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The effect of a soap promotion and hygiene education campaign on handwashing behaviour in rural India: a cluster randomised trial.

Biran, A.; Schmidt, W.P.; Wright, R.; Jones, T.; Seshadri, M.; Isaac, P.; Nathan, N.A.; Hall, P.; McKenna, J.; Granger, S.; Bidinger, P.; Curtis, V.;
Trop Med Int Health, 2009; 14(10):1303-14
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pub_id
19708896
pubmedid
19708896
ISI
269810800018
reference_type
author
Biran, A.; Schmidt, W.P.; Wright, R.; Jones, T.; Seshadri, M.; Isaac, P.; Nathan, N.A.; Hall, P.; McKenna, J.; Granger, S.; Bidinger, P.; Curtis, V.;
title
The effect of a soap promotion and hygiene education campaign on handwashing behaviour in rural India: a cluster randomised trial.
secondary_title
Trop Med Int Health
ISBNISSN
1365-3156
volume
14
number
10
pages
1303-14
year
2009
abstract
OBJECTIVE: To investigate the effectiveness of a hygiene promotion intervention based on germ awareness in increasing handwashing with soap on key occasions (after faecal contact and before eating) in rural Indian households. METHODS: Cluster randomised trial of a hygiene promotion intervention in five intervention and five control villages. Handwashing was assessed through structured observation in a random sample of 30 households per village. Additionally, soap use was monitored in a sub-sample of 10 households per village using electronic motion detectors embedded in soap bars. RESULTS: The intervention reached 40% of the target population. Germ awareness increased as well as reported handwashing (a possible indicator of perceived social norms). Observed handwashing with soap on key occasions was rare (6%), especially after faecal contact (2%). Observed handwashing with soap on key occasions did not change 4 weeks after the intervention in either the intervention arm (-1%, 95% CI -2%/+0.3%), or the control arm (+0.4%, 95% CI -1%/+2%). Data from motion detectors indicated a significant but small increase in overall soap use in the intervention arm. We cannot confidently identify the nature of this increase except to say that there was no change in a key measure of handwashing after defecation. CONCLUSION: The intervention proved scalable and effective in raising hygiene awareness. There was some evidence of an impact on soap use but not on the primary outcome of handwashing at key times. However, the results do not exclude that changes in knowledge and social norms may lay the foundations for behaviour change in the longer term.
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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 NEW
custom_2
Unknown
custom_3
custom_4
10.1111/j.1365-3156.2009.02373.x
custom_5
Free
custom_6
10
label
2016-10-18
notes
Journal Article
url
author_address
Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, WC1E 7HT, London, UK. adam.biran@lshtm.ac.uk
library
TMI2373 10.1111/j.1365-3156.2009.02373.x 19708896
date_accepted
date_online
created
2009-09-01 09:48:36
modified
2016-07-08 00:00:00
library

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<ArticleId IdType="doi">10.1111/j.1365-3156.2009.02373.x</ArticleId>
<ArticleId IdType="pubmed">19708896</ArticleId>