Publication

Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study

FRESH AIR Collaborators, van Gemert, F., de Jong, C., Kirenga, B., Musinguzi, P., Buteme, S., Sooronbaev, T., Tabyshova, A., Emilov, B., Mademilov, M., Le An, P., Quynh, N. N., Dang, T. N., Hong, L. H. T. C., Chartier, R., Brakema, E. A. & van Boven, J. F. M., 15-Aug-2019, In : npj Primary Care Respiratory Medicine. 29, 1, 9 p., 32.

Research output: Contribution to journalArticleAcademicpeer-review

APA

FRESH AIR Collaborators, van Gemert, F., de Jong, C., Kirenga, B., Musinguzi, P., Buteme, S., ... van Boven, J. F. M. (2019). Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study. npj Primary Care Respiratory Medicine, 29(1), [32]. https://doi.org/10.1038/s41533-019-0144-8

Author

FRESH AIR Collaborators ; van Gemert, Frederik ; de Jong, Corina ; Kirenga, Bruce ; Musinguzi, Patrick ; Buteme, Shamim ; Sooronbaev, Talant ; Tabyshova, Aizhamal ; Emilov, Berik ; Mademilov, Maamed ; Le An, Pham ; Quynh, Nguyen Nhat ; Dang, Tran Ngoc ; Hong, Le Huynh Thi Cam ; Chartier, Ryan ; Brakema, Evelyn A. ; van Boven, Job F. M. / Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution : a FRESH AIR study. In: npj Primary Care Respiratory Medicine. 2019 ; Vol. 29, No. 1.

Harvard

FRESH AIR Collaborators, van Gemert, F, de Jong, C, Kirenga, B, Musinguzi, P, Buteme, S, Sooronbaev, T, Tabyshova, A, Emilov, B, Mademilov, M, Le An, P, Quynh, NN, Dang, TN, Hong, LHTC, Chartier, R, Brakema, EA & van Boven, JFM 2019, 'Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study', npj Primary Care Respiratory Medicine, vol. 29, no. 1, 32. https://doi.org/10.1038/s41533-019-0144-8

Standard

Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution : a FRESH AIR study. / FRESH AIR Collaborators ; van Gemert, Frederik; de Jong, Corina; Kirenga, Bruce; Musinguzi, Patrick; Buteme, Shamim; Sooronbaev, Talant; Tabyshova, Aizhamal; Emilov, Berik; Mademilov, Maamed; Le An, Pham; Quynh, Nguyen Nhat; Dang, Tran Ngoc; Hong, Le Huynh Thi Cam; Chartier, Ryan; Brakema, Evelyn A.; van Boven, Job F. M.

In: npj Primary Care Respiratory Medicine, Vol. 29, No. 1, 32, 15.08.2019.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

FRESH AIR Collaborators, van Gemert F, de Jong C, Kirenga B, Musinguzi P, Buteme S et al. Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study. npj Primary Care Respiratory Medicine. 2019 Aug 15;29(1). 32. https://doi.org/10.1038/s41533-019-0144-8


BibTeX

@article{9640db029e2d49c08cae5a280eb8d105,
title = "Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study",
abstract = "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 (PM2.5 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 PM2.5 values decrease by 31{\%} (to 95.1 mu g/m(3)) in Uganda (95{\%}CI 71.5-126.6), by 32{\%} (to 31.1 mu g/m(3)) in Vietnam (95{\%}CI 24.5-395) and by 65{\%} (to 32.4 mu g/m(3)) 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 PM2.5 levels remain above WHO recommendations.",
keywords = "adult, air pollution, article, awareness, chest infection, child, comparative effectiveness, controlled study, dyspnea, household, human, Kyrgyzstan, middle income country, practice guideline, quantitative analysis, rural population, Uganda, Viet Nam",
author = "{FRESH AIR Collaborators} and {van Gemert}, Frederik and {de Jong}, Corina and Bruce Kirenga and Patrick Musinguzi and Shamim Buteme and Talant Sooronbaev and Aizhamal Tabyshova and Berik Emilov and Maamed Mademilov and {Le An}, Pham and Quynh, {Nguyen Nhat} and Dang, {Tran Ngoc} and Hong, {Le Huynh Thi Cam} and Ryan Chartier and Brakema, {Evelyn A.} and {van Boven}, {Job F. M.} and Janwillem Kocks and Rebecca Nantanda and Winceslaus Katagira and Grace Ndeezi and James Tumwine and Simon Walusimbi and Azamat Akylbekov and Binh, {Pham Duong Uyen} and Tuan, {Tran Diep} and Lan, {Le Thi Tuyet} and Linh, {Tran Thanh Duv} and Loan, {Kim Xuan} and Van, {Le Thanh} and Vinh, {Nguyen Nhu} and Chavannes, {Niels H.} and {van der Kleij}, {Rianne M. J. J.} and Charlotte Poot and Marilena Anastasaki and Antonios Bertsias and Chatzea, {Vasiliki E.} and Christos Lionis and Sophia Papadakis and Dimitra Sifaki-Pistolla and Ioanna Tsiligianni and Sally Singh and Dennis Burges and Ben Hedrick and James Stout and Louise Warren and Irene Ferarrio and Pippa Powell and Andy Barton and Lucy Cartwright and Postma, {Maarten J.} and Jaime Correia-de-Sousa",
year = "2019",
month = "8",
day = "15",
doi = "10.1038/s41533-019-0144-8",
language = "English",
volume = "29",
journal = "npj Primary Care Respiratory Medicine",
issn = "2055-1010",
publisher = "SPRINGERNATURE",
number = "1",

}

RIS

TY - JOUR

T1 - Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution

T2 - a FRESH AIR study

AU - FRESH AIR Collaborators

AU - van Gemert, Frederik

AU - de Jong, Corina

AU - Kirenga, Bruce

AU - Musinguzi, Patrick

AU - Buteme, Shamim

AU - Sooronbaev, Talant

AU - Tabyshova, Aizhamal

AU - Emilov, Berik

AU - Mademilov, Maamed

AU - Le An, Pham

AU - Quynh, Nguyen Nhat

AU - Dang, Tran Ngoc

AU - Hong, Le Huynh Thi Cam

AU - Chartier, Ryan

AU - Brakema, Evelyn A.

AU - van Boven, Job F. M.

AU - Kocks, Janwillem

AU - Nantanda, Rebecca

AU - Katagira, Winceslaus

AU - Ndeezi, Grace

AU - Tumwine, James

AU - Walusimbi, Simon

AU - Akylbekov, Azamat

AU - Binh, Pham Duong Uyen

AU - Tuan, Tran Diep

AU - Lan, Le Thi Tuyet

AU - Linh, Tran Thanh Duv

AU - Loan, Kim Xuan

AU - Van, Le Thanh

AU - Vinh, Nguyen Nhu

AU - Chavannes, Niels H.

AU - van der Kleij, Rianne M. J. J.

AU - Poot, Charlotte

AU - Anastasaki, Marilena

AU - Bertsias, Antonios

AU - Chatzea, Vasiliki E.

AU - Lionis, Christos

AU - Papadakis, Sophia

AU - Sifaki-Pistolla, Dimitra

AU - Tsiligianni, Ioanna

AU - Singh, Sally

AU - Burges, Dennis

AU - Hedrick, Ben

AU - Stout, James

AU - Warren, Louise

AU - Ferarrio, Irene

AU - Powell, Pippa

AU - Barton, Andy

AU - Cartwright, Lucy

AU - Postma, Maarten J.

AU - Correia-de-Sousa, Jaime

PY - 2019/8/15

Y1 - 2019/8/15

N2 - 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 (PM2.5 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 PM2.5 values decrease by 31% (to 95.1 mu g/m(3)) in Uganda (95%CI 71.5-126.6), by 32% (to 31.1 mu g/m(3)) in Vietnam (95%CI 24.5-395) and by 65% (to 32.4 mu g/m(3)) 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 PM2.5 levels remain above WHO recommendations.

AB - 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 (PM2.5 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 PM2.5 values decrease by 31% (to 95.1 mu g/m(3)) in Uganda (95%CI 71.5-126.6), by 32% (to 31.1 mu g/m(3)) in Vietnam (95%CI 24.5-395) and by 65% (to 32.4 mu g/m(3)) 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 PM2.5 levels remain above WHO recommendations.

KW - adult

KW - air pollution

KW - article

KW - awareness

KW - chest infection

KW - child

KW - comparative effectiveness

KW - controlled study

KW - dyspnea

KW - household

KW - human

KW - Kyrgyzstan

KW - middle income country

KW - practice guideline

KW - quantitative analysis

KW - rural population

KW - Uganda

KW - Viet Nam

U2 - 10.1038/s41533-019-0144-8

DO - 10.1038/s41533-019-0144-8

M3 - Article

VL - 29

JO - npj Primary Care Respiratory Medicine

JF - npj Primary Care Respiratory Medicine

SN - 2055-1010

IS - 1

M1 - 32

ER -

ID: 95005618