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dc.contributor.authorvan Gemert, F
dc.contributor.authorde Jong, C
dc.contributor.authorKirenga, B
dc.contributor.authorMusinguzi, P
dc.contributor.authorButeme, S
dc.contributor.authorSooronbaev, T
dc.contributor.authorTabyshova, A
dc.contributor.authorEmilov, B
dc.contributor.authorMademilov, M
dc.contributor.authorLe An, P
dc.contributor.authorQuynh, NN
dc.contributor.authorDang, TN
dc.contributor.authorHong, LHTC
dc.contributor.authorChartier, R
dc.contributor.authorBrakema, EA
dc.contributor.authorvan Boven, JFM
dc.date.accessioned2021-09-20T13:08:15Z
dc.date.issued2019-08-15
dc.identifier.issn2055-1010
dc.identifier.issn2055-1010
dc.identifier.other32
dc.identifier.urihttp://hdl.handle.net/10026.1/17876
dc.description.abstract

<jats:title>Abstract</jats:title><jats:p>The objective was to evaluate the effectiveness and acceptability of locally tailored implementation of improved cookstoves/heaters in low- and middle-income countries. This interventional implementation study among 649 adults and children living in rural communities in Uganda, Vietnam and Kyrgyzstan, was performed after situational analyses and awareness programmes. Outcomes included household air pollution (PM<jats:sub>2.5</jats:sub> and CO), self-reported respiratory symptoms (with CCQ and MRC-breathlessness scale), chest infections, school absence and intervention acceptability. Measurements were conducted at baseline, 2 and 6–12 months after implementing improved cookstoves/heaters. Mean PM<jats:sub>2.5</jats:sub> values decrease by 31% (to 95.1 µg/m<jats:sup>3</jats:sup>) in Uganda (95%CI 71.5–126.6), by 32% (to 31.1 µg/m<jats:sup>3</jats:sup>) in Vietnam (95%CI 24.5–39.5) and by 65% (to 32.4 µg/m<jats:sup>3</jats:sup>) in Kyrgyzstan (95%CI 25.7–40.8), but all remain above the WHO guidelines. CO-levels remain below the WHO guidelines. After intervention, symptoms and infections diminish significantly in Uganda and Kyrgyzstan, and to a smaller extent in Vietnam. Quantitative assessment indicates high acceptance of the new cookstoves/heaters. In conclusion, locally tailored implementation of improved cookstoves/heaters is acceptable and has considerable effects on respiratory symptoms and indoor pollution, yet mean PM<jats:sub>2.5</jats:sub> levels remain above WHO recommendations.</jats:p>

dc.format.extent32-
dc.format.mediumElectronic
dc.languageen
dc.language.isoen
dc.publisherNature Research (part of Springer Nature)
dc.subjectAdult
dc.subjectAir Pollution, Indoor
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectCooking
dc.subjectFamily Characteristics
dc.subjectFemale
dc.subjectHousehold Articles
dc.subjectHumans
dc.subjectIncidence
dc.subjectKyrgyzstan
dc.subjectMale
dc.subjectRespiratory Tract Infections
dc.subjectRural Population
dc.subjectUganda
dc.subjectVietnam
dc.titleEffects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study
dc.typejournal-article
dc.typeJournal Article
dc.typeMulticenter Study
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000481640600002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue1
plymouth.volume29
plymouth.publication-statusPublished online
plymouth.journalnpj Primary Care Respiratory Medicine
dc.identifier.doi10.1038/s41533-019-0144-8
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School/PMS - Manual
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy MANUAL
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS
plymouth.organisational-group/Plymouth/Users by role
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dc.publisher.placeEngland
dcterms.dateAccepted2019-07-10
dc.rights.embargodate2021-9-21
dc.identifier.eissn2055-1010
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1038/s41533-019-0144-8
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2019-08-15
rioxxterms.typeJournal Article/Review


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