PROOF OF CONCEPT
We evaluated ML-WASH in a cluster-randomized control trial (RTC) in Pakistan during 2013-14. Participants were women enrolled in adult literacy classes (ALCs) operated by the National Commission for Human Development in southern Punjab Province. One treatment arm received ML- WASH; a second received WASH instruction alone; the third received no training. The three arms of the study included 4,068 women, as well as 2,057 other female household members interviewed for spillover effects.
Striking benefits were seen at 16 months. Compared to the no-training group, ML-WASH participants had significantly better health, better household sanitation behaviors, and increased average weight and height for children under five (.86 kilograms and 2.7 centimeters). We also found improvements in the hygiene and health of other household members in ML- WASH villages (spillover effect). In contrast, WASH alone showed weak, or insignificant, effects in all of these measures at 16 months. The newest iteration of Microbe Literacy is more effective in reaching culturally conservative mothers than the RCT version.
With SEEDS India, in 2019, we conducted successful microscope workshops with marginalized communities along the Kosi River in Saharsa District, Bihar. This sets the stage for a project that ranges from health effects of ML, to disaster resilience, to ecological protection; similar projects are planned for communities on the Kosi in Nepal, and on the Indus floodplain in Pakistan.
Additionally, our 2019 RCT with 740 households on acceptance of typhoid conjugate vaccine during the XDR typhoid outbreak in Hyderabad, Sindh, Pakistan, showed nearly 100% of parents participating in workshops agreed to allow their children to be vaccinated with TCV vs. 63.5% of non-participating parents. In 2022, 90.7% of participating parents in Jamshoro, Sindh, Pakistan, accepted COVID-19 vaccine vs. just over 50% of non-participating parents. In 2022-23, a trial in migrant communities of the far Kathmandu Valley of Nepal showed that workshop participants’ acceptance of COVID-19 vaccine more than doubled post workshops non-participants’ rate.
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