Effects of a Water, Sanitation, and Hygiene Mobile Health Program on Diarrhea and Child Growth in Bangladesh: A Cluster-randomized Controlled Trial of the Cholera Hospital-based Intervention for 7 Days (CHoBI7) Mobile Health Program.
Clin Infect Dis
; 73(9): e2560-e2568, 2021 11 02.
Article
in En
| MEDLINE
| ID: mdl-32761174
ABSTRACT
BACKGROUND:
The Cholera Hospital-Based Intervention for 7 Days (CHoBI7) mobile health (mHealth) program was a cluster-randomized controlled trial of diarrhea patient households conducted in Dhaka, Bangladesh.METHODS:
Patients were block-randomized to 3 arms standard message on oral rehydration solution use; health facility delivery of CHoBI7 plus mHealth (no home visits); and health facility delivery of CHoBI7 plus 2 home visits and mHealth. The primary outcome was reported diarrhea in the past 2 weeks collected monthly for 12 months. The secondary outcomes were stunting, underweight, and wasting at a 12-month follow-up. Analysis was intention-to-treat.RESULTS:
Between 4 December 2016 and 26 April 2018, 2626 participants in 769 households were randomly allocated to 3 arms 849 participants to the standard message arm, 886 to mHealth with no home visits arm, and 891 to the mHealth with 2 home visits. Children <5 years had significantly lower 12-month diarrhea prevalence in both the mHealth with 2 home visits arm (prevalence ratio [PR] 0.73 [95% confidence interval {CI}, .61-.87]) and the mHealth with no home visits arm (PR 0.82 [95% CI, .69-.97]). Children <2 years were significantly less likely to be stunted in both the mHealth with 2 home visits arm (33% vs 45%; odds ratio [OR] 0.55 [95% CI, .31-.97]) and the mHealth with no home visits arm (32% vs 45%; OR 0.54 [95% CI, .31-.96]) compared with children in the standard message arm.CONCLUSIONS:
The CHoBI7 mHealth program lowered pediatric diarrhea and stunting among diarrhea patient households. CLINICAL TRIALS REGISTRATION NCT04008134.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cholera
/
Telemedicine
Type of study:
Clinical_trials
/
Risk_factors_studies
Limits:
Child
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Clin Infect Dis
Journal subject:
DOENCAS TRANSMISSIVEIS
Year:
2021
Document type:
Article
Affiliation country:
United States