ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
 GBD 2016 Lower Respiratory Infections Collaborators , 2018. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis 18: 1191–1210.
-
2.
Sonego M, Pellegrin MC, Becker G, Lazzerini M , 2015. Risk factors for mortality from acute lower respiratory infections (ALRI) in children under five years of age in low and middle-income countries: a systematic review and meta-analysis of observational studies. PLoS One 10: e0116380.
-
3.
Jackson S, Mathews KH, Pulanic D, Falconer R, Rudan I, Campbell H, Nair H , 2013. Risk factors for severe acute lower respiratory infections in children: a systematic review and meta-analysis. Croat Med J 54: 110–121.
-
4.
Warren-Gash C, Fragaszy E, Hayward AC , 2013. Hand hygiene to reduce community transmission of influenza and acute respiratory tract infection: a systematic review. Influenza Other Respir Viruses 7: 738–749.
-
5.
McGuinness SL, Barker SF, O’Toole J, Cheng AC, Forbes AB, Sinclair M, Leder K , 2018. Effect of hygiene interventions on acute respiratory infections in childcare, school and domestic settings in low- and middle-income countries: a systematic review. Trop Med Int Health 23: 816–833.
-
6.
Trinies V, Garn JV, Chang HH, Freeman MC , 2016. The impact of a school-based water, sanitation, and hygiene program on absenteeism, diarrhea, and respiratory infection: a matched-control trial in Mali. Am J Trop Med Hyg 94: 1418–1425.
-
7.
Patel MK et al.2012. Impact of a hygiene curriculum and the installation of simple handwashing and drinking water stations in rural Kenyan primary schools on student health and hygiene practices. Am J Trop Med Hyg 87: 594–601.
-
8.
Chard AN, Garn JV, Chang HH, Clasen T, Freeman MC , 2019. Impact of a school-based water, sanitation, and hygiene intervention on school absence, diarrhea, respiratory infection, and soil-transmitted helminths: results from the WASH HELPS cluster-randomized trial. J Glob Health 9: 020402.
-
9.
Pickering AJ, Davis J, Blum AG, Scalmanini J, Oyier B, Okoth G, Breiman RF, Ram PK , 2013. Access to waterless hand sanitizer improves student hand hygiene behavior in primary schools in Nairobi, Kenya. Am J Trop Med Hyg 89: 411–418.
-
10.
Luby SP, Agboatwalla M, Feikin DR, Painter J, Billhimer W, Altaf A, Hoekstra RM , 2005. Effect of handwashing on child health: a randomised controlled trial. Lancet 366: 225–233.
-
11.
Amin N, Pickering AJ, Ram PK, Unicomb L, Najnin N, Homaira N, Ashraf S, Abedin J, Islam MS, Luby SP , 2014. Microbiological evaluation of the efficacy of soapy water to clean hands: a randomized, non-inferiority field trial. Am J Trop Med Hyg 91: 415–423.
-
12.
Ashraf S, Islam M, Unicomb L, Rahman M, Winch PJ, Arnold BF, Benjamin-Chung J, Ram PK, Colford JM, Luby SP , 2020. Effect of improved water quality, sanitation, hygiene and nutrition interventions on respiratory illness in young children in rural Bangladesh: a multi-arm cluster-randomized controlled trial. Am J Trop Med Hyg 102: 1124–1130.
-
13.
Swarthout J et al.2020. Effects of individual and combined water, sanitation, handwashing, and nutritional interventions on child respiratory infections in rural Kenya: a cluster-randomized controlled trial. Am J Trop Med Hyg 102: 1286–1295.
-
14.
George CM et al.2018. A prospective cohort study comparing household contact and water Vibrio cholerae isolates in households of cholera patients in rural Bangladesh. PLoS Negl Trop Dis 12: e0006641.
-
15.
George CM et al.2015. Shigella infections in household contacts of pediatric shigellosis patients in rural Bangladesh. Emerg Infect Dis 21: 2006–2013.
-
16.
George CM et al.2016. Randomized controlled trial of hospital-based hygiene and water treatment intervention (chobi7) to reduce cholera. Emerg Infect Dis 22: 233–241.
-
17.
George CM et al.2019. Formative research for the design of a scalable water, sanitation, and hygiene mobile health program: CHoBI7 mobile health program. BMC Public Health 19: 1028.
-
18.
George CM et al.2016. Sustained uptake of a hospital-based handwashing with soap and water treatment intervention (cholera-hospital-based intervention for 7 days [chobi7]): a randomized controlled trial. Am J Trop Med Hyg 94: 428–436.
-
19.
 George CM et al., 2021. 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: e2560–e2568.
-
20.
 Ejemot-Nwadiaro RI, Ehiri JE, Arikpo D, Meremikwu MM, Critchley JA, 2021. Hand-washing promotion for preventing diarrhoea. Cochrane Database Syst Rev 12: CD004265.
-
21.
Aiello AE, Coulborn RM, Perez V, Larson EL , 2008. Effect of hand hygiene on infectious disease risk in the community setting: a meta-analysis. Am J Public Health 98: 1372–1381.
-
22.
Halder A, Tronchet C, Akhter S, Bhuiya A, Johnston R, Luby S , 2010. Observed hand cleanliness and other measures of handwashing behavior in rural Bangladesh. BMC Public Health 10: 545.
-
23.
Free C, Phillips G, Galli L, Watson L, Felix L, Edwards P, Patel V, Haines A , 2013. The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review. PLoS Med 10: e1001362.
-
24.
Higgs ES, Goldberg AB, Labrique AB, Cook SH, Schmid C, Cole CF, Obregón RA , 2014. Understanding the role of mHealth and other media interventions for behavior change to enhance child survival and development in low-and middle-income countries: an evidence review. J Health Commun 19(Suppl 1): 164–189.
-
25.
 ICT , 2017. Key ICT indicators for developed and developing countries and the world (totals and penetration rates). Available at: https://www.itu.int/en/ITU-D/Statistics/Pages/stat/default.aspx.
-
26.
 BTRC , 2021. Mobile Phone subscribers. Available at: http://www.btrc.gov.bd/content/mobile-phone-subscribers-bangladesh-june-2021.
-
27.
Mahmood H, McKinstry B, Luz S, Fairhurst K, Nasim S, Hazir T , 2020. Community health worker-based mobile health (mHealth) approaches for improving management and caregiver knowledge of common childhood infections: a systematic review. J Glob Health 10: 020438.
-
28.
Thomas ED et al.2020. Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program). BMC Public Health 20: 831.
-
29.
Woode PK, Dwumfour-Asare B, Nyarko KB, Appiah-Effah E , 2018. Cost and effectiveness of water, sanitation and hygiene promotion intervention in Ghana: the case of four communities in the Brong Ahafo region. Heliyon 4: e00841.
-
30.
 Larsen B, 2016. Benefits and Costs of Drinking Water, Sanitation and Hygiene Interventions. Copenhagen Consensus Center.
-
31.
 World Health Organization, 2005. Effects of Air Pollution on Children’s Health and Development. Geneva, Switzerland: WHO.
-
32.
Konradsen JR, Fujisawa T, Hage MV, Hedlin G, Hilger C, Kleine-Tebbe J, Matsui EC, Roberts G, Rönmark E, Platts-Mills TAE , 2015. Allergy to furry animals: new insights, diagnostic approaches, and challenges. J Allergy Clin Immunol 135: 616–625.
-
33.
Bank TW , 2018. Population Living in Slums (% of urban population). Available at: https://data.worldbank.org/indicator/EN.POP.SLUM.UR.ZS.
-
34.
Bank TW , 2020. Urban Population (% of total population). Available at: https://data.worldbank.org/indicator/SP.URB.TOTL.IN.ZS.
-
35.
 World Bank, 2021. Word Total Population. Available at: https://data.worldbank.org/indicator/SP.POP.TOTL.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 9507 | 721 | 64 |
| Full Text Views | 116 | 47 | 1 |
| PDF Downloads | 89 | 20 | 1 |
Effects of a Water, Sanitation and Hygiene Mobile Health Program on Respiratory Illness in Bangladesh: A Cluster-Randomized Controlled Trial of the CHoBI7 Mobile Health Program
Christine Marie George
Christine Marie George
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;
Search for other papers by Christine Marie George in
Current site
Google Scholar
PubMed
Search for other papers by Christine Marie George in
Current site
Google Scholar
PubMed
Jamie Perin
Jamie Perin
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;
Search for other papers by Jamie Perin in
Current site
Google Scholar
PubMed
Search for other papers by Jamie Perin in
Current site
Google Scholar
PubMed
Tahmina Parvin
Tahmina Parvin
International Centre for Diarrhoeal Disease Research, Bangladesh
Search for other papers by Tahmina Parvin in
Current site
Google Scholar
PubMed
Search for other papers by Tahmina Parvin in
Current site
Google Scholar
PubMed
Sazzadul Bhuyian
Sazzadul Bhuyian
International Centre for Diarrhoeal Disease Research, Bangladesh
Search for other papers by Sazzadul Bhuyian in
Current site
Google Scholar
PubMed
Search for other papers by Sazzadul Bhuyian in
Current site
Google Scholar
PubMed
Elizabeth D. Thomas
Elizabeth D. Thomas
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;
Search for other papers by Elizabeth D. Thomas in
Current site
Google Scholar
PubMed
Search for other papers by Elizabeth D. Thomas in
Current site
Google Scholar
PubMed
Shirajum Monira
Shirajum Monira
International Centre for Diarrhoeal Disease Research, Bangladesh
Search for other papers by Shirajum Monira in
Current site
Google Scholar
PubMed
Search for other papers by Shirajum Monira in
Current site
Google Scholar
PubMed
Fatema Zohura
Fatema Zohura
International Centre for Diarrhoeal Disease Research, Bangladesh
Search for other papers by Fatema Zohura in
Current site
Google Scholar
PubMed
Search for other papers by Fatema Zohura in
Current site
Google Scholar
PubMed
Tasdik Hasan
Tasdik Hasan
International Centre for Diarrhoeal Disease Research, Bangladesh
Search for other papers by Tasdik Hasan in
Current site
Google Scholar
PubMed
Search for other papers by Tasdik Hasan in
Current site
Google Scholar
PubMed
David Sack
David Sack
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;
Search for other papers by David Sack in
Current site
Google Scholar
PubMed
Search for other papers by David Sack in
Current site
Google Scholar
PubMed
Munirul Alam
Munirul Alam
International Centre for Diarrhoeal Disease Research, Bangladesh
Search for other papers by Munirul Alam in
Current site
Google Scholar
PubMed
Search for other papers by Munirul Alam in
Current site
Google Scholar
PubMed
ABSTRACT.
Acute respiratory infections are a leading cause of morbidity and mortality among young children globally. The objective of this study was to evaluate the impact of the Cholera-Hospital-Based-Intervention-for-7-days (CHoBI7) handwashing with soap and water treatment mobile health (mHealth) program on respiratory illness among diarrhea patients and their household members in urban Dhaka, Bangladesh. A cluster-randomized controlled trial of the CHoBI7 mHealth program was conducted among diarrhea patient households in Dhaka, Bangladesh. Patients were randomized to three arms: standard recommendation on oral rehydration solution use, health facility delivery of CHoBI7 plus mHealth (weekly voice and text messages for 12 months) (no home visits), and health facility delivery of CHoBI7 plus two home visits and mHealth. Respiratory symptoms were assessed during monthly clinical surveillance over the 12-month surveillance period. Respiratory illness was defined as rapid breathing, difficulty breathing, wheezing, or coughing. Two thousand six hundred twenty-six participants in 769 households were randomly allocated to three arms: 849 participants to the standard message arm, 886 to the mHealth with no home visits arm, and 891 to the mHealth with two home visits arm. Compared with the standard message arm, participants in the mHealth with no home visits arm (Prevalence Ratio [PR]: 0.89 [95% CI: 0.80, 0.98]), and the mHealth with two home visits arm (PR: 0.89 [95% CI: 0.81, 0.99]) had significantly lower respiratory illness prevalence over the 12-month program period. Our findings demonstrate that the CHoBI7 mHealth program is effective in reducing respiratory illness among diarrhea patient households.
- Supplemental Materials (PDF 23 KB)
Author Notes
Financial support: Supported by the United States Agency for International Development.
Authors’ Addresses: Christine Marie George, Jamie Perin, Elizabeth Thomas, and David Sack, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, E-mails: cgeorg19@jhu.edu, jperin@jhu.edu, liz.thomas@jhu.edu, and dsack1@jhu.edu. Tahmina Parvin, Sazzadul Bhuyian, Shirajum Monira, Fatema Zohura, Tasdik Hasan, and Munirul Alam, International Centre for Diarrhoeal Disease Research, Bangladesh, E-mails: tparvin@icddrb.org, sazzadul.islam@icddrb.org, smonira@icddrb.org, fzohura@icddrb.org, tasdikhdip@yahoo.com, and munirul@icddrb.org.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
 GBD 2016 Lower Respiratory Infections Collaborators , 2018. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis 18: 1191–1210.
-
2.
Sonego M, Pellegrin MC, Becker G, Lazzerini M , 2015. Risk factors for mortality from acute lower respiratory infections (ALRI) in children under five years of age in low and middle-income countries: a systematic review and meta-analysis of observational studies. PLoS One 10: e0116380.
-
3.
Jackson S, Mathews KH, Pulanic D, Falconer R, Rudan I, Campbell H, Nair H , 2013. Risk factors for severe acute lower respiratory infections in children: a systematic review and meta-analysis. Croat Med J 54: 110–121.
-
4.
Warren-Gash C, Fragaszy E, Hayward AC , 2013. Hand hygiene to reduce community transmission of influenza and acute respiratory tract infection: a systematic review. Influenza Other Respir Viruses 7: 738–749.
-
5.
McGuinness SL, Barker SF, O’Toole J, Cheng AC, Forbes AB, Sinclair M, Leder K , 2018. Effect of hygiene interventions on acute respiratory infections in childcare, school and domestic settings in low- and middle-income countries: a systematic review. Trop Med Int Health 23: 816–833.
-
6.
Trinies V, Garn JV, Chang HH, Freeman MC , 2016. The impact of a school-based water, sanitation, and hygiene program on absenteeism, diarrhea, and respiratory infection: a matched-control trial in Mali. Am J Trop Med Hyg 94: 1418–1425.
-
7.
Patel MK et al.2012. Impact of a hygiene curriculum and the installation of simple handwashing and drinking water stations in rural Kenyan primary schools on student health and hygiene practices. Am J Trop Med Hyg 87: 594–601.
-
8.
Chard AN, Garn JV, Chang HH, Clasen T, Freeman MC , 2019. Impact of a school-based water, sanitation, and hygiene intervention on school absence, diarrhea, respiratory infection, and soil-transmitted helminths: results from the WASH HELPS cluster-randomized trial. J Glob Health 9: 020402.
-
9.
Pickering AJ, Davis J, Blum AG, Scalmanini J, Oyier B, Okoth G, Breiman RF, Ram PK , 2013. Access to waterless hand sanitizer improves student hand hygiene behavior in primary schools in Nairobi, Kenya. Am J Trop Med Hyg 89: 411–418.
-
10.
Luby SP, Agboatwalla M, Feikin DR, Painter J, Billhimer W, Altaf A, Hoekstra RM , 2005. Effect of handwashing on child health: a randomised controlled trial. Lancet 366: 225–233.
-
11.
Amin N, Pickering AJ, Ram PK, Unicomb L, Najnin N, Homaira N, Ashraf S, Abedin J, Islam MS, Luby SP , 2014. Microbiological evaluation of the efficacy of soapy water to clean hands: a randomized, non-inferiority field trial. Am J Trop Med Hyg 91: 415–423.
-
12.
Ashraf S, Islam M, Unicomb L, Rahman M, Winch PJ, Arnold BF, Benjamin-Chung J, Ram PK, Colford JM, Luby SP , 2020. Effect of improved water quality, sanitation, hygiene and nutrition interventions on respiratory illness in young children in rural Bangladesh: a multi-arm cluster-randomized controlled trial. Am J Trop Med Hyg 102: 1124–1130.
-
13.
Swarthout J et al.2020. Effects of individual and combined water, sanitation, handwashing, and nutritional interventions on child respiratory infections in rural Kenya: a cluster-randomized controlled trial. Am J Trop Med Hyg 102: 1286–1295.
-
14.
George CM et al.2018. A prospective cohort study comparing household contact and water Vibrio cholerae isolates in households of cholera patients in rural Bangladesh. PLoS Negl Trop Dis 12: e0006641.
-
15.
George CM et al.2015. Shigella infections in household contacts of pediatric shigellosis patients in rural Bangladesh. Emerg Infect Dis 21: 2006–2013.
-
16.
George CM et al.2016. Randomized controlled trial of hospital-based hygiene and water treatment intervention (chobi7) to reduce cholera. Emerg Infect Dis 22: 233–241.
-
17.
George CM et al.2019. Formative research for the design of a scalable water, sanitation, and hygiene mobile health program: CHoBI7 mobile health program. BMC Public Health 19: 1028.
-
18.
George CM et al.2016. Sustained uptake of a hospital-based handwashing with soap and water treatment intervention (cholera-hospital-based intervention for 7 days [chobi7]): a randomized controlled trial. Am J Trop Med Hyg 94: 428–436.
-
19.
 George CM et al., 2021. 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: e2560–e2568.
-
20.
 Ejemot-Nwadiaro RI, Ehiri JE, Arikpo D, Meremikwu MM, Critchley JA, 2021. Hand-washing promotion for preventing diarrhoea. Cochrane Database Syst Rev 12: CD004265.
-
21.
Aiello AE, Coulborn RM, Perez V, Larson EL , 2008. Effect of hand hygiene on infectious disease risk in the community setting: a meta-analysis. Am J Public Health 98: 1372–1381.
-
22.
Halder A, Tronchet C, Akhter S, Bhuiya A, Johnston R, Luby S , 2010. Observed hand cleanliness and other measures of handwashing behavior in rural Bangladesh. BMC Public Health 10: 545.
-
23.
Free C, Phillips G, Galli L, Watson L, Felix L, Edwards P, Patel V, Haines A , 2013. The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review. PLoS Med 10: e1001362.
-
24.
Higgs ES, Goldberg AB, Labrique AB, Cook SH, Schmid C, Cole CF, Obregón RA , 2014. Understanding the role of mHealth and other media interventions for behavior change to enhance child survival and development in low-and middle-income countries: an evidence review. J Health Commun 19(Suppl 1): 164–189.
-
25.
 ICT , 2017. Key ICT indicators for developed and developing countries and the world (totals and penetration rates). Available at: https://www.itu.int/en/ITU-D/Statistics/Pages/stat/default.aspx.
-
26.
 BTRC , 2021. Mobile Phone subscribers. Available at: http://www.btrc.gov.bd/content/mobile-phone-subscribers-bangladesh-june-2021.
-
27.
Mahmood H, McKinstry B, Luz S, Fairhurst K, Nasim S, Hazir T , 2020. Community health worker-based mobile health (mHealth) approaches for improving management and caregiver knowledge of common childhood infections: a systematic review. J Glob Health 10: 020438.
-
28.
Thomas ED et al.2020. Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program). BMC Public Health 20: 831.
-
29.
Woode PK, Dwumfour-Asare B, Nyarko KB, Appiah-Effah E , 2018. Cost and effectiveness of water, sanitation and hygiene promotion intervention in Ghana: the case of four communities in the Brong Ahafo region. Heliyon 4: e00841.
-
30.
 Larsen B, 2016. Benefits and Costs of Drinking Water, Sanitation and Hygiene Interventions. Copenhagen Consensus Center.
-
31.
 World Health Organization, 2005. Effects of Air Pollution on Children’s Health and Development. Geneva, Switzerland: WHO.
-
32.
Konradsen JR, Fujisawa T, Hage MV, Hedlin G, Hilger C, Kleine-Tebbe J, Matsui EC, Roberts G, Rönmark E, Platts-Mills TAE , 2015. Allergy to furry animals: new insights, diagnostic approaches, and challenges. J Allergy Clin Immunol 135: 616–625.
-
33.
Bank TW , 2018. Population Living in Slums (% of urban population). Available at: https://data.worldbank.org/indicator/EN.POP.SLUM.UR.ZS.
-
34.
Bank TW , 2020. Urban Population (% of total population). Available at: https://data.worldbank.org/indicator/SP.URB.TOTL.IN.ZS.
-
35.
 World Bank, 2021. Word Total Population. Available at: https://data.worldbank.org/indicator/SP.POP.TOTL.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 9507 | 721 | 64 |
| Full Text Views | 116 | 47 | 1 |
| PDF Downloads | 89 | 20 | 1 |