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. 2019 Sep 24;2019(9):CD011055. doi: 10.1002/14651858.CD011055.pub2

Heller 2003 BRA.

Methods Case‐control study
Participants Cases: children aged < 5 years resident in Betim area attending a HC for diarrhoea, n = 997, mean age 1.72 years, 47.1% girls
Controls: children aged < 5 years resident in Betim area chosen randomly from a register (used by municipality with purpose of housing taxes), n = 999, mean age 2.63 years, 49.8% girls
Interventions Risk factors of interest:
  • faeces disposal from swaddle disposed elsewhere vs in toilet/latrine.

Outcomes Diarrhoea: the attendant physician diagnosis of diarrhoea was assumed as the case definition.
Notes Location: 29 HCs in urban area of Betim in Minais Gerais State in South‐East Brazil
Length of recruitment: 5 months (November 1993 to April 1994)
Publication status: journal
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk NA
Allocation concealment (selection bias) Unclear risk NA
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk NA
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk NA
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk NA
Selective reporting (reporting bias) Unclear risk NA
Other bias Unclear risk NA
Similarity of baseline outcome measurements Unclear risk NA
Similarity of baseline characteristics Unclear risk NA
Adequate allocation of intervention concealment during the study Unclear risk NA
Adequate protection against contamination Unclear risk NA
Confounders adequately adjusted for in analysis/design Unclear risk NA
Recruitment bias Unclear risk NA
Baseline imbalance Unclear risk NA
Loss of clusters Unclear risk NA
Incorrect analysis Unclear risk NA