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A sustainable house design to improve child health in rural Africa: a cluster-randomized controlled trial.

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Title: A sustainable house design to improve child health in rural Africa: a cluster-randomized controlled trial.
Authors: Mshamu S; CSK Research Solutions, Mtwara, Tanzania.; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK., Mukaka M; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand., Sanga C; CSK Research Solutions, Mtwara, Tanzania., Kambanga S; CSK Research Solutions, Mtwara, Tanzania., Rutaihwa AD; CSK Research Solutions, Mtwara, Tanzania., Bøjstrup TC; Royal Danish Academy - Architecture, Design, Conservation, Copenhagen, Denmark., Meta J; Private consultant, Ifakara, Tanzania., Mmbando A; Ifakara Health Institute, Ifakara, Tanzania.; Department of Biosciences, Durham University, Durham, UK., Pell C; Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands.; Amsterdam UMC, location University of Amsterdam, Department of Global Health Amsterdam, Amsterdam, The Netherlands.; Amsterdam Public Health Research Institute, Netherlands University of Amsterdam, Amsterdam, The Netherlands., Adhikari B; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand., Olotu AI; Ifakara Health Institute, Ifakara, Tanzania., Kapologwe N; East, Central and Southern Africa Health Community (ECSA - HC), Arusha, Tanzania., White NJ; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand., Dondorp AM; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand., Day NPJ; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand., Imwong M; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand., Deen J; University of Philippines, Manila, Philippines., Lindsay SW; Department of Biosciences, Durham University, Durham, UK., Knudsen JB; Royal Danish Academy - Architecture, Design, Conservation, Copenhagen, Denmark., von Seidlein L; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK. lorenz@tropmedres.ac.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand. lorenz@tropmedres.ac.
Source: Nature medicine [Nat Med] 2026 Jun; Vol. 32 (6), pp. 2294-2301. Date of Electronic Publication: 2026 Apr 21.
Publication Type: Journal Article; Randomized Controlled Trial
Journal Info: Publisher: Nature Publishing Company Country of Publication: United States NLM ID: 9502015 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1546-170X (Electronic) Linking ISSN: 10788956 NLM ISO Abbreviation: Nat Med Subsets: MEDLINE
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  Data: <searchLink fieldCode="AU" term="%22Mshamu+S%22">Mshamu S</searchLink>; CSK Research Solutions, Mtwara, Tanzania.; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.<br /><searchLink fieldCode="AU" term="%22Mukaka+M%22">Mukaka M</searchLink>; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand.<br /><searchLink fieldCode="AU" term="%22Sanga+C%22">Sanga C</searchLink>; CSK Research Solutions, Mtwara, Tanzania.<br /><searchLink fieldCode="AU" term="%22Kambanga+S%22">Kambanga S</searchLink>; CSK Research Solutions, Mtwara, Tanzania.<br /><searchLink fieldCode="AU" term="%22Rutaihwa+AD%22">Rutaihwa AD</searchLink>; CSK Research Solutions, Mtwara, Tanzania.<br /><searchLink fieldCode="AU" term="%22Bøjstrup+TC%22">Bøjstrup TC</searchLink>; Royal Danish Academy - Architecture, Design, Conservation, Copenhagen, Denmark.<br /><searchLink fieldCode="AU" term="%22Meta+J%22">Meta J</searchLink>; Private consultant, Ifakara, Tanzania.<br /><searchLink fieldCode="AU" term="%22Mmbando+A%22">Mmbando A</searchLink>; Ifakara Health Institute, Ifakara, Tanzania.; Department of Biosciences, Durham University, Durham, UK.<br /><searchLink fieldCode="AU" term="%22Pell+C%22">Pell C</searchLink>; Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands.; Amsterdam UMC, location University of Amsterdam, Department of Global Health Amsterdam, Amsterdam, The Netherlands.; Amsterdam Public Health Research Institute, Netherlands University of Amsterdam, Amsterdam, The Netherlands.<br /><searchLink fieldCode="AU" term="%22Adhikari+B%22">Adhikari B</searchLink>; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand.<br /><searchLink fieldCode="AU" term="%22Olotu+AI%22">Olotu AI</searchLink>; Ifakara Health Institute, Ifakara, Tanzania.<br /><searchLink fieldCode="AU" term="%22Kapologwe+N%22">Kapologwe N</searchLink>; East, Central and Southern Africa Health Community (ECSA - HC), Arusha, Tanzania.<br /><searchLink fieldCode="AU" term="%22White+NJ%22">White NJ</searchLink>; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand.<br /><searchLink fieldCode="AU" term="%22Dondorp+AM%22">Dondorp AM</searchLink>; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand.<br /><searchLink fieldCode="AU" term="%22Day+NPJ%22">Day NPJ</searchLink>; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand.<br /><searchLink fieldCode="AU" term="%22Imwong+M%22">Imwong M</searchLink>; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand.<br /><searchLink fieldCode="AU" term="%22Deen+J%22">Deen J</searchLink>; University of Philippines, Manila, Philippines.<br /><searchLink fieldCode="AU" term="%22Lindsay+SW%22">Lindsay SW</searchLink>; Department of Biosciences, Durham University, Durham, UK.<br /><searchLink fieldCode="AU" term="%22Knudsen+JB%22">Knudsen JB</searchLink>; Royal Danish Academy - Architecture, Design, Conservation, Copenhagen, Denmark.<br /><searchLink fieldCode="AU" term="%22von+Seidlein+L%22">von Seidlein L</searchLink>; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK. lorenz@tropmedres.ac.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Centre for Tropical Medicine and Global Health, Bangkok, Thailand. lorenz@tropmedres.ac.
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  Data: <searchLink fieldCode="JN" term="%229502015%22">Nature medicine</searchLink> [Nat Med] 2026 Jun; Vol. 32 (6), pp. 2294-2301. <i>Date of Electronic Publication: </i>2026 Apr 21.
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