Cholera-Hospital-Based-Intervention-for-7-days
Cholera-Hospital-Based-Intervention-for-7-days
The Cholera Hospital Based Intervention for 7 Days (CHoBI7) randomized controlled trial for
 transition to scale aimed to: (1) Develop and evaluate scalable approaches to integrate the
 CHoBI7 intervention into the services provided for hospitalized diarrhea patients at health
 facilities in Bangladesh; and (2) Evaluate the ability of the CHoBI7 intervention to lead to
 a sustained uptake of the promoted hand washing with soap and water treatment behaviors and
 significant reductions in diarrheal disease over time.
The findings from the recent randomized controlled trial of The Cholera Hospital Based
 Intervention for 7 Days (CHoBI7) demonstrated that this intervention was effective in
 significantly reducing symptomatic cholera infections in intervention households, and had
 significant sustained impacts on hand washing with soap behaviors and improved water quality
 12 months post intervention. Next steps to transition to scale were: (1) Develop and evaluate
 scalable approaches to integrate the CHoBI7 intervention into the services provided for
 hospitalized diarrhea patients at health facilities in Bangladesh; and (2) Evaluate the
 ability of the CHoBI7 intervention to lead to a sustained uptake of the promoted hand washing
 with soap and water treatment behaviors and significant reductions in diarrheal disease over
 time.
Inclusion Criteria:

 Diarrhea patients will be defined as patients having acute watery diarrhea three or more
 loose stools over a 24-hour period in the past three days. Diarrhea patients admitted to
 ICDDRB Dhaka Hospital or Mugda General Hospital will be eligible for the trial if:

 1. have had 3 or more loose stools over the past 24 hours

 2. plan to reside in Dhaka for the next 12 months

 3. have no basin for running water in their home

 4. have a child under five years of age in their household (including themselves) that
 produced a stool sample at baseline

 5. have a working mobile phone in the household.

 Household members of the diarrhea patient will be eligible for the trial if:

 1. they have shared the same cooking pot and resided in the same home with the diarrhea
 patient for the last three days

 2. plan to reside in their current household with the diarrhea patient for the next 12
 months

 Exclusion Criteria:

 (1) Children in foster care will be excluded from all research study activities.