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 |