This study aims to assess the effects of school-based, comprehensive water, sanitation, and hygiene improvements on child health and educational outcomes in schools in Addis Ababa, Ethiopia. Eligible schools will be randomly allocated to intervention or control groups. Data on pupil absence and illness will be collected longitudinally from students in selected classrooms in each school over the course of one academic year (2021/2022). This study will also assess the effects of the intervention on kindergarten students through parent interviews.
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Roll-call absence prevalence - Older children (7-16)
Timeframe: Longitudinal: Every 4-6 weeks. Participants will be followed for 9 months (September 2021-May 2022)
Self-reported absence prevalence - Older children (7-16)
Timeframe: Longitudinal: Baseline and every 4-6 weeks. Participants will be followed for 9 months (September 2021-May 2022)
2- and 7-day period prevalence of diarrhoea - Older children (7-16)
Timeframe: Longitudinal: Baseline and every 4-6 weeks. Participants will be followed for 9 months (September 2021-May 2022)
2- and 7-day period prevalence of respiratory infection - Older children (7-16)
Timeframe: Longitudinal: Baseline and every 4-6 weeks. Participants will be followed for 9 months (September 2021-May 2022)
Days with diarrhoea in past week - Kindergarten (4-6)
Timeframe: Longitudinal: Weekly for four weeks (February/March 2022).
Days with respiratory infection in past week - Kindergarten (4-6)
Timeframe: Longitudinal: Weekly for four weeks (February/March 2022).
Absence in past week - Kindergarten (4-6)
Timeframe: Longitudinal: Weekly for four weeks (February/March 2022).