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A cluster randomized evaluation of Financial Inclusion for Sanitation and Health Initiative intervention in Kenya and Uganda

Samuel Muhula, Amref Health Africa in Kenya

Martin Muchangi, Amref Health Africa in Kenya

Maarten Kuijpers, Amref Health Africa, Netherlands

Marcela Rueda Gómez, IWORDS Consulting

29th June 2022

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Motivation – Effects of Poor Sanitation

Estimated $324m (USD) in Kenya and $177m (USD) in Uganda (Water and Sanitation Program, 2012)

The FINISH Initiative in Kenya an Uganda aim to increase access to improved sanitation

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Objectives

Estimate the impact of the FINISH model on health, economic, and social outcomes
Explore the perspectives, attitudes and practices of various stakeholders (communities, governments, entrepreneurs, and financiers) towards the FINISH model
To determine cost effectiveness of the FINISH model

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Materials and methods

Study design: A cluster randomized control trial involving intervention and control areas in Kenya and Uganda
Study areas

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Materials and methods_2

Data collection: Baseline, mid-term and end-term at the end of 5 years of implementation
Ethical consideration: Protocol submitted to both IRBs in Kenya and Uganda
Informed consent will be obtained from all participants

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Outcome measure

Deaths due to diarrhoea among children under age 5
Gender equality index
Local governments that adopt FINISH Mondial standards of toilet designs
Households with functional handwashing facilities (presence of both water and soap and evidence of utilization)
Households with handwashing facilities
Households using safely managed sanitation systems
Households that constructed/refurbished/upgraded a toilets
Households seeking sanitation-related loans who obtained the expected support