6 research outputs found
Community education program developed with community members for emergency referral in northern Ghana: Lessons about active community participation for innovation and ownership of interventions
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Health impacts of a randomized biomass cookstove intervention in northern Ghana
Background: Household air pollution (HAP) from cooking with solid fuels has adverse health effects. REACCTING (Research on Emissions, Air quality, Climate, and Cooking Technologies in Northern Ghana) was a randomized cookstove intervention study that aimed to determine the effects of two types of "improved" biomass cookstoves on health using self-reported health symptoms and biomarkers of systemic inflammation from dried blood spots for female adult cooks and children, and anthropometric growth measures for children only.
Methods: Two hundred rural households were randomized into four different cookstove groups. Surveys and health measurements were conducted at four time points over a two-year period. Chi-square tests were conducted to determine differences in self-reported health outcomes. Linear mixed models were used to assess the effect of the stoves on inflammation biomarkers in adults and children, and to assess the z-score deviance for the anthropometric data for children.
Results: We find some evidence that two biomarkers of oxidative stress and inflammation, serum amyloid A and C-reactive protein, decreased among adult primary cooks in the intervention groups relative to the control group. We do not find detectable impacts for any of the anthropometry variables or self-reported health.
Conclusions: Overall, we conclude that the REACCTING intervention did not substantially improve the health outcomes examined here, likely due to continued use of traditional stoves, lack of evidence of particulate matter emissions reductions from "improved" stoves, and mixed results for HAP exposure reductions.
Clinical trial registry: ClinicalTrials.gov (National Institutes of Health); Trial Registration Number: NCT04633135 ; Date of Registration: 11 November 2020 - Retrospectively registered. URL: https://clinicaltrials.gov/ct2/show/NCT04633135?term=NCT04633135&draw=2&rank=1.
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A glimpse into real-world kitchens: Improving our understanding of cookstove usage through in-field photo-observations and improved cooking event detection (CookED) analytics
The combustion of solid fuels in residential cookstoves is a global health and climate issue, and expanded use ofimproved cookstoves could have significant benefits locally and globally. Evaluating impacts of improved cookstove programs requires more accurately measuring stove use patterns. This work builds on and improves existing stove use monitoring methods. First, we introduce and describe a novel, in-field photo-observation sampling method designed to capture near-continuous, real-world, ground-truth stove usage information. These measurements are used to validate predictions made by electronic stove use monitors (SUMs). Second, we present Cooking Event Detector (CookED), a SUM algorithm that translates stove-temperature measurements into classifications of cooking or not-cooking. The predictive performance of the new algorithm is evaluated using results from the photo-observations and compared to existing algorithms. CookED demonstrates considerable improvement over some methods for all five types of improved and traditional stoves monitored in the study. Overall minute-level predictive accuracy of CookED ranges from 95.6% to 98.4%, depending on the stove type, while Matthews correlation coefficients range from 72.8% to 88.3%. Comparisons between predicted and observed average cooking event durations show high correlation (Pearson’s r = 0.85). These methods can be applied in a wide variety of applications, including research studies linking behavior, technology, exposure, and human and environmental health, as well as operational programs that aim to scale up improved cookstove adoption and quantify benefits.</p
Research on Emissions, Air quality, Climate, and Cooking Technologies in Northern Ghana (REACCTING): study rationale and protocol
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Prices, peers, and perceptions (P3): study protocol for improved biomass cookstove project in northern Ghana
Abstract Background Despite their potential health and social benefits, adoption and use of improved cookstoves has been low throughout much of the world. Explanations for low adoption rates of these technologies include prices that are not affordable for the target populations, limited opportunities for households to learn about cookstoves through peers, and perceptions that these technologies are not appropriate for local cooking needs. The P3 project employs a novel experimental design to explore each of these factors and their interactive effects on cookstove demand, adoption, use and exposure outcomes. Methods The P3 study is being conducted in the Kassena-Nankana Districts of Northern Ghana. Leveraging an earlier improved cookstove study that was conducted in this area, the central design of the P3 biomass stove experiment involves offering stoves at randomly varying prices to peers and non-peers of households that had previously received stoves for free. Using household surveys, electronic stove use monitors, and low-cost, portable monitoring equipment, we measure how prices and peers’ experience affect perceptions of stove quality, the decision to purchase a stove, use of improved and traditional stoves over time, and personal exposure to air pollutants from the stoves. Discussion The challenges that public health and development communities have faced in spreading adoption of potentially welfare-enhancing technologies, like improved cookstoves, have highlighted the need for interdisciplinary, multisectoral approaches. The design of the P3 project draws on economic theory, public health practice, engineering, and environmental sciences, to more fully grasp the drivers and barriers to expanding access to and uptake of cleaner stoves. Our partnership between academic institutions, in the US and Ghana, and a local environmental non-governmental organization creates unique opportunities to disseminate and scale up lessons learned. Trial registration ClinicalTrials.gov NCT03617952 7/31/18 (Retrospectively Registered)