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

Mathew 2004 ZIM.

Methods Controlled cross‐sectional study
Participants Number: 115 respondents
Inclusion criteria: no details
Interventions Intervention (2 villages): CHCs: structured weekly course of participatory health education classes. 15 health topics covered using PHAST techniques, within the hygiene lesson cover disposal of toddler's faeces in a latrine.
Control (2 villages): no CHCs
Outcomes Knowledge of risks and practices including: percentage of children aged < 5 years present at the time of observations not using a latrine.
Notes Location: 4 rural villages, Bikita district, Zimbabwe
Length of study: not specified
Publication status: PhD thesis
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Intervention not randomly allocated.
Allocation concealment (selection bias) High risk Allocation not concealed.
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 Non‐response data not reported.
Selective reporting (reporting bias) Unclear risk Tool for observations not available.
Other bias Unclear risk
Similarity of baseline outcome measurements Unclear risk NA, not relevant to design.
Similarity of baseline characteristics Unclear risk NA, not relevant to design.
Adequate allocation of intervention concealment during the study High risk No blinding.
Adequate protection against contamination Unclear risk No details about distance or possibility for contamination.
Confounders adequately adjusted for in analysis/design High risk No adjustments for any confounders.
Recruitment bias Unclear risk NA
Baseline imbalance Unclear risk NA
Loss of clusters Unclear risk NA
Incorrect analysis Unclear risk NA