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Determinants of handwashing practices in Kenya: the role of media exposure, poverty and infrastructure

Schmidt, W.P.; Aunger, R.; Coombes, Y.; Maina, P.M.; Matiko, C.N.; Biran, A.; Curtis, V.;
Tropical Medicine and International Health, 2009; 14(12):1534-41
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pub_id
19793069
pubmedid
19793069
ISI
271526900015
reference_type
Journal Article
author
Schmidt, W.P.; Aunger, R.; Coombes, Y.; Maina, P.M.; Matiko, C.N.; Biran, A.; Curtis, V.;
title
Determinants of handwashing practices in Kenya: the role of media exposure, poverty and infrastructure
secondary_title
Tropical Medicine and International Health
ISBNISSN
1365-3156
volume
14
number
12
pages
1534-41
year
2009
abstract
BACKGROUND: To explore how structural constraints such as lack of reliable water supply, sanitation, educational and other socio-economic factors limit the adoption of better hygiene.
METHODS: In preparation for the Kenya National Handwashing Campaign, we conducted a nationwide cross sectional survey in 800 households with two components: (i) direct structured observation of hygiene practices at key junctures (food handling, cleaning a child after defaecation, toilet use), followed by (ii) a structured interview addressing potential socio-economic, water access and behavioural determinants of handwashing.
RESULTS: We observed a total of 5182 critical opportunities for handwashing, and handwashing with soap at 25% of these. Handwashing with soap was more often practised after faecal contact (32%) than in connection with food handling (15%). In univariate and multivariate analysis, water access, level of education, media exposure and media ownership were associated with handwashing with soap. Only households with very poor access to water and sanitation, and with the lowest levels of education and media exposure, washed their hands markedly less than the majority of the households.
CONCLUSION: The results underscore that structural constraints can limit hygiene practices in the very disadvantaged sections of a population, thus jeopardizing the potential success of hygiene promotion campaigns in those most at risk of disease. Nevertheless, the strong association of handwashing with media ownership and exposure supports the view that mass media can play a role in hygiene promotion.
keywords
secondary_author
place_published
publisher
number_of_volumes
tertiary_author
tertiary_title
edition
2009/10/02
date
Sep 30
type_of_work
subsidiary_author
alternate_title
call_number
accession_number
19793069
custom_1
WOS OK
custom_2
Unknown
custom_3
custom_4
10.1111/j.1365-3156.2009.02404.x
custom_5
Free
custom_6
10
label
2016-10-18
notes
Journal Article
url
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=19793069
author_address
Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK. wolf-peter.schmidt@lshtm.ac.uk
library
TMI2404 10.1111/j.1365-3156.2009.02404.x 19793069
date_accepted
date_online
created
2009-10-05 11:58:00
modified
2016-07-08 00:00:00
library

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