of water source samples with detectable total chlorine residual.
Délai: About 4-, 8-, and 12-month follow ups after device installations
Measured as >0.1 ppm.
About 4-, 8-, and 12-month follow ups after device installations
Concentration of E. coli in water source samples
Délai: About 4-, 8-, and 12-month follow ups after device installations
Concentration of E. coli (in log10 MPN/100ml) in water source samples by culture-based assay
About 4-, 8-, and 12-month follow ups after device installations
Concentration of E. coli in household stored water samples
Délai: About 4-, 8-, and 12-month follow ups after device installations
Concentration of E. coli (in log10 MPN/100ml) in household stored water samples by culture-based assay
About 4-, 8-, and 12-month follow ups after device installations
Concentration of total coliform bacteria in water source samples
Délai: About 4-, 8-, and 12-month follow ups after device installations
Concentration of total coliform bacteria (MPN/100mL) in water source samples
About 4-, 8-, and 12-month follow ups after device installations
Concentration of total coliform bacteria in household stored water samples
Délai: About 4-, 8-, and 12-month follow ups after device installations
Concentration of total coliform bacteria (MPN/100mL) in household stored water samples
About 4-, 8-, and 12-month follow ups after device installations
Prevalence of caregiver-reported diarrhea among children under five years of age
Délai: About 4-, 8-, and 12-month follow ups after device installations
Measured as the proportion of children under five reported by caregivers to have experienced diarrhea, defined as three or more loose or watery stools within a 24-hour period, during the 7 days preceding the survey.
About 4-, 8-, and 12-month follow ups after device installations
Prevalence of caregiver-reported diarrhea among household members, any age
Délai: About 4-, 8-, and 12-month follow ups after device installations
Measured as the proportion of individuals surveyed in the household that have experienced diarrhea, defined as three or more loose or watery stools within a 24-hour period, during the 7 days preceding the survey. Measured for subset of available respondents.
About 4-, 8-, and 12-month follow ups after device installations
Prevalence of diarrhea among female caregivers
Délai: Time frame - About 4-, 8-, and 12-month follow ups after device installations
Measured as the proportion of respondents that have experienced diarrhea, defined as three or more loose or watery stools within a 24-hour period, during the 7 days preceding the survey.
Time frame - About 4-, 8-, and 12-month follow ups after device installations

Autres mesures de résultats

Mesure des résultats
Description de la mesure
Délai
Proportion of households reporting an ILC-compatible water source as their primary drinking water source
Délai: About 4-, 8-, and 12-month follow ups after device installations
Measured as the percentage of surveyed households identifying an ILC-compatible water system as their source of drinking water. ILC-compatible water systems (boreholes, piped systems, or handpumps have chlorinated water in treatment)
About 4-, 8-, and 12-month follow ups after device installations
Proportion of households switching away from ILC-treated water sources
Délai: About 4-, 8-, and 12-month follow ups after device installations
Measured as the percentage of households that discontinue use of a chlorinated water system for drinking water compared to baseline.
About 4-, 8-, and 12-month follow ups after device installations
Proportion of households reporting any household-level water treatment
Délai: About 4-, 8-, and 12-month follow ups after device installations
Measured as the percentage of households reporting treatment of drinking water prior to consumption (e.g., boiling, filtration, manual chlorination).
About 4-, 8-, and 12-month follow ups after device installations
Time spent on household-level water treatment
Délai: About 4-, 8-, and 12-month follow ups after device installations
Time (minutes) reported by households per day on making water safer to drink (gender stratified)
About 4-, 8-, and 12-month follow ups after device installations

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

University of California, Berkeley

Collaborateurs

University of Michigan
Bayero University Kano, Nigeria

Les enquêteurs

  • Chercheur principal: Amy J Pickering, University of California, Berkeley
  • Chercheur principal: Elisa M Maffioli, University of Michigan
  • Chercheur principal: Adamu I Tanko, PhD, Bayero University Kano, Nigeria

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Publications générales

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Estimé)

26 mai 2026

Achèvement primaire (Estimé)

31 décembre 2027

Achèvement de l'étude (Estimé)

31 décembre 2027

Dates d'inscription aux études

Première soumission

14 mai 2026

Première soumission répondant aux critères de contrôle qualité

14 mai 2026

Première publication (Réel)

22 mai 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

22 mai 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

14 mai 2026

Dernière vérification

1 mai 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • 2025-08-18832

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

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