Experimental Design
The study is a phased-in cluster-randomized controlled trial. The unit of randomization is a constructed geographic cluster based on administrative aza units. The final cluster configuration was determined before formal assignment using pre-specified staged clustering rules applied to the frozen roster. The formal assignment was conducted once using the frozen assignment input and a pre-specified constrained-randomization procedure.
The final design consists of 42 clusters. Twenty-one clusters were assigned to the first-wave group and 21 clusters were assigned to the second-wave group. District-level balance is exact: 6 versus 6 in district 1, 6 versus 6 in district 2, and 9 versus 9 in district 3. First-wave clusters receive the leaflet through the July 2026 municipal newsletter, while second-wave clusters receive the leaflet through the October 2026 municipal newsletter. The primary identification window compares first-wave and second-wave clusters during July–September 2026, before the second-wave group receives the leaflet.
The municipal newsletter is distributed through the ordinary administrative distribution route. Delivery areas of local community representatives responsible for newsletter distribution may not perfectly coincide with administrative aza units or the constructed research clusters. Where feasible, known route-level overlap, off-target delivery risk, delay, or implementation exceptions will be recorded as implementation-fidelity information. The primary analysis remains based on the ex ante randomized assignment and the ITT framework. Restricted GIS files, municipality-provided administrative data, household-level records, detailed assignment files, and distribution-route records are not uploaded because they are subject to data-use restrictions and municipal confidentiality requirements.
A separate combined-septic-tank conversion encouragement experiment may be implemented in Date City under a separate PAP and separate registration. The present trial does not use data from a previously conducted RCT. Although some administrative recording procedures or consultation-log formats may be shared in practice, this registration concerns only the sewer connection encouragement RCT, with a separate assignment frame, intervention, target population, outcomes, and analysis plan.