Assessing the environmental context of hand washing among school children in Limpopo, South Africa

Nicola Bulled, Kara Poppe, Khuliso Ramatsisti, Londolani Sitsula, Geoffrey Winegar, Jabulani Gumbo, Rebecca Dillingham and James Smith

Water International, 2017, vol. 42, issue 5, 568-584

Abstract: Despite its simplicity and efficacy, the promotion of hand washing for disease prevention remains a challenge, particularly in resource-limited settings. This article reports on a quasi-experimental school-based study that aimed to improve habitual hand washing. Significant increases in hand washing occurred following improvements in hygiene and sanitation facilities (School A: t = 13.86, p = 0.0052). Smaller increases in hand washing occurred following education (School A: t = 2.63; p = 0.012; School B, no infrastructure improvements: t = 1.66, p = 0.239). Health policy and programming need to pay greater attention to the interplay of the structural, social and individual dimensions of unique contextual environments that influence habitual behaviours.

Date: 2017
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DOI: 10.1080/02508060.2017.1335140

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