 Good morning viewers and welcome to this presentation. I'm presenting on a variation of sanitation based intervention strategy for prevalence of post-sensitized causes in Busey County, 2021. My name is Barnard Chege. For the introduction part, you will find that Spohodafik path farming is a very important activity in the rural areas. Because it's rare to achieve to raise these peaks and also it requires very low capital. Also they multiply very quickly and attaining market weight very fast. But post-sensitized causes has been a growing public health problem in the areas where peaks are found. And there is very high prevalence in any that has been reported especially in western region to a level of 37.6% by ag risa. The risk factors are known from previous studies that have been conducted which includes open defacation, eating at a food box and free roaming pigs. And Busey County was declared open free defacation in 2016. And through this study we want to look at the effect of improved sanitation after this count was declared open free defacation. This research is asking ourselves some questions whether this one improved the prevalence of post-sensitized causes. So we want to check whether this total then the nation's total sanitation program had an effect on prevalence of post-sensitized causes. These studies we conducted in Busey as you can see this study site. The data collection we did a cross section study as a post-implementation study. Then we had data abstraction from a sub study that was done in 2012 that is before implementation of this sanitation program. And we did the most studies of the results that we have. We found that these are a great improvement in the coverage of trade facilities. And also the usage of trade facilities has really improved in this year. The prevalence has really reduced from a prevalence of 9.7 to a prevalence of 3.8% by lingupal patient. But also looking at agealizer. It has also reduced significantly to 0.54. And looking at the factors that could be responsible for this, we found that after that reduction of improvement in sanitation, we had reduced prevalence. And therefore this significant reduction in prevalence may have come because of improved sanitation in the area. And we are thinking that still this prevalence of CISA causes in Busey County however this prevalence is very low. And the only factor that has significantly reduced is improved sanitation in terms of trade exchange and also the usage of the trade. Which means this could be the factor that is responsible for the great reduction in that. Some of the recommendations we have is that we need to keep maintaining this the trades to improve and improving this sanitation because it has an impact on post-sensor causes employing more staff. And since there is performance on post-sensor causes then mass drug administration is caused to control the problem. And further studies especially to look at the prevalence of tiniose and also epilepsy. Those are the actual arrangements.