Effect of hand hygiene intervention on the absenteeism of pre-school children in Klang Valley, Malaysia: a quasi-experimental study

Early childhood is a formative period during which healthy habits are developed, including proper hand hygiene practices. The aim of this quasi-experimental study was to determine the effectiveness of a 4-week series of educational sessions that consider the cognitive developmental stage of children on increasing their knowledge and promoting hand hygiene practices. The intervention group (n = 33) observed the hand hygiene program, whereas another group served as the waitlist control (n = 20). Creative activities were planned for the illustration of hand hygiene concepts in terms of “right moments”, “right steps”, and “right duration”. Hand sanitizer coverage was evaluated using a hand scanner. After the intervention, the experimental group had higher knowledge level toward hand hygiene than the control group (p < 0.001). Significant improvements in hand hygiene performance at the left palm and dorsum (p < 0.05), right palm (p < 0.05), and overall hand coverage (p < 0.05) were observed in the experimental group. The study demonstrated that the knowledge and proper hand hygiene (HH) practice of children can be positively influenced by the use of an age-appropriate education program. The results of this study have implications for school health educators and parents for promoting HH practices among children at home and at the school level.

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Effect of drinking water habits and oral hygiene status in elementary school children: A Quasi experimental study

Journal of International Oral Health ◽

10.4103/jioh.jioh_190_19 ◽

2020 ◽

Vol 12 (2) ◽

pp. 109

Author(s):

Dini Setyowati ◽

DiasR Cahyani ◽

Roesanto Heroesoebekti ◽

Aulia Ramadhani

Keyword(s):

Experimental Study ◽

Elementary School ◽

Drinking Water ◽

School Children ◽

Oral Hygiene ◽

Elementary School Children ◽

Quasi Experimental

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Implementation of WHO multimodal strategy for improvement of hand hygiene: a quasi-experimental study in a Traditional Chinese Medicine hospital in Xi’an, China

Antimicrobial Resistance and Infection Control ◽

10.1186/s13756-017-0254-4 ◽

2017 ◽

Vol 6 (1) ◽

Cited By ~ 5

Author(s):

Li Shen ◽

Xiaoqing Wang ◽

Junming An ◽

Jialu An ◽

Ning Zhou ◽

...

Keyword(s):

Experimental Study ◽

Chinese Medicine ◽

Traditional Chinese Medicine ◽

Hand Hygiene ◽

Multimodal Strategy ◽

Quasi Experimental

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Increasing nursing students’ knowledge of evidence-based hand-hygiene: A quasi-experimental study

Nurse Education in Practice ◽

10.1016/j.nepr.2018.12.009 ◽

2019 ◽

Vol 35 ◽

pp. 104-110 ◽

Cited By ~ 3

Author(s):

Anne Korhonen ◽

Anne Vuori ◽

Anne Lukkari ◽

Arja Laitinen ◽

Minna Perälä ◽

...

Keyword(s):

Experimental Study ◽

Nursing Students ◽

Hand Hygiene ◽

Evidence Based ◽

Quasi Experimental

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Effects of Community-led Total Sanitation and Hygiene Implementation on Diarrheal Diseases Prevention in children less than five years of age in South Western Ethiopia: A Quasi- Experimental study

10.21203/rs.3.rs-18692/v1 ◽

2020 ◽

Author(s):

Gedamu Bushen ◽

Hailu Merga ◽

Fasil Tessema

Keyword(s):

Experimental Study ◽

Diarrheal Disease ◽

Diarrheal Diseases ◽

Under Five ◽

Sanitation And Hygiene ◽

Hygiene Intervention ◽

Post Test ◽

Quasi Experimental ◽

Improved Sanitation ◽

Diarrhea Prevalence

Abstract Background: Diarrheal disease is one of the main causes of morbidity and mortality in children under five years of age in low and middle-income countries. Lack of improved sanitation is the most important contributing factor to diarrheal disease. Promotion of water, sanitation, and hygiene technologies combined with hygiene promotion is a key strategy for reducing diarrheal diseases in resource poor settings. Few studies have been conducted in rural areas of low-income countries where Community-Led Total Sanitation and Hygiene intervention is implemented. To our knowledge, no study was conducted in the study area to evaluate the effect of this intervention. This study was designed with the aim of finding the effects of Community-led Total Sanitation and Hygiene implementation for preventing diarrhea among under-five children.Methods: A community-based Quasi-Experimental study was conducted from March 01- April 10, 2019 in Kersa and Manna districts. Community-led Total Sanitation and Hygiene intervention is being implemented in Kersa district since 2005 Ethiopian calendar. Sample of 846 households were selected from intervention and comparison districts using four-stage random cluster-sampling method. Semi-structured questionnaire was used to collect data. Data was collected by 8 data collectors who attended secondary school. Data was cleaned, coded and entered into Epi data entry version 3.1 and exported to SPSS version 20 for analysis. Difference-in Difference method with McNemar’s tests was used to compare the prevalence of diarrhea between the intervention and comparison districts, and significance of change between the pre-test and post-test was declared at p-value of less than 0.05 with 95% confidence interval.Results: The intervention led to decreased diarrhea prevalence [pp = -8.2, 95% CI: -15.9, -0.5], increased latrine ownership [pp = 5.6, 95% CI: 0.5, 10.8], and increased latrine utilization [pp = 10.7, 95% CI: 4.7, 16.6] in intervention district at post-test compared to the baseline; while presence of hand washing facility near latrine, home based water treatment, and proper water storage and handling practice were decreased at post-test compared to the baseline.Conclusion: Implementation of Community-Led Total Sanitation improved sanitation and hygiene status of community that resulted in reduction of diarrhea prevalence in children less than five years of age. Further implementation, evaluation, and scale-up of the intervention is needed to reduce diarrheal disease in children less than five years of age.

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Impact of Replacing Powdered Gloves With Powder-free Gloves on Hand-hygiene Compliance Among Healthcare Workers of an Intensive Care Unit: a Quasi-experimental Study

10.21203/rs.3.rs-81396/v1 ◽

2020 ◽

Author(s):

Mayra Gonçalves Menegueti ◽

Fernando Bellissimo-Rodrigues ◽

Marcia A. Ciol ◽

Maria Auxiliadora-Martins ◽

Anibal Basile-Filho ◽

...

Keyword(s):

Intensive Care Unit ◽

Experimental Study ◽

Hand Hygiene ◽

Healthcare Workers ◽

Hand Hygiene Compliance ◽

Latex Gloves ◽

Before And After ◽

Quasi Experimental ◽

Hygiene Compliance ◽

Powdered Latex Gloves

Abstract Background/Objective. After wearing powdered gloves, healthcare workers (HCW) are supposed to wash their hands instead of using alcohol-based hand-rub (ABHR). Washing hands takes longer than using ABHR, and the use of powdered gloves may be an obstacle to hand-hygiene compliance. This study aimed to evaluate the impact of replacing powdered gloves with powder-free gloves on hand-hygiene compliance among HCW of an intensive care unit (ICU). Methods. A quasi-experimental study was conducted in a general ICU of a tertiary care university hospital in Brazil. From June 1st to July 15th, 2017, all HCW were provided with powdered latex gloves only for all clinical procedures. From July 15th to August 31st, 2017, HCW were provided with nitrile powder-free gloves only. Hand-hygiene compliance was assessed through direct observation, and evaluated according to the World Health Organization (WHO) Hand Hygiene guidelines. We calculated that a sample size of 544 hand hygiene opportunities needed to be observed per period. Data analysis were performed using the STATA SE® version 14, and we compared the individual’s percentage of compliance using the t test for paired data before and after the intervention.Results. Overall, 40 HCW were assessed before and after the introduction of nitrile powder-free gloves, with 1114 and 1139 observations of hand hygiene opportunities, respectively. The proportion of compliance with hand hygiene was 55% (95% Confidence Interval [CI]: 51-59%) using powdered latex gloves and 60% (95% CI: 57-63%) using powder-free gloves. The difference in proportions between the two types of gloves was 5.1% (95% CI: 2.5-7.6%, p<0.001).Conclusion. Our data indicate that replacing powdered gloves with powder-free gloves positively influenced hand-hygiene compliance by HCW in an ICU setting.

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Effect of Installation of Alcohol Gel Dispensers and Behavioral Nudges on Behavioral Drivers for Hand Hygiene: A Quasi-Experimental Study at a Tertiary Hospital during the COVID-19 Pandemic

PSU Medical Journal ◽

10.31584/psumj.2021245328 ◽

2021 ◽

Author(s):

Sommanas Naknual ◽

Nanta Kliangkird ◽

Tippawan Liabsuetrakul ◽

Wit Wichaidit

Keyword(s):

Experimental Study ◽

Hand Hygiene ◽

Health Beliefs ◽

Self Efficacy ◽

Health Belief ◽

Tertiary Hospital ◽

Post Intervention ◽

Intervention Phase ◽

Refusal Rate ◽

Quasi Experimental

Objective: To compare the level of hand hygiene behavioral drivers before and after installation of alcohol gel dispensers and behavioral nudges among outpatients and visitors at a tertiary hospital in Thailand during the coronavirus disease 2019 (COVID-19) pandemic.Material and Methods: A quasi-experimental study was conducted among outpatients and visitors in June 2020. We installed 12 alcohol gel dispensers with signs serving as behavioral nudges at a tertiary hospital in the Internal Medicine Outpatient Department (OPD), Surgery OPD, and the Pharmacy. We trained enumerators to interview outpatients and visitors regarding their behavioral drivers (beliefs about COVID-19 and hand hygiene based on the health belief model, plus handwashing social norms). We analyzed data using descriptive statistics.Results: Enumerators recruited 206 participants in the pre-intervention phase (refusal rate = 37.6%) and 219 participants in the post-intervention phase (refusal rate = 32.2%). There were significant differences between the pre-intervention and post-intervention phases with regard to self-efficacy for hand hygiene (92.0% vs. 100%, respectively), perceived lack of barriers to hand hygiene with alcohol (93.2% vs. 98.2%, respectively), and the proportion of participants who reported that hand hygiene had become a habit (7.5 vs. 18.8%, respectively). Reports of other domains of health beliefs (perceived severity of COVID-19, perceived benefits of handwashing) were homogeneous in both periods.Conclusion: We found differences in perceived lack of barriers and reported habit of hand hygiene but while self-efficacy was homogeneous in both periods. Issues regarding selection bias, construct validity, and generalizability may limit the usefulness of the study data. Caveats should be considered in the interpretation of the study findings.

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Assessment on Hand Hygiene Knowledge and Practices Among Pre-school Children in Klang Valley

Global Pediatric Health ◽

10.1177/2333794x20976369 ◽

2020 ◽

Vol 7 ◽

pp. 2333794X2097636

Author(s):

Tengku Zetty Maztura Tengku Jamaluddin ◽

Nurul Azmawati Mohamed ◽

Mohd Dzulkhairi Mohd Rani ◽

Zarini Ismail ◽

Shalinawati Ramli ◽

...

Keyword(s):

Hand Hygiene ◽

Infectious Diseases ◽

School Children ◽

Descriptive Analysis ◽

Test Group ◽

Control Group ◽

Intervention Period ◽

Post Intervention ◽

Klang Valley ◽

Hygiene Education

Background. Pre-school children are at a higher risk to acquire infectious diseases such as hand, foot and mouth disease due to their immature immune system. Good hand hygiene prevents transmission of infectious diseases. This study aimed to determine the knowledge and practices of hand hygiene among pre-schoolers. Methods. In this prospective, multi-center study, the pre-schools were selected according to the selection criteria. A questionnaire consisting of socio-demographics, knowledge and practices of hand hygiene were administered via face-to-face interview during the pre- and post-intervention period. A total of 435 pre-schoolers aged 5 and 6 years old from 2 pre-schools within Klang Valley, School P (test group) and School C (control group) were involved in this study. The test group was provided with comprehensive hand hygiene education including video on proper handwashing technique during the 2 months intervention period, whereas the control group did not receive any form of intervention. The data were statistically analyzed using descriptive analysis and independent t-test. Results. Majority of pre-schoolers gained knowledge of handwashing from their parents. However, only 63% demonstrated good handwashing technique. Test group were significantly better ( P < 0.05) in handwashing technique and hand hygiene routine score. Conclusion. A comprehensive hand hygiene education program should include proper handwashing facilities, resources, and awareness of the care-givers in instilling and sustaining good hand hygiene behavior.

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