Peru : A Handwashing Behavior Change Journey
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Washington, DC
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In 2003, a national multi-sectorial
Handwashing Initiative (HWI) was created in Peru to increase
handwashing with soap among mothers and children. The early
years of the HWI focused on laying groundwork, including a
formative research study in 2004; the creation of a
consultative committee by the Ministry of Health (MoH); and
a national decree formalizing the HWI. The Water and
Sanitation program (WSP) has coordinated the HWI since its
inception. This learning note profiles the behavior change
component of the second phase with a focus on how it was
designed, implemented, and monitored. Challenges and lessons
learned are included to assist program managers as they make
decisions to develop and manage a handwashing promotion
initiative. Peru provides an interesting case study because
the intervention itself is interwoven with efforts to
strengthen capacity, policies, partnerships, and other
aspects of the enabling environment required to sustain
handwashing with soap programs. Though detangling these
various program components is a challenge, this note on the
behavior change journey attempts to do so.
Palabras clave
AGED, AGRICULTURE, BABIES, BABY, BEHAVIOR CHANGE, BOTTLES, CAPACITYBUILDING, CLEAN HANDS, COMMUNICATION CHANNELS, COMMUNITY DEVELOPMENT, CONDOM, CONDOM USE, COOKING, DIARRHEA, DIARRHEAL DISEASES, FOCUS GROUP DISCUSSIONS, GERM THEORY, GERMS, GOVERNMENT AGENCIES, HANDS WITH SOAP, HANDWASHING, HAZARD, HEALTH AND HYGIENE, HEALTH CARE, HEALTH CARE PROVIDERS, HEALTH CENTERS, HEALTH INTERVENTIONS, HYGIENE MESSAGES, HYGIENE PROMOTION, INFORMATION SYSTEM, INTERPERSONAL COMMUNICATION, INTERVENTION, LEADING CAUSES, LOCAL COMMUNITY, LOCAL GOVERNMENTS, MASS MEDIA, MINISTRIES OF HEALTH, MINISTRY OF EDUCATION, MINISTRY OF HEALTH, MORBIDITY, MOTHER, NATIONAL GOVERNMENTS, NUTRITION, NUTRITIONAL STATUS, POSTERS, PRIMARY SCHOOL, PRIMARY SCHOOLS, PROGRESS, PUBLIC HEALTH, QUALITY ASSURANCE, QUALITY CONTROL, RADIO, REPRODUCTIVE AGE, RESOURCE ALLOCATION, RESOURCE ALLOCATIONS, RURAL AREAS, SANITATION, SANITATION SERVICES, SELF-ESTEEM, SOAP, SOCIAL DEVELOPMENT, SOCIAL PROGRAMS, SUSTAINABLE ACCESS, TECHNICAL ASSISTANCE, TECHNICAL SUPPORT, TELEVISION, USING SOAP, WASHING HANDS, WORKERS