Improving Measures of Handwashing Behavior
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World Bank, Washington, DC
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Handwashing (HW) efficacy studies have
taken the form of randomized controlled trials and the
outcome(s) of interest have primarily been health related.
That is, the intervention group, which received HW
promotion, and the control group have been compared
according to disease burden. As HW promotion is scaled up
and adopted by organizations of varying research capacity,
evaluation techniques that are more field-friendly,
inexpensive, and readily adaptable are required. Data on HW
behavior may be observed, inferred, or reported. Observed
data may be considered the most objective type of data
available for measuring HW behavior. Observations may be
conducted using spot checks or continuous observation.
Continuous structured observation is frequently used to
evaluate HW behavior as well as other hygiene behaviors.
This technique consists of the placement of a trained
observer in a target family's home for several key
hours in the day. The observer can conduct continuous
observation of opportunities for hygiene behaviors and track
whether or not hygiene behaviors are practiced at those
opportunities. Observers can also track the quality of
observed hygiene behaviors, for example the use of soap or
ash for washing hands.
Palabras clave
BEHAVIOR CHANGE, CONDITIONS, CORRELATIONS, DATA ANALYSIS, DATA COLLECTION, DIARRHEA, EVALUATION TECHNIQUES, FIELD RESEARCH, FOOD PREPARATION, HANDWASHING, HYGIENE, HYGIENE BEHAVIORS, HYGIENE PROMOTION, INFECTIOUS DISEASES, METHODOLOGY, PUBLIC HEALTH, QUESTIONNAIRES, RESEARCH CAPACITY, SANITATION, SANITATION PRACTICES, SANITATION PROMOTION, SANITATION SERVICES, SCALING, SCENARIO, SCIENCES, SOAP, SOAPS, TECHNICAL SUPPORT, USING SOAP, VALIDITY, VARIABILITY, WASH HANDS WITH SOAP, WASHING HANDS