Cochrane · systematic review · CD011055

Interventions to improve disposal of child faeces for preventing diarrhoea and soil‐transmitted helminth infection

Majorin, F, Torondel, B, Ka Seen Chan, G, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Infectious DiseasesAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
13
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 9 · 69.2%Low 3 · 23.1%Moderate 1 · 7.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings table 1

Population: adults and children
4 questions
OutcomeEffectEvidenceStatus / GRADE
Diarrhoea prevalence Cluster RCTs
RR 0.93 [0.84, 1.04]2 studies · 12040 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Diarrhoea incidence Cluster RCTs
Rate ratio 0.71 [0.59, 0.86]2 studies · 2549 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Diarrhoea prevalence Controlled cohort studies: Sanitation Hygiene Education and Water Supply in Bangladesh (SHEWA‐B) intervention
RR 0.91 [0.64, 1.28]2 studies · 2000 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Diarrhoea prevalence Controlled cross‐sectional studies: Health Extension Package intervention (Ethiopia)
OR 0.26 [0.16, 0.42]2 studies · 1660 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Summary of findings table 2

Population: adults and children
3 questions
OutcomeEffectEvidenceStatus / GRADE
Diarrhoea prevalence RCTs
RR 0.92 [0.79, 1.07]4 studies · 16033 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
STH infection (any helminth) RCTs
RR 1.03 [0.64, 1.65]2 studies · 3480 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
STH infection (any helminth) Controlled cross‐sectional study
RR 2.51 [1.74, 3.62]1 study · 341 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Summary of findings table 3

Population: adults and children
1 question
OutcomeEffectEvidenceStatus / GRADE
Diarrhoea prevalence RCTs
RR 0.79 [0.49, 1.26]2 studies · 9558 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Summary of findings table 4

Population: adults and children
3 questions
OutcomeEffectEvidenceStatus / GRADE
Diarrhoea prevalence RCTs
RR 1.15 [0.93, 1.41]1 study · 3650 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Diarrhoea incidence CBAs
Rate ratio 0.77 [0.71, 0.84]2 studies · 1028 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
STH infection (any helminth) CBAs
OR 0.17 [0.02, 0.73]1 study · 99 participantsVery low
Downgraded: imprecision, inconsistency, indirectness

Summary of findings table 5

Population: adults and children
1 question
OutcomeEffectEvidenceStatus / GRADE
Diarrhoea Case‐control studies: child faeces disposal in latrine
OR 0.73 [0.62, 0.85]17 studies · 32957 participantsVery low
Downgraded: imprecision, inconsistency, indirectness

Summary of findings table 6

Population: adults and children
1 question
OutcomeEffectEvidenceStatus / GRADE
Diarrhoea Case‐control studies: defecation of children in latrine
OR 0.54 [0.33, 0.9]7 studies · 2996 participantsVery low
Downgraded: imprecision, inconsistency, indirectness