Kenya (2009): Maternal and child health TRaC study evaluating water treatment and hygiene for the prevention of diarrhea and cholera among caregivers of children under five. Round Two.

The PSI/Kenya POUZN-funded program uses a high coverage social marketing (SM) strategy to increase access to and availability of household water treatment which include Waterguard, PUR and Aquatabs. During the intervention period, 216,000 bottles of Waterguard, 52,908 sachets of PUR and 27,360 tablets of Aquatabs were distributed to needy household through retails outlets, institutions and community- based distribution channels. Messages on water safety and hygiene were consistently delivere d to caregivers through a mix of communication channels including drama, small group discussions, clinic sessions, community activities, household-based trainings and demonstrations on treating water using POUZN products, mobile cinemas, merchandizing, wall branding and use of water vendors. Interactive radio talk shows and television shows were also utilized though in a limited scale. Both surveys employed a one-stage cluster sampling with enumeration areas as the primary unit of sampling. A total of 353 and 1,019 caregivers were recruited for the 2007 baseline and 2009 follow-up studies respectively. Analysis consisted of multivariable logistic regression to identify determinants correlated with key behaviors. Univariate analysis was conducted to examine levels of the health behaviors and determinants of behavior as well as examine the associations between program ex posure and changes in the key behavior. Socio-demographic characteristics and geographic location were controlled for in the analyses.