Peri-urban Dhaka and Kishoreganj, Bangladesh
For decades, water rich Bangladesh has struggled under the burden of high rates of water related disease. Shifting patters of settlement due to rural to urban migration and displacement from natural disasters has only exacerbated the spread of diarrheal disease. In response to this pervasive public health problem, the International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) is conducting a multi-year study to determine the best practices for water, sanitation and hygiene programs among low-resource populations in Bangladesh. Although the ICDDR,B has identified promising positive hygiene behaviors to incorporate in trial interventions, the pilot intervention and delivery must be assessed to determine the acceptability to the population and identify improvements before the next trial phase. During this project I will conduct a process evaluation of the pilot phase of the ongoing ICDDR,B trial.