Table 5. WASH interventions not recommended for cholera prevention and control by one or more guidelines.
Recommendation | Total (n) |
WHO, 2004 | Oxfam, 2012 | ACF, 2013 |
UNICEF, 2013 | MSF, 2017 | Sphere, 2018 |
ICDDR’B, 2018 | GTFCC, 2019 | Transmission domain |
---|---|---|---|---|---|---|---|---|---|---|
Improving the quality of water: water treatment at source | ||||||||||
Chlorination of unimproved water sources (e.g. unprotected wells, unlined wells) |
2NR | × | × | × | NR | NR | × | × | × | Community |
Promotion and distribution of disinfection and cleaning of households and community spaces and/or distribution of materials | ||||||||||
Disinfection of households with chlorine spraying (especially vomit and faeces) | 4NR | × | NR | NR | NR | NR | × | × | × | Household |
Disinfection of non-households with chlorine spraying (e.g. in vehicles, marketplaces) |
4NR | × | NR | NR | NR | NR | × | × | × | Community |
Provision of disinfection materials to households for household cleaning and disinfection (e.g. detergents, 0.5–2% chlorine solution) |
1NR | × | NR | ✓ | ✓ | ✓ | × | × | × | Household |
Improving dead body management and safe funeral practices | ||||||||||
Promotion or provision of hygiene materials to households for safe and hygienic corpse preparation (e.g. detergents, 0.5–2% chlorine solution, body bags) |
1NR | ✓ | NR | ✓ | ✓ | ✓ | × | × | × | Household |
Use of vector control interventions to reduce flies | ||||||||||
Reduction of fly populations through insecticide spraying in breeding areas | 1NR | × | NR | × | × | × | × | × | × | Community |
✓ - Present in guideline; × - Not found in guideline; NR—Not recommended; “Household” and “Community” denote the two levels of cholera transmission and where WASH interventions would be implemented and used; WHO- World Health Organization, MSF- Médecins Sans Frontières, ICDDR’B- International Centre for Diarrhoeal Disease Research Bangladesh, ACF- Action Contre la Faim, UNICEF- United Nations Children’s Fund, GTFCC- Global Task Force on Cholera Control