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Hard to handle: understanding mothers' handwashing behaviour in Ghana.

Health Policy Plan, 2007; 22(4):216-24
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pub_id
17500052
pubmedid
17500052
ISI
248449800002
reference_type
author
Scott, B.E.; Lawson, D.W.; Curtis, V.;
title
Hard to handle: understanding mothers' handwashing behaviour in Ghana.
secondary_title
Health Policy Plan
ISBNISSN
0268-1080
volume
22
number
4
pages
216-24
year
2007
abstract
While handwashing with soap (HWWS) has been identified as a major pathway to reducing the risk of diarrhoeal diseases, and respiratory infections, rates of HWWS remain low across the globe. The current study, a national survey of Ghanaian mothers, found that as few as 4% of mothers engaged in HWWS after defecation, and only 2% after cleaning a child's bottom. In a multivariate analysis, we explored the determinants of handwashing at these key junctures, with and without soap. After defecation, mother's education, knowledge of important times to handwash with soap, the age of her children, and a measure of the quality of child care were all associated with handwashing (in any form). However, only the latter two variables also predicted soap use amongst handwashers. After cleaning a child's bottom, education, knowledge of important times to handwash with soap, and child care quality were associated with handwashing (in any form), yet only one variable, a measure of disgust sensitivity, showed any possible relationship with soap use. While this study has several important limitations, failure to explain much of the observed variance, despite a large range of potential determinants explored, suggests that we need to continue complementing quantitative surveys with in-depth qualitative studies if we are to better understand the motivations for, and constraints to, HWWS in community settings.
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secondary_author
place_published
publisher
number_of_volumes
tertiary_author
tertiary_title
edition
date
type_of_work
subsidiary_author
alternate_title
call_number
accession_number
custom_1
WOS OK
custom_2
Unknown
custom_3
custom_4
10.1093/heapol/czm014
custom_5
Free
custom_6
10
label
2016-10-18
notes
Journal Article
url
author_address
The Hygiene Centre, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. beth.scott@lshtm.ac.uk.
library
czm014 10.1093/heapol/czm014 17500052
date_accepted
date_online
created
2007-05-18 09:26:34
modified
2016-07-08 00:00:00
library

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