Low-smoke chulha in Indian slums: study protocol for a randomised controlled trial

Abstract Background Biomass fuel is used as a primary cooking source by more than half of the world’s population, contributing to a high burden of disease. Although cleaner fuels are available, some households continue using solid fuels because of financial constraints and absence of infrastructure,...

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Main Authors: Megha Thakur, Esther A. Boudewijns, Giridhara R. Babu, Bjorn Winkens, Luc P. de Witte, Jeroen Gruiskens, Preeti Sushama, Cristian T. Ghergu, Onno C. P. van Schayck
Format: Article
Language:English
Published: BMC 2017-05-01
Series:BMC Public Health
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Online Access:http://link.springer.com/article/10.1186/s12889-017-4369-6
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author Megha Thakur
Esther A. Boudewijns
Giridhara R. Babu
Bjorn Winkens
Luc P. de Witte
Jeroen Gruiskens
Preeti Sushama
Cristian T. Ghergu
Onno C. P. van Schayck
author_facet Megha Thakur
Esther A. Boudewijns
Giridhara R. Babu
Bjorn Winkens
Luc P. de Witte
Jeroen Gruiskens
Preeti Sushama
Cristian T. Ghergu
Onno C. P. van Schayck
author_sort Megha Thakur
collection DOAJ
description Abstract Background Biomass fuel is used as a primary cooking source by more than half of the world’s population, contributing to a high burden of disease. Although cleaner fuels are available, some households continue using solid fuels because of financial constraints and absence of infrastructure, especially in non-notified slums. The present study documents a randomised controlled study investigating the efficacy of improved cookstove on the personal exposure to air pollution and the respiratory health of women and children in an Indian slum. The improved cookstove was based on co-creation of a low-smoke chulha with local communities in order to support adaption and sustained uptake. Methods The study will be conducted in a non-notified slum called Ashrayanagar in Bangalore, India. The study design will be a 1:1 randomised controlled intervention trial, including 250 households. The intervention group will receive an improved cookstove (low-smoke chulha) and the control group will continue using either the traditional cookstove (chulha) or a combination of the traditional stove and the kerosene/diesel stove. Follow-up time is 1 year. Outcomes include change in lung function (FEV1/FVC), incidence of pneumonia, change in personal PM2.5 and CO exposure, incidence of respiratory symptoms (cough, phlegm, wheeze and shortness of breath), prevalence of other related symptoms (headache and burning eyes), change in behaviour and adoption of the stove. Ethical clearance was obtained from the Institutional Ethics Committee of the Indian Institute of Public Health Hyderabad- Bengaluru Campus. Discussion The findings from this study aim to provide insight into the effects of improved cookstoves in urban slums. Results can give evidence for the decrease of indoor air pollution and the improvement of respiratory health for children and women. Trial registration The trial was registered with clinicaltrials.gov on 21 June 2016 with the identifier NCT02821650 ; A Study to Test the Impact of an Improved Chulha on the Respiratory Health of Women and Children in Indian Slums.
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spelling doaj.art-b83d5f59a9244d8386f2efc932b4c93d2022-12-22T00:18:23ZengBMCBMC Public Health1471-24582017-05-011711710.1186/s12889-017-4369-6Low-smoke chulha in Indian slums: study protocol for a randomised controlled trialMegha Thakur0Esther A. Boudewijns1Giridhara R. Babu2Bjorn Winkens3Luc P. de Witte4Jeroen Gruiskens5Preeti Sushama6Cristian T. Ghergu7Onno C. P. van Schayck8Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityIndian Institute of Public Health Hyderabad-Bangalore CampusDepartment of Methodology and Statistics, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityCentre for Assistive Technology and Connected Healthcare (CATCH), University of SheffieldDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityAbstract Background Biomass fuel is used as a primary cooking source by more than half of the world’s population, contributing to a high burden of disease. Although cleaner fuels are available, some households continue using solid fuels because of financial constraints and absence of infrastructure, especially in non-notified slums. The present study documents a randomised controlled study investigating the efficacy of improved cookstove on the personal exposure to air pollution and the respiratory health of women and children in an Indian slum. The improved cookstove was based on co-creation of a low-smoke chulha with local communities in order to support adaption and sustained uptake. Methods The study will be conducted in a non-notified slum called Ashrayanagar in Bangalore, India. The study design will be a 1:1 randomised controlled intervention trial, including 250 households. The intervention group will receive an improved cookstove (low-smoke chulha) and the control group will continue using either the traditional cookstove (chulha) or a combination of the traditional stove and the kerosene/diesel stove. Follow-up time is 1 year. Outcomes include change in lung function (FEV1/FVC), incidence of pneumonia, change in personal PM2.5 and CO exposure, incidence of respiratory symptoms (cough, phlegm, wheeze and shortness of breath), prevalence of other related symptoms (headache and burning eyes), change in behaviour and adoption of the stove. Ethical clearance was obtained from the Institutional Ethics Committee of the Indian Institute of Public Health Hyderabad- Bengaluru Campus. Discussion The findings from this study aim to provide insight into the effects of improved cookstoves in urban slums. Results can give evidence for the decrease of indoor air pollution and the improvement of respiratory health for children and women. Trial registration The trial was registered with clinicaltrials.gov on 21 June 2016 with the identifier NCT02821650 ; A Study to Test the Impact of an Improved Chulha on the Respiratory Health of Women and Children in Indian Slums.http://link.springer.com/article/10.1186/s12889-017-4369-6Improved cookstoveAir pollutionRespiratory healthSlumsRandomised controlled trialProtocol
spellingShingle Megha Thakur
Esther A. Boudewijns
Giridhara R. Babu
Bjorn Winkens
Luc P. de Witte
Jeroen Gruiskens
Preeti Sushama
Cristian T. Ghergu
Onno C. P. van Schayck
Low-smoke chulha in Indian slums: study protocol for a randomised controlled trial
BMC Public Health
Improved cookstove
Air pollution
Respiratory health
Slums
Randomised controlled trial
Protocol
title Low-smoke chulha in Indian slums: study protocol for a randomised controlled trial
title_full Low-smoke chulha in Indian slums: study protocol for a randomised controlled trial
title_fullStr Low-smoke chulha in Indian slums: study protocol for a randomised controlled trial
title_full_unstemmed Low-smoke chulha in Indian slums: study protocol for a randomised controlled trial
title_short Low-smoke chulha in Indian slums: study protocol for a randomised controlled trial
title_sort low smoke chulha in indian slums study protocol for a randomised controlled trial
topic Improved cookstove
Air pollution
Respiratory health
Slums
Randomised controlled trial
Protocol
url http://link.springer.com/article/10.1186/s12889-017-4369-6
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