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• 1. [Article] Assessing the Impact of Water Filters and Improved Cook Stoves on Drinking Water Quality and Household Air Pollution: A Randomised Controlled Trial in Rwanda

  Diarrhea and respiratory infections remain the biggest killers of children under 5 years in developing countries. We conducted a 5-month household randomised controlled trial among 566 households in rural ...

  Citation × Citation Citation Abstract Copy Title: Assessing the Impact of Water Filters and Improved Cook Stoves on Drinking Water Quality and Household Air Pollution: A Randomised Controlled Trial in Rwanda Author: Rosa, Ghislaine, Majorin, Fiona, Boisson, Sophie, Barstow, Christina, Johnson, Michael, Kirby, Miles, Ngabo, Fidele, Thomas, Evan A., Clasen, Thomas Year: 2014 Diarrhea and respiratory infections remain the biggest killers of children under 5 years in developing countries. We conducted a 5-month household randomised controlled trial among 566 households in rural Rwanda to assess uptake, compliance and impact on environmental exposures of a combined intervention delivering high-performance water filters and improved stoves for free. Compliance was measured monthly by self-report and spot-check observations. Semicontinuous 24-h PM2.5 monitoring of the cooking area was conducted in a random subsample of 121 households to assess household air pollution, while samples of drinking water from all households were collected monthly to assess the levels of thermotolerant coliforms. Adoption was generally high, with most householders reporting the filters as their primary source of drinking water and the intervention stoves as their primary cooking stove. However, some householders continued to drink untreated water and most continued to cook on traditional stoves. The intervention was associated with a 97.5% reduction in mean fecal indicator bacteria (Williams means 0.5 vs. 20.2 TTC/100 mL, p,0.001) and a median reduction of 48% of 24-h PM2.5 concentrations in the cooking area (p = 0.005). Further studies to increase compliance should be undertaken to better inform large-scale interventions. Title: Assessing the Impact of Water Filters and Improved Cook Stoves on Drinking Water Quality and Household Air Pollution: A Randomised Controlled Trial in Rwanda Author: Rosa, Ghislaine, Majorin, Fiona, Boisson, Sophie, Barstow, Christina, Johnson, Michael, Kirby, Miles, Ngabo, Fidele, Thomas, Evan A., Clasen, Thomas Year: 2014 Diarrhea and respiratory infections remain the biggest killers of children under 5 years in developing countries. We conducted a 5-month household randomised controlled trial among 566 households in rural Rwanda to assess uptake, compliance and impact on environmental exposures of a combined intervention delivering high-performance water filters and improved stoves for free. Compliance was measured monthly by self-report and spot-check observations. Semicontinuous 24-h PM2.5 monitoring of the cooking area was conducted in a random subsample of 121 households to assess household air pollution, while samples of drinking water from all households were collected monthly to assess the levels of thermotolerant coliforms. Adoption was generally high, with most householders reporting the filters as their primary source of drinking water and the intervention stoves as their primary cooking stove. However, some householders continued to drink untreated water and most continued to cook on traditional stoves. The intervention was associated with a 97.5% reduction in mean fecal indicator bacteria (Williams means 0.5 vs. 20.2 TTC/100 mL, p,0.001) and a median reduction of 48% of 24-h PM2.5 concentrations in the cooking area (p = 0.005). Further studies to increase compliance should be undertaken to better inform large-scale interventions. Close

• 2. [Article] Remotely Accessible Instrumented Monitoring of Global Development Programs: Technology Development and Validation

  Many global development agencies self-report their project outcomes, often relying on subjective data that is collected sporadically and communicated months later. These reports often highlight successes ...

  Citation × Citation Citation Abstract Copy Title: Remotely Accessible Instrumented Monitoring of Global Development Programs: Technology Development and Validation Author: Thomas, Evan A., Zumr, Zdenek, Graf, Jodi, Wick, Carson A., McCellan, James H., Imam, Zachary, Barstow, Christina, Spiller, Kelly, Fleming, Michael Year: 2013 Many global development agencies self-report their project outcomes, often relying on subjective data that is collected sporadically and communicated months later. These reports often highlight successes and downplay challenges. Instrumented monitoring via distributed data collection platforms may provide crucial evidence to help inform the sector and public on the effectiveness of aid, and the on-going challenges. This paper presents the process of designing and validating an integrated sensor platform with cellular-to-internet reporting purposely targeted at global development programs. The integrated hardware platform has been applied to water, sanitation, energy and infrastructure interventions and validated through laboratory calibration and field observations. Presented here are two examples: a water pump and a household water filter, wherein field observations agreed with the data algorithm with a linear fit slope of between 0.91 and 1, and an r-squared of between 0.36 and 0.39, indicating a wide confidence interval but with low overall error (i.e., less than 0.5% in the case of structured field observations of water volume added to a household water filter) and few false negatives or false positives. Title: Remotely Accessible Instrumented Monitoring of Global Development Programs: Technology Development and Validation Author: Thomas, Evan A., Zumr, Zdenek, Graf, Jodi, Wick, Carson A., McCellan, James H., Imam, Zachary, Barstow, Christina, Spiller, Kelly, Fleming, Michael Year: 2013 Many global development agencies self-report their project outcomes, often relying on subjective data that is collected sporadically and communicated months later. These reports often highlight successes and downplay challenges. Instrumented monitoring via distributed data collection platforms may provide crucial evidence to help inform the sector and public on the effectiveness of aid, and the on-going challenges. This paper presents the process of designing and validating an integrated sensor platform with cellular-to-internet reporting purposely targeted at global development programs. The integrated hardware platform has been applied to water, sanitation, energy and infrastructure interventions and validated through laboratory calibration and field observations. Presented here are two examples: a water pump and a household water filter, wherein field observations agreed with the data algorithm with a linear fit slope of between 0.91 and 1, and an r-squared of between 0.36 and 0.39, indicating a wide confidence interval but with low overall error (i.e., less than 0.5% in the case of structured field observations of water volume added to a household water filter) and few false negatives or false positives. Close