Hand HygieneWASHEDUPNCT06486376
The Impact of WASH on Handwashing Practices Among School Children in Nigeria.
A study testing Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and Pneumonia in people with Hand Hygiene, run by The Neo Child Initiative for Africa at 1 site in Nigeria.
Trial summary
Children are considered as the most vulnerable group of individuals affected by lack of water, sanitation and hygiene facilities which predisposes them to a wide range of enteric diseases particularly diarrhoeal and parasitic infections. Read more about this study
- Who is it for?
- Ages 7 to 12 yearsHealthy volunteers can take part
- Conditions the study is for
- Hand Hygiene
- What is being tested?
- Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and Pneumonia
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 3,500 participants
- Where
- 1 siteNigeria
- Study dates
- 1 Aug 2024to 15 Dec 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 7 to 12 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Schools are located in Lagos state
- Schools must have functional WASH facilities:
- Schools must have access to a water source
- Schools have school registers
Who cannot join
- School authorities refuse to participate
- Schools which have received WASH intervention
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Impact of Teacher-led School Based Hygiene Campaign on Handwashing Practices and Prevention of Diarrhoea, Undernutrition and Pneumonia Among School Children in Nigeria.
Children are considered as the most vulnerable group of individuals affected by lack of water, sanitation and hygiene facilities which predisposes them to a wide range of enteric diseases particularly diarrhoeal and parasitic infections. School-based WASH interventions typically aim to reduce the incidence of hygiene related diseases, improve school outcomes for pupils and influence hygiene practices of families and the wider community. This study intends to investigate the impact and effectiveness of the teacher-led school- based hygiene intervention on handwashing practices and prevention of diarrhoea, undernutrition, and pneumonia among school children in primary schools in Lagos, Nigeria.
Read the detailed description
This research project will be conducted as a school cluster-randomized study with 50 randomly selected low-cost private primary schools in the Lagos region. The expected number of schools included is 25 intervention and 25 control schools (schools that have not received the intervention but that are similar enough to the intervention schools to facilitate comparison). Quantitative data will be collected on the implementation and impact of the intervention, and qualitative data will be collected to explore teacher perceptions of best WASH practices. The intervention WASHED-UP (Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and Pneumonia) will be implemented as a 2-week health awareness campaign that will train children and teachers to deliver the program on hygiene promotion in schools. Intervention components include the presentation of interactive stories, games and songs, nutrition education, participatory food demonstration classes using food models, the use of animated characters representing occasions for handwashing with soap, practical and visual demonstrations to communicate the presence of germs and handwashing with soap removes them in comparison to only water, the use of daily diaries by students to record their handwashing behaviour and making a public commitment to handwashing with soap as a club. Digital surveys and implementation checklists will be used to collect the impact (survey) and implementation data, respectively and audio recordings of focus groups will be used to collect data related to stakeholder perceptions of the WASHED-UP program. For school absence, data are planned to be obtained from paper-based school records, including registers and sick-bay records. Approximately 3500 children will be recruited for data collection which will involve administering questions on socio-demographics, illness, reasons for school absence, disease history, sanitation behaviour at home and school and attendance at WASH clubs. At the end of the study all control schools will receive the intervention subsequently.
Data will be collected in three phases:
- Phase 1: February to March 2024 and will consist of a baseline survey.
- Phase 2: May to June 2024 and will consist of an implementation phase in the form of the intervention in the randomly selected 25 primary schools in Lagos.
- Phase 3: September to November 2024 and will consist of three months of follow-up post-implementation and comparison to control schools. Data will be collated using the Kobo Toolbox survey tool and analyzed with Statistical Package for Social Sciences (SPSS).
- Conditions
- Hand Hygiene
- Being tested
- Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and Pneumonia
- Keywords
- WASH, schools, children
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and PneumoniaBehavioural
Also called WASHED-UP
Intervention components include teacher training, stepdown training of teachers to children and distribution of IEC materials.
| Study group | Role | What they receive |
|---|---|---|
| Active comparator | Active comparator | Control Group: These will be schools where no intervention will be implemented, and routine practices are continued. Receives: Behavioral: Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and Pneumonia |
| Control | No intervention | No intervention group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sanitation and hygiene-related knowledge, attitudes, and practices of handwashing
The incidence of diarrhoeal diseases and pneumonia among school children in primary schools in Lagos.
Measured: 3 months
Secondary outcomes (1)
School absenteeism
The difference in school absence and the occurrence of self-reported diarrhoea, and pneumonia symptoms between children who attended schools that participated in the WASHED-UP campaign versus children who attended schools that did not receive WASHED-UP?
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Jul 2024
- Study start1 Aug 2024
- Primary completion15 Dec 2024
- Study completion15 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hand HygieneStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- School Cluster randomized trial study of 50 schools
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 3,500 participants (actual)
Sponsor and investigators
- Lead sponsor
- The Neo Child Initiative for Africa
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06486376
- Sponsor's protocol ID
- IRB-24-011
- Acronym
- WASHEDUP
- Status last verified
- Sep 2025
- First submitted
- 22 Jun 2024
- Last updated
- 25 Sep 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Essential Study protocol and data collection tools will be shared with other researchers
Study at a glance
From the registry record, last updated by the sponsor on 25 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Impact of Teacher-led School Based Hygiene Campaign on Handwashing Practices and Prevention of Diarrhoea, Undernutrition and Pneumonia Among School Children in Nigeria.
- ClinicalTrials.gov ID
- NCT06486376
- Acronym / sponsor ID
- WASHEDUP / IRB-24-011
- Conditions
- Hand Hygiene
- Keywords
- WASH, schools, children
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 3,500 participants (actual)
- Lead sponsor
- The Neo Child Initiative for AfricaUniversity, hospital or other
- Study start
- 1 Aug 2024 (actual)
- Primary completion
- 15 Dec 2024 (actual)
- Study completion
- 15 Dec 2024 (actual)
- First posted
- 3 Jul 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Children are considered as the most vulnerable group of individuals affected by lack of water, sanitation and hygiene facilities which predisposes them to a wide range of enteric diseases particularly diarrhoeal and parasitic infections. School-based WASH interventions typically aim to reduce the incidence of hygiene related diseases, improve school outcomes for pupils and influence hygiene practices of families and the wider community. This study intends to investigate the impact and effectiveness of the teacher-led school- based hygiene intervention on handwashing practices and prevention of diarrhoea, undernutrition, and pneumonia among school children in primary schools in Lagos, Nigeria.
Detailed description
This research project will be conducted as a school cluster-randomized study with 50 randomly selected low-cost private primary schools in the Lagos region. The expected number of schools included is 25 intervention and 25 control schools (schools that have not received the intervention but that are similar enough to the intervention schools to facilitate comparison). Quantitative data will be collected on the implementation and impact of the intervention, and qualitative data will be collected to explore teacher perceptions of best WASH practices. The intervention WASHED-UP (Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and Pneumonia) will be implemented as a 2-week health awareness campaign that will train children and teachers to deliver the program on hygiene promotion in schools. Intervention components include the presentation of interactive stories, games and songs, nutrition education, participatory food demonstration classes using food models, the use of animated characters representing occasions for handwashing with soap, practical and visual demonstrations to communicate the presence of germs and handwashing with soap removes them in comparison to only water, the use of daily diaries by students to record their handwashing behaviour and making a public commitment to handwashing with soap as a club. Digital surveys and implementation checklists will be used to collect the impact (survey) and implementation data, respectively and audio recordings of focus groups will be used to collect data related to stakeholder perceptions of the WASHED-UP program. For school absence, data are planned to be obtained from paper-based school records, including registers and sick-bay records. Approximately 3500 children will be recruited for data collection which will involve administering questions on socio-demographics, illness, reasons for school absence, disease history, sanitation behaviour at home and school and attendance at WASH clubs. At the end of the study all control schools will receive the intervention subsequently.
Data will be collected in three phases:
- Phase 1: February to March 2024 and will consist of a baseline survey.
- Phase 2: May to June 2024 and will consist of an implementation phase in the form of the intervention in the randomly selected 25 primary schools in Lagos.
- Phase 3: September to November 2024 and will consist of three months of follow-up post-implementation and comparison to control schools. Data will be collated using the Kobo Toolbox survey tool and analyzed with Statistical Package for Social Sciences (SPSS).
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- School Cluster randomized trial study of 50 schools
| Arm | Type | Receives |
|---|---|---|
| Active comparator | Active comparator | Behavioral: Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and PneumoniaControl Group: These will be schools where no intervention will be implemented, and routine practices are continued. |
| Control | No intervention | –No intervention group |
Who may qualify
- Ages
- 7 to 12 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- Schools are located in Lagos state
- Schools must have functional WASH facilities:
- Schools must have access to a water source
- Schools have school registers
Key exclusion criteria (2 listed)
- School authorities refuse to participate
- Schools which have received WASH intervention
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and PneumoniaAlso: WASHED-UPIntervention components include teacher training, stepdown training of teachers to children and distribution of IEC materials. | Behavioural | Active comparator |
Primary outcome
Sanitation and hygiene-related knowledge, attitudes, and practices of handwashing
Time frame: 3 months
The incidence of diarrhoeal diseases and pneumonia among school children in primary schools in Lagos.
1 secondary outcome
School absenteeism
Time frame: 3 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Sep 2025.
- Individual participant dataSharing planned: Yes. Essential Study protocol and data collection tools will be shared with other researchers
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Water, Sanitation and Hygiene Education Against Diarrhoea, Undernutrition and Pneumonia in people with Hand Hygiene, run by The Neo Child Initiative for Africa at 1 site in Nigeria.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Nigeria. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Sanitation and hygiene-related knowledge, attitudes, and practices of handwashing (time frame: 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2025.