handwashing

Using innovation to break down barriers to handwashing in emergency settings

In 2016 the humanitarian organisation ELHRA created a Handwashing Challenge following their Water, Sanitation and Hygiene (WASH) sector Gap Analysis. The aim of this challenge was to explore soap alternatives, create better handwashing facilities or find new and effective ways to promote handwashing that would result in behaviour change.

Mum's Magic Hands

Diarrhoeal disease is the second leading cause of death in children under five years old. Handwashing with soap can reduce the risk of diarrhoeal disease by up to 48% but knowledge of its importance for disease prevention is not always reflected in practice. Oxfam, Unilever's Lifebuoy soap and Unilever's Chief Sustainability Office have developed Mum's Magic Hands, an interactive approach based on storytelling which uses field tested, emotional and health motivators to promote effective hand washing in communities affected by emergencies.

Date: 9 November 2018

State of Hygiene in Southern Africa

Without good hygiene practices, such as toilet use, handwashing with soap, water treatment, food hygiene, and menstrual hygiene, the benefits of other poverty reduction strategies will be undermined, and human dignity will be compromised.

The State of Hygiene in Southern Africa study was commissioned to gather evidence regarding: the status of hygiene practice in the region; the enabling environment and institutional arrangements for the promotion of hygiene behavior change; and key policy and programme bottlenecks for the prioritisation of hygiene.

Date: 15 October 2018

Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Kenya: a cluster-randomised controlled trial

Poor nutrition and exposure to faecal contamination are associated with diarrhoea and growth faltering, both of which have long-term consequences for child health. This trial aimed to assess whether water, sanitation, handwashing, and nutrition interventions reduced diarrhoea or growth faltering.

Date: 26 February 2018
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Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Bangladesh: a cluster randomised controlled trial

Diarrhoea and growth faltering in early childhood are associated with subsequent adverse outcomes. This trial aimed to assess whether water quality, sanitation, and handwashing interventions alone or combined with nutrition interventions reduced diarrhoea or growth faltering. Overall the trial found that nutrient counselling and supplementation modestly improved linear growth, but that there was no benefit to the integration of water, sanitation, and handwashing with nutrition.

Date: 26 February 2018
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Exploring Determinants of Handwashing with Soap in Indonesia: A Quantitative Analysis

Handwashing with soap is recognized as a cost-effective intervention to reduce morbidity and mortality associated with enteric and respiratory infections. This study analyzes rural Indonesian households’ hygiene behaviors and attitudes to examine how motivations for handwashing, locations of handwashing space in the household, and handwashing moments are associated with handwashing with soap as potential determinants of the behavior. The analysis was conducted using results from a UNICEF cross-sectional study of 1700 households in six districts across three provinces of Indonesia.

Date: 3 January 2018
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Mass Behaviour Change Campaigns: what works and what doesn't

The promotion of hygienic behaviour – and particularly handwashing with soap – is one of the most cost-effective health interventions. Yet, despite bringing some of the highest public health returns on investments, hygiene is neglected – in public health interventions, in national and global health policy priorities, and in national and global monitoring frameworks.

Date: 23 November 2017

Promoting handwashing and sanitation behaviour change in low-and middle-income countries

This report by 3ie summarises a systematic review by De Buck and colleagues that examines which promotional approaches are effective in changing handwashing and sanitation behaviour and which implementation factors affect the success or failure of such interventions. The study is the first mixed methods systematic review of behaviour change in sanitation and hygiene, drawing on quantitative and qualitative evidence. It shows that CLTS, in comparison with approaches like social marketing and health messaging, is most effective in improving OD behaviour and latrine use.

Date: 28 September 2017

Norms, nudges, or addiction? Understanding drivers for handwashing behavior change.

Handwashing with soap is one of the most effective ways to prevent diseases, but behavior change to increase handwashing remains a challenge. On September 12, 2017, the Global Handwashing Partnership and USAID hosted a webinar that focused on behavior change approaches for handwashing with soap. The webinar gave participants ideas and perspectives to use on Global Handwashing Day and throughout the year.

Date: 27 September 2017

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