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. 2019 Sep 11;2019(9):CD000371. doi: 10.1002/14651858.CD000371.pub7

NCT02754583.

Trial name or title Sanitation, water, and instruction in face‐washing for trachoma
Methods Clinical trial
Participants Estimated enrolment: 220,000
Inclusion criteria
  • Community in a school district that is within the study area

  • Area within each school district that is in need of a well

  • All residents residing near to the well sites that are randomly selected for this study.


Exclusion criteria
  • School districts that are too difficult to reach (more than a 3‐hour walk from the farthest place reachable by a four‐wheel drive vehicle)

  • School districts in the 2 urban regions of the study area

  • Refusal of village chief

  • Refusal of participant [or parent/guardian]

Interventions
  • Behavioral: water, sanitation, and hygiene (WASH) intervention

  • Behavioral: standard of care WASH intervention

  • Drug: azithromycin

  • Drug: tetracycline

  • Other: control

  • Drug: albendazole

Outcomes Primary
  • Village‐specific ocular chlamydia among 0‐5 children over time

  • Ocular chlamydia among 8‐12 year olds

  • Incident ocular chlamydia in 0‐5 year‐olds

  • Trial‐based cost‐effectiveness of intervention (intervention costs per percent of chlamydia reduction)


Secondary
  • Quantitative PCR chlamydia load

  • Inflammatory trachoma scores

  • Ocular chlamydia

  • Nasopharyngeal pneumococcal macrolide resistance

  • Proportion of the population with clean faces at the village level

  • Childhood growth (height)

  • Childhood growth (weight)

  • Soil‐transmitted helminth prevalence

  • Soil‐transmitted helminth density

  • Prevalence of chlamydia and other antigen positivity from serological tests

  • Prevalence of stool‐based antigen

Starting date November 2015
Contact information Dionna M Fry, MPH
Jeremy D Keenan, MD, MPH
Notes ClinicalTrials.gov identifier: NCT02754583
Sources of support: Francis I. Proctor Foundation, The Carter Center, Bahir Dar Regional Health and Research Laboratory, Emory University, National Eye Institute (NEI)
Anticipated completion July 2019

STHs: soil‐transmitted helminths