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Table 1 Summary of study objectives and methods

From: School-based interventions to promote personal and environmental hygiene practices among children in Pakistan: protocol for a mixed methods study

Serial NumberObjectivesIndicatorsStudy PopulationData collection methodsFrequencySampling strategyData analysis
1.Improve hygiene literacy and practices among primary school children by 10-15% (from pre-intervention to post- intervention phase) during October 2019 – December 2020 at semi-urban schools, Karachi, Pakistan Improved hygiene knowledge among school children by 10-15%
Improved hygiene practices among school children by 8-10%
School children enrolled in primary grade at the sampled schoolsSurvey using questionnaireBaseline & EndlineCensus Proportions and mean scores will be calculated
Use of statistical tests:
 ◦ McNemar test
 ◦ Paired t-test
2.Explore factors (facilitating and constraining) towards the adaption of personal and environmental hygiene practices among primary school children at semi-urban schools, Karachi, Pakistan during the pre-intervention phase by February 2020 Factors facilitating hygiene behaviors among school children
Factors restraining hygiene behaviors among school children
Mothers of school children enrolled in primary grade at the sampled schools
School teachers currently deployed at the primary grade in the sampled schools
Taluka Education Officer
Taluka Health Officer
Focus group discussion guide for mothers
In-depth interview guide (specific for teachers and other respondents)
Baseline & EndlinePurposiveThematic data analysis
3.Determine the role of mothers with improved knowledge and practices in personal and environmental hygiene to enhance knowledge and practices of their children enrolled at semi-urban schools, Karachi, Pakistan over the period of January 2019- August 2020 Improved hygiene knowledge among the mothers of school children by 10-15%
Improved hygiene practices among the mothers of school children by 10-15%
Mothers of school children enrolled in primary grade at the sampled schoolsSurvey using questionnaireBaseline & EndlineCensus Proportions and mean scores will be calculated
Use of statistical tests:
 ◦ McNemar test
 ◦ Paired t-test
4.Estimate the overall change in the prevalence (increase or decrease) of communicable childhood illnesses among primary school children during October 2019- December 2020 (pre to post- intervention phase) in Karachi, Pakistan Percent change (increase of decrease) in the prevalence of communicable diseases among primary school childrenMothers of school children (recruited in the study) will be interviewedSurvey using questionnaireBaseline & EndlineCensus Proportions and mean scores will be calculated
Use of statistical tests:
 ◦ McNemar test
 ◦ Paired t-test