Publications by authors named "B Arnold"
Background: While water, sanitation, and hygiene (WASH) interventions can reduce diarrheal disease, many large-scale trials have not found the expected health gains for young children in low-resource settings. Evidence-based guidance is needed to improve interventions and remove barriers to diarrheal disease reduction.
Objectives: We aimed to estimate how sensitive WASH intervention effectiveness was to underlying contextual and intervention factors in the WASH Benefits (WASH-B) Bangladesh cluster-randomized controlled trial.
Sanitation programs typically measure latrine access, which does not equate to use. We aimed to objectively measure latrine use with sensors among households enrolled in the sanitation and control groups of a randomized controlled trial (WASH Benefits) in Bangladesh. The intervention provided upgraded latrines and behavioral promotion.
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- Large-scale public health programs in India, such as immunizations and deworming, currently operate independently, which limits their overall efficiency.
- An analysis of survey data from over 86,000 children revealed that vaccination coverage varied significantly, with some vaccines reaching as low as 42% and others up to 95%, highlighting areas needing attention.
- Implementing an integrated strategy that combines multiple health interventions could significantly improve vaccine coverage and efficiency, suggesting that targeting specific under-vaccinated districts could lead to better health outcomes for children in India.