The value of monitoring data in a process evaluation of hygiene behaviour change in Community Health Clubs to explain findings from a cluster-randomised controlled trial in Rwanda.

MoH/AA monitoring data found a highly significant response ( p < 0.001) for water treatment by December 2014 with a 50% increase (37 to 87%) before and after training which rose to 91%, before dropping slightly to 89% by 2017 (Table 5 ).

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those born after the CHC training was completed) was 23.5% in the Classic CHC villages compared to 23% the Lite and 27% in the Control - a 3.5% improvement which could have been interpreted as a positive trend by the cRCT, given such minimal input on nutrition.

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