TY - JOUR AU - Delea, Maryann G. AU - Snyder, Jedidiah S. AU - Belew, Mulusew AU - Caruso, Bethany A. AU - Garn, Joshua V. AU - Sclar, Gloria D. AU - Woreta, Mulat AU - Zewudie, Kassahun AU - Gebremariam, Abebe AU - Freeman, Matthew C. PY - 2019 DA - 2019/06/21 TI - Design of a parallel cluster-randomized trial assessing the impact of a demand-side sanitation and hygiene intervention on sustained behavior change and mental well-being in rural and peri-urban Amhara, Ethiopia: Andilaye study protocol JO - BMC Public Health SP - 801 VL - 19 IS - 1 AB - Unimproved water, sanitation, and hygiene (WASH) behaviors are key drivers of infectious disease transmission and influencers of mental well-being. While WASH is seen as a critical enabler of health, important knowledge gaps related to the content and delivery of effective, holistic WASH programming exist. Corresponding impacts of WASH on mental well-being are also underexplored. There is a need for more robust implementation research that yields information regarding whether and how community-based, demand-side interventions facilitate progressive and sustained adoption of improved sanitation and hygiene behaviors and downstream health impacts. The purpose of this protocol is to detail the rationale and design of a cluster-randomized trial evaluating the impact of a demand-side sanitation and hygiene intervention on sustained behavior change and mental well-being in rural and peri-urban Amhara, Ethiopia. SN - 1471-2458 UR - https://doi.org/10.1186/s12889-019-7040-6 DO - 10.1186/s12889-019-7040-6 ID - Delea2019 ER -