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HEALTH AND
ENVIRONMENT
INSTITUTE
Maria Ines Matiz
13 may 2014, Norway
HEALTH AND ENVIRONMENT INSTITUTE
 Research institute that belongs to the University El
Bosque research Vice-rectory
 The projects seek to establish the relationship between
health and environment
 Work focuses on rural areas especially rural schools
 The Institute has two research lines:
- Ecological sanitation
- Health and environmental
ORGANIZATIONAL HUMAN RESOURCE
Vice-rector
Research
Dr. Miguel Otero
Director
Maria Ines Matiz
Secretary
Olga Quimbayo
Health area
Environment area
Sandra Vargas
Juan Felipe Jaramillo
Biological area
Victor Alberto Olano
Social area
Diana Sarmiento
Field team: Field coordinator, technical staff or research assistants are hired directly by each project
WORK AREAS
Fuente: Web Servicie Feature (WFS) del Instituto Agustín Codazzi. Cartografía Básica escala 1:500.000 (Cubrimiento Nacional)
Characteristics
Apulo
Anapoima
La Mesa
Population 2013
7.813
12.908
30.441
% rural population
59.6%
57.2%
44.5%
Altitude
400 masl
700 masl
1200 masl
Temperature
28° C
24°C
22°C
Source: DANE, Departamento Administrativo Nacional de Estadística , proyecciones demográficas ,2013.
GENERAL CHARACTERISTICS OF THE RURAL SCHOOLS
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One teacher per classroom gives all the subjects
Students are between 5 to 16 years
From 0 to 5 grade
Student average per school is 25
GENERAL CHARACTERISTICS OF THE RURAL SCHOOLS
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There is a person in charge of the kitchen
Children receive a meal each day
They perform the cleanliness of school
School schedule: the mornings
START POINT:
ENVIRONMENTAL DIAGNOSIS IN RURAL SCHOOLS
Critical points were evident:
 Water: Quality and Quantity
 Basic sanitation infrastructure
 Solid waste disposal
WATER PATH WITHIN THE SCHOOL
Arrival: Rain water, aqueduct, tank
truck
Storage: tanks of different materials
and shapes, often without cover
Destination and use: is common to
find pipe connections shabby
After use: septic tank
INFRASTRUCTURE
 Sinks and toilets in poor conditions not allowed to
be carried hygiene practices correctly. This
situation increases when there is insufficient water
availability.
SOLID WASTE MANAGEMENT
 The non-collection of solid waste in rural areas
forces communities to throw or burn waste
INTEGRATED PARTICIPATION
RESPONSIBILITIES





Mayor
Secretary of Health
PIC, coordinator
Health Promoters
Secretary of
Education

Municipality
Rectors, teachers
and students of
schools and rural
schools
Educational
Sector
COMMUNITY
AND SCHOOLS
Universidad El
•


Research
Vicerectory
Institute of Health
and Environment
Professional Team
Bosque
Fundación
Lazos de
Calandaima,
Universities,
other NGOs,
private
companies


President
Executive
Director
WATER FILTERS PROJECTS
 Estudio comparativo de 2 modelos de filtros caseros
“Comparative study of two models of household filters”
 Mejoramiento del desempeño de un filtro en punto de uso
utilizado como tecnología de tratamiento de agua en las escuelas
rurales del municipio de Apulo, Cundinamarca
“Improving performance of a filter used in a point of use water
treatment technology in rural schools from Apulo municipality,
Cundinamarca”
 Análisis del desempeño en campo de un filtro casero para el
tratamiento del agua domiciliar
“Analysis of field performance of a filter for household water
treatment”
INFRASTRUCTURE PROJECTS
 Improvement of hydro
sanitary infrastructure in rural
schools in Apulo
 Phase 1, 2 and 3
 Improvement of hydro
sanitary infrastructure in
urban- rural big schools in
Anapoima
ECOLOGICAL SANITATION PROJECTS
 Implementación de huertas escolares en las escuelas rurales de
Apulo, Cundinamarca
“School gardens Implementation in rural schools in Apulo,
Cundinamarca”
 Implementación de compostaje en las escuelas rurales de Apulo,
Cundinamarca.
“Composting implementation in rural schools
in Apulo, Cundinamarca”
 Piloto demostrativo para el uso y mantenimiento del sanitarioecológico-seco en dos escuelas rurales del municipio de Apulo,
Cundinamarca.
“Demonstration pilot for the use and maintenance of drytoilet in two rural schools in the municipality of Apulo,
Cundinamarca”.
DENGUE PROJECTS
 Prevención del dengue y control del
Aedes aegypti en el área rural del
municipio de Anapoima,
Cundinamarca
“Dengue Prevention and control
of Aedes aegypti in the rural
area of Anapoima, Cundinamarca”
 Residuos sólidos como criaderos potenciales de Aedes aegypti en
escuelas y viviendas aledañas en el área rural del municipio de Apulo,
Cundinamarca
“Solid waste as potential breeding sites of Aedes aegypti in schools and
surrounding homes in the rural area from the municipality of Apulo,
Cundinamarca”
 Relación entre la presencia del mosquito Aedes aegypti vector del
dengue y variables climáticas temperatura, precipitación y humedad relativa
en escuelas rurales de los Municipios de Anapoima y la Mesa
(Cundinamarca, Colombia)
“Relationship between the presence of the Aedes aegypti, dengue
mosquito vector, and climate variables as temperature, precipitation and
relative humidity, in rural schools in the municipalities of Anapoima and
Mesa (Cundinamarca), Colombia.”
 “Determinantes de la transmisión del dengue en el área rural”.
“Determinants of dengue transmission in rural areas”.
REDUCING DIARRHEA IN CHILDREN AND CONTROLLING DENGUE
VECTOR Aedes aegypti IN RURAL SCHOOLS IN TWO
MUNICIPALITIES IN COLOMBIA
INTERNATIONAL TEAM
Principals investigators
Thor-Axel Stenstrom (1)
Institutions
Hans Overgaard (1)
Entomological issues support:
1. NMBU- Norwegian University
of Life Sciences
Audrey Lenhart (2)
2.Liverpool School of Tropical
Medicine
Statistical support:
Neal Alexander (3)
Water issues support:
Razak Seidu (1)
3. London School of Hygiene &
Tropical Medicine
NATIONAL GROUP
Absences registers
Dr. Miguel Otero
Nacional director
María Inés Matiz
Components coordinators
Juan Felipe Jaramillo
Víctor Alberto Olano
Diana Sarmiento
Sandra Vargas
Field researchers
Luz Marina Contreras
Esmeralda González
Data bases + GIS
Laura Cabezas
Paola Moreno
Rosa Pulido
Field Coordinator
Humberto Mosquera
Field assistants
Nancy Herrera
Rosa Silva
Digitador
Samantha Tovar
Accounting support
Olga Lucia Quimbayo
OBJECTIVES
 Reduce diarrheal disease and infestation by the vector of
dengue in rural schools by applying a set of integrated
interventions.
 Additional results are improving drinking water quality,
reduction of school absence episodes and improving
knowledge and practices related to dengue and diarrhea in
teachers and pupils.
STUDY DESIGN AND POPULATION
 2×2 factorial cluster
randomized controlled trial
 850 children aged 5 to 15
years, 45 teachers and 35
schools.
Trial protocol published in:
Overgaard HJ, Alexander N, Mátiz MI,
Jaramillo JF, Olano VA, Vargas S, Sarmiento D,
Stenström TA, Seidu R, Lenhart A, Seidu, R,
Stenström TA. Diarrhea and dengue control in
rural primary schools in Colombia – study
protocol for a randomized controlled trial.
Trials 2012 Oct 3; 13:182.
RANDOMIZATION OF SCHOOLS IN THE FOUR ARMS
OVERALL TIMELINE FIELD WORK
2010
• 1°
International
workshop
(Sep.)
2011
• Forms and
Surveys
• Base line
• Interventions
design
• Educational
Component
• KAP children
2012
•Interventions
implementation
•1° data
collection (MayJune)
• Household
visits KAP
•2° data
collection (Oct.Nov.)
•Follow-up
Educational
Component
•KAP children.
2013
•KAP children
•3° data
collection
(May-June)
•Follow-up
Educational
Component
•4° data
collection (Oct.
Nov)
2014
• Data analysis
Last
International
seminar
(May)
ACKNOWLEDGEMENTS
Economical support
International Team
Municipalities
University El Bosque
Research Vice-rectory
Professional team
Field group
Donors
Bayer, OXFAM, Vector& Management
Prof. Thor-Axel Stenstrom
Dr. Hans Overgaard
Dr. Miguel Otero