Assessing Cholera Interventions in Yemen and providing an innovative intervention

Our goal is to identify the best strategies to control the ongoing cholera outbreaks in the Republic of Yemen (ROY). To do so, we will evaluate previous interventions to inform and improve their implementation currently and in the future. These include use of oral cholera vaccines (OCV), water sanitation and hygiene (WaSH) strategies and acute watery diarrhea (AWD)/cholera-related messaging strategies. We hypothesize that factors at the individual, social, community, health system, and structural levels contribute to the effectiveness of the AWD/Cholera interventions implemented in ROY. We will conduct our evaluation in 12 districts in three Governorates and the city of Sana'a covering 3 levels of burden low, middle, and high. To identify these factors, we will first interview key informants and parents or legal guardians of children 1-15 years from each district about access to, feasibility and quality of AWD/Cholera intervention services, economic and cultural barriers to utilizing the interventions, knowledge, attitudes, and beliefs towards the interventions. Second, we will conduct a representative household survey in the same 12 districts to examine the household situation and link the information to those provided from the qualitative surveys. Third, we will interview 24 health facilities providing services to these communities.