The effectiveness and sustainability of two demand-driven sanitation and hygiene approaches in Zimbabwe

2011 ◽  
Vol 1 (1) ◽  
pp. 20-36 ◽  
Author(s):  
L. Whaley ◽  
J. Webster
Keyword(s):  
Focus Groups ◽  
Hand Washing ◽  
Open Defecation ◽  
Hygiene Practices ◽  
Health Club ◽  
Health Clubs ◽  
The Poor ◽  
Sanitation And Hygiene ◽  
Sanitation Ladder

Since 2000 a number of community-driven sanitation approaches have emerged that counter a historical trend to subsidise the provision of latrines to the poor. This study reports on a set of findings and conclusions concerning the effectiveness and sustainability of two such approaches operating in Zimbabwe, the community health club (CHC) approach and community-led total sanitation (CLTS). Surveys, interviews and focus groups were conducted in a total of ten project communities from three districts. Results show that, despite little resistance to the idea, a household's ability to own a latrine depends heavily on its ability to afford one. Affordability is also key in moving up the ‘sanitation ladder’, which is necessary if behaviour change is to be sustained in the long term. Whilst both approaches effectively encouraged measures that combat open defecation, only health clubs witnessed a significant increase in the adoption of hand washing. However, CLTS proved more effective in promoting latrine construction, suggesting that the emphasis the CHCs place on hygiene practices such as hand washing needs to be coupled with an even stronger focus on the issue of sanitation brought by CLTS.

scholarly journals Sustained use of a household-scale water filtration device in rural Cambodia

2009 ◽  
Vol 7 (3) ◽  
pp. 404-412 ◽  
Author(s):  
Joe Brown ◽  
S. Proum ◽  
M. D. Sobsey
Keyword(s):  
Water Treatment ◽  
Water Source ◽  
Drinking Water Source ◽  
Ceramic Water Filters ◽  
Hygiene Practices ◽  
Point Of Use ◽  
Sanitation And Hygiene ◽  
Water Filters ◽  
Over Time

The effectiveness of point-of-use water treatment may be limited by declining use over time, particularly when water treatment is introduced via targeted intervention programmes. In order to evaluate the long-term uptake and use of locally produced ceramic water filters in rural Cambodia, we visited households that had received filters as part of NGO-subsidized distribution programmes over a 4 year period from 2002 to 2006. Of the more than 2,000 filters distributed, we visited 506 randomly selected households in 13 villages spanning three provinces to assess filter time in use and to collect data on factors potentially correlated with long-term use. Results indicate that filter use declined at the rate of approximately 2% per month after implementation, largely owing to breakages, and that, controlling for time since implementation, continued filter use over time was most closely positively associated with: related water, sanitation and hygiene practices in the home; cash investment in the technology by the household; and use of surface water as a primary drinking water source.

scholarly journals SCHOOL HYGIENE PROMOTION APPROACHES AND THEIR INFLUENCE ON PUPIL’S HYGIENE PRACTICES IN PUBLIC PRIMARY SCHOOLS IN DAGORETTI, NAIROBI CITY COUNTY, KENYA

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Styvers Kathuni ◽  
Daniel Akunga ◽  
Esther Kitur ◽  
Sammy Letema
Keyword(s):  
Solid Waste ◽  
Primary Schools ◽  
School Health ◽  
Hand Washing ◽  
Solid Waste Disposal ◽  
Hygiene Practices ◽  
Health Clubs ◽  
Hygiene Promotion ◽  
Health Teachers ◽  
Critical Times

Purpose: The purpose of this study was to examine hygiene promotion approaches that were being employed by public primary schools in Dagoretti North and South Sub Counties in Nairobi City County and whether the approaches influenced hygiene behaviors that were practiced by pupils. Methodology: The study applied a descriptive cross-sectional design. Questionnaires were administered to 384 pupils with the aim of collecting data on hygiene knowledge and practices. A questionnaire was also used to collect data on hygiene promotion approaches from 32 school health teachers. Pupils’ demographic data was collected from school head teachers. Five key informant interviews were conducted with Nairobi City County public health and education officers and a staff from a non-governmental organization that was implementing school hygiene activities in Dagoretti South and North Sub Counties. Observation checklists were used to triangulate information on hygiene practices by pupils. Analysis was done using SPSS software. Findings: Results indicate that 95.6% of the pupils practiced hand washing at critical times, 98.7% used the toilet while 85.4% safely disposed solid waste. The study reveals that water, sanitation and hygiene in schools approach is implemented by 31.3% of the school health teachers. There was a significant relationship between school health clubs approach and hand washing at critical times (p=0.04) and proper solid waste disposal (p=0.02). One way analysis of variance established that there is a significant difference among hygiene promotion approaches and pupils hygiene knowledge, F(5, 162) = 6.41, p <.05 ƞ²p = 0.076. Unique contribution to theory, practice and policy: The study establishes that different hygiene promotion approaches have the potential to influence hygiene practices and in particular, hand washing at critical times and proper solid waste disposal amongst pupils. The study recommends the use of school health clubs approach for hygiene promotion at public primary schools

Water, Sanitation and Hygiene Practices in Rural Area of Goa: A Cross-sectional Study

2019 ◽  
pp. 1-6
Author(s):  
Nilam Gaude ◽  
Archana Dessai
Keyword(s):  
Drinking Water ◽  
Rural Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Open Defecation ◽  
Cross Sectional ◽  
Training Centre ◽  
Hygiene Practices ◽  
Piped Water ◽  
Sanitation And Hygiene

Introduction: Access to water, sanitation and hygiene is a major challenge in developing nations and more among rural population. In India, Swachh Bharat Mission was launched with the objective to provide sanitation facilities and eliminate open defecation. Objective: To assess the existing facilities and practices related to drinking water, sanitation and hygiene among household members in the rural population of Goa. Materials and Methods: A cross-sectional study was conducted in the field practice area of Rural Health and Training Centre, Mandur, Goa. Individuals aged ≥ 18 years were interviewed from 100 households by house to house visits using semi-structured questionnaire. Results: Out of 100 households, 87 (87.0%) were having piped water supply into dwelling, 5 (5.0%) were using public tap and 8 (8.0%) were using water from well. Majority of the households, i.e., 94 (94.0%) were using sanitary latrine for defecation, 1 (1.0%) had community toilet and 5 (5.0%) were practicing open field defecation. Closed container was used by 89(89.0%) of the households for storing drinking water and 96 (96.0%) were using soap and water for hand washing. Conclusion: This study revealed that overall water and sanitation practices among the study population were satisfactory. However, measures need to be taken to abolish some of the bad practices such as open defecation and drainage of waste water in the open which was seen in few participants.

scholarly journals The effect of merging two infectious disease units on hand hygiene adherence in Italy

2017 ◽  
Vol 18 (3) ◽  
pp. 144-147
Author(s):  
Christopher M. Petrilli ◽  
Elisabetta Mantengoli ◽  
Sanjay Saint ◽  
Karen E. Fowler ◽  
Alessandro Bartoloni
Keyword(s):  
Hand Hygiene ◽  
Focus Groups ◽  
Hygiene Practices ◽  
Direct Observations ◽  
Before And After ◽  
Nurses Perceptions ◽  
Perceptions Of Education ◽  
Healthcare Associated ◽  
The Impact

Background: Healthcare-associated infections (HAIs) are common and harmful to patients. Effective hand hygiene can help prevent HAIs, however, suboptimal healthcare worker hand hygiene remains problematic across the globe. This study analyses the impact of organisational changes on hand hygiene. Methods: This observational study assessed hand hygiene by different professions before and after a merger of a recently combined infectious diseases (ID) unit coupled with a qualitative study about barriers to optimal hand hygiene. Direct observations were compared with previous data collected on both units before they merged. We also conducted focus groups with the doctors and nurses about hand hygiene. Results: After two ID units merged in 2013, we observed 681 provider–patient interactions. We compared these with a previous observation period in 2012. Hand hygiene adherence among nurses significantly declined after the merger (from 36% to 24%, P <0.001). However, adherence among doctors increased from 51% to 63% after the merger ( P = 0.004). Data from the focus groups revealed a gap between doctor and nurses perceptions of education and goal adherence rates. Conclusions: Our findings underscore the important role played by effective unit leaders to prevent infection. We found long-term sustainability of hand hygiene practices among doctors. However, adherence among nurses was substantially lower.

Percepción de la Población Pobre de Santiago sobre el Mercado Laboral en Chile al año 2011 y evolución desde el año 2003

Oikos ◽  
2015 ◽  
Vol 15 (31) ◽  
pp. 153
Author(s):  
Marcelo Yáñez Pérez
Keyword(s):  
Social Capital ◽  
Labor Market ◽  
Equal Opportunities ◽  
Capital Social ◽  
Union Power ◽  
Family Labor ◽  
The Poor ◽  
State Unemployment ◽  
Poor Population

RESUMENEl artículo muestra los principales resultados de la investigación Percepción de la Población Pobre de Santiago sobre el Mercado Laboral en Chile, realizada durante 9 años consecutivos desde 2003, por la Escuela de Administración y Economía de la Universidad Católica Silva Henríquez. El estudio incluye antecedentes sobre las concepciones de empleo y desempleo de este grupo de la población, así como la identificación de quienes –a su juicio– serían los responsables de que las personas pobres obtengan un trabajo y la calificación que le asignan a su gestión. También contempla sus percepciones en torno al apoyo del Estado, nivel de desempleo, influencia del capital social, respeto por los trabajadores, igualdad de oportunidades, poder de los sindicatos, entre otros aspectos, además del nivel de desempleo familiar y tipo de problemas laborales que han enfrentado.Palabras clave: mercado laboral, pobreza, percepciones, equidad.Este estudio ha sido realizado en el contexto de la investigación “Percepción de la población pobre de Santiago sobre las condiciones de acceso, equidad y satisfacción en la obtención de bienes básicos y públicos – año 2011: visión evolutiva desde el año 2003”, que es parte del Programa de Investigación de la Escuela de Administración y Economía de la UCSH. Esta investigación ha sido financiada desde sus inicios y en su totalidad con fondos propios de esta Universidad.Perception of the Poor Population from Santiago of The Labor Market in Chile in the year 2011 and evolution from 2003ABSTRACTThe paper shows the main results of a long-term investigation on the perceptions of the poor of Santiago of the labor market in Chile, which began in 2003 and was carried out by the School of Management and Economics at the Universidad Católica Silva Henríquez. The study includes background on the concepts of employment and unemployment in this group of the population, and the identification of those who, in his opinion, would be responsible for the poor to get a job and the rating assigned to their management. It also includes their perceptions of the support of the state, unemployment, social capital influence, respect for workers, equal opportunities, union power, among other things, besides the level of unemployment and type of family labor problems they have faced.Keywords: labor market, poverty, perceptions, equity.

scholarly journals The Effect of Heterogenous Subregions in Glioblastomas on Survival Stratification: A Radiomics Analysis Using the Multimodality MRI

2021 ◽  
Vol 20 ◽  
pp. 153303382110330
Author(s):  
Lulu Yin ◽  
Yan Liu ◽  
Xi Zhang ◽  
Hongbing Lu ◽  
Yang Liu
Keyword(s):  
Poor Prognosis ◽  
Intratumor Heterogeneity ◽  
Short Term ◽  
Prognostic Information ◽  
Manual Delineation ◽  
Flair Sequence ◽  
The Poor ◽  
Contrast Enhanced ◽  
Mri Sequences

Intratumor heterogeneity is partly responsible for the poor prognosis of glioblastoma (GBM) patients. In this study, we aimed to assess the effect of different heterogeneous subregions of GBM on overall survival (OS) stratification. A total of 105 GBM patients were retrospectively enrolled and divided into long-term and short-term OS groups. Four MRI sequences, including contrast-enhanced T1-weighted imaging (T1C), T1, T2, and FLAIR, were collected for each patient. Then, 4 heterogeneous subregions, i.e. the region of entire abnormality (rEA), the regions of contrast-enhanced tumor (rCET), necrosis (rNec) and edema/non-contrast-enhanced tumor (rE/nCET), were manually drawn from the 4 MRI sequences. For each subregion, 50 radiomics features were extracted. The stratification performance of 4 heterogeneous subregions, as well as the performances of 4 MRI sequences, was evaluated both alone and in combination. Our results showed that rEA was superior in stratifying long-and short-term OS. For the 4 MRI sequences used in this study, the FLAIR sequence demonstrated the best performance of survival stratification based on the manual delineation of heterogeneous subregions. Our results suggest that heterogeneous subregions of GBMs contain different prognostic information, which should be considered when investigating survival stratification in patients with GBM.

scholarly journals A Review of the Community Health Club Literature Describing Water, Sanitation, and Hygiene Outcomes

2021 ◽  
Vol 18 (4) ◽  
pp. 1880
Author(s):  
Jason Rosenfeld ◽  
Ruth Berggren ◽  
Leah Frerichs
Keyword(s):  
Social Capital ◽  
Collective Action ◽  
Community Health ◽  
Theory Of Change ◽  
Health Promotion Program ◽  
Review Of The Literature ◽  
Middle Income ◽  
Health Club ◽  
Qualitative Evidence ◽  
Sanitation And Hygiene

The Community Health Club (CHC) model is a community-based health promotion program that utilizes water, sanitation, and hygiene (WASH) education as the first stage of a longitudinal development process. Although the CHC model has been implemented in fourteen countries over 20 years, this is the first review of the literature describing the model’s outcomes and impact. We conducted a review of the literature that provided quantitative or qualitative evidence of CHC interventions focused on WASH in low- and middle-income countries. We identified 25 articles that met our inclusion criteria. We found six major outcomes: WASH behaviors and knowledge, social capital, collective action, health, and cost or cost-effectiveness. The most consistent evidence was associated with WASH behaviors and knowledge, with significant effects on defecation practices, hand washing behaviors, and WASH knowledge. We also found qualitative evidence of impact on social capital and collective action. CHCs catalyze favorable changes in WASH behaviors and knowledge, yielding outcomes commensurate with other WASH promotion strategies. This review provides insights into the model’s theory of change, helping identify areas for further investigation. The CHC model’s holistic focus and emphasis on individual and collective change offer promising potential to address multiple health and development determinants.

scholarly journals Childhood Malnutrition and the Association with Diarrhea, Water supply, Sanitation, and Hygiene Practices in Kersa and Omo Nada Districts of Jimma Zone, Ethiopia

2021 ◽  
Vol 15 ◽  
pp. 117863022199963
Author(s):  
Negasa Eshete Soboksa ◽  
Sirak Robele Gari ◽  
Abebe Beyene Hailu ◽  
Bezatu Mengistie Alemu
Keyword(s):  
Nutritional Status ◽  
Water Supply ◽  
Open Pit ◽  
Breastfeeding Initiation ◽  
Childhood Malnutrition ◽  
Hygiene Practices ◽  
Sanitation And Hygiene ◽  
Jimma Zone ◽  
Nutritional Status Of Children ◽  
Critical Times

Background: Inadequate water supply, sanitation, hygiene practices, and diarrhea are related to malnutrition, but there is limited evidence in Ethiopia about their association. Thus, the objective of this study was to describe childhood malnutrition and the association with diarrhea, water supply, sanitation and hygiene practices. Methods: A case-control study design was performed from December 2018 to January 2019 in Kersa and Omo Nada districts of the Jimma Zone, Ethiopia. Both children aged 6 to 59 months were chosen randomly from malnourished and well-nourished children in 128 cases and 256 controls, respectively. Bodyweight, length/height, mid-upper arm circumference, and presence of edema of the children were measured according to the WHO references. Then, the nutritional status of the children was identified as a case or control using the cutoff points recommended by the WHO. To see the association-dependent and independent variables, logistic regression analysis was used. Results: A total of 378 children were included in this study (98.44%). Malnutrition was significantly increased among children who delayed breastfeeding initiation(AOR = 3.12; 95% CI: 1.62-6.00), had diarrhea (AOR = 9.22; 95% CI: 5.25-16.20), were living in households indexed as the poorest (AOR = 2.50; 95% CI: 1.12-5.62), defecated in a pit latrine without slab/open pit (AOR = 2.49; 95% CI: 1.17-5.30), collecting drinking water from less than/equal to 1 km distance (AOR = 4.77; 95% CI: 1.01-22.71) and sometimes practiced hand washing at the critical times (AOR = 2.58; 95% CI: 1.16-5.74) compared with their counterparts. However, lactating during the survey (AOR = 0.35; 95% CI: 0.18-0.67), water collection from unprotected sources (AOR = 0.22; 95% CI: 0.05-0.95) and collection and disposal of under-5 children feces elsewhere (AOR = 0.06; 95% CI: 0.01-0.49) significantly reduced the likelihood of malnutrition. Conclusions: Early initiation of exclusive breastfeeding, diarrhea prevention, and the use of improved latrine and handwashing practices at critical times could be important variables to improve the nutritional status of children.

scholarly journals The Development and Testing of KNACC: Knowledgeable Nursing Assistants as Creative Caregivers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 675-675
Author(s):  
Jacqueline Eaton ◽  
Kristin Cloyes ◽  
Brooke Paulsen ◽  
Connie Madden ◽  
Lee Ellington
Keyword(s):  
Focus Groups ◽  
Long Term Care ◽  
Family Members ◽  
Nursing Assistants ◽  
Direct Care ◽  
Term Care ◽  
Memory Care

Abstract Nursing assistants (NAs) provide 80% of direct care in long-term care settings, yet are seldom viewed as skilled professionals. Empowering NAs is linked to improved resident outcomes. In this study, we collaborate with NAs to adapt and test the feasibility and acceptability of arts-based creative caregiving techniques (CCG) for use in long-term care. We held a series of focus groups (n=14) to adapt, refine, and enhance usability. We then evaluated implementation in two waves of testing (n=8). Those working in memory care units were more likely to use all techniques, while those working in rehabilitation were more hesitant to implement. Participants reported using CCG to distract upset residents. Family members were excited about implementation, and NAs not participating wanted to learn CCG. Nursing assistants have the potential to become experts in creative caregiving but may require in-depth training to improve use.

scholarly journals Do they really wash their hands? Prevalence estimates for personal hygiene behaviour during the COVID-19 pandemic based on indirect questions

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Laura Mieth ◽  
Maike M. Mayer ◽  
Adrian Hoffmann ◽  
Axel Buchner ◽  
Raoul Bell
Keyword(s):  
Social Desirability ◽  
Online Survey ◽  
Hand Washing ◽  
Personal Hygiene ◽  
Health Crisis ◽  
Hygiene Practices ◽  
Hygiene Measures ◽  
Prevalence Estimates ◽  
Self Reports ◽  
Crosswise Model

Abstract Background During the COVID-19 pandemic, billions of people have to change their behaviours to slow down the spreading of the virus. Protective measures include self-isolation, social (physical) distancing and compliance with personal hygiene rules, particularly regular and thorough hand washing. Prevalence estimates for the compliance with the COVID-19 measures are often based on direct self-reports. However, during a health crisis there is strong public pressure to comply with health and safety regulations so that people’s responding in direct self-reports may be seriously compromised by social desirability. Methods In an online survey, an indirect questioning technique was used to test whether the prevalence of hygiene practices may be lower than in conventional surveys when confidentiality of responding is guaranteed. The Extended Crosswise Model is an indirect questioning technique that guarantees the confidentiality of responding. To the degree that direct self-reports are biased by social desirability, prevalence estimates of hygiene practices such as thorough hand washing based on the Extended Crosswise Model should be lower than those based on direct self-reports. Results We analysed data of 1434 participants. In the direct questioning group 94.5% of the participants claimed to practice proper hand hygiene; in the indirect questioning group a significantly lower estimate of only 78.1% was observed. Conclusions These results indicate that estimates of the degree of commitment to measures designed to counter the spread of the disease may be significantly inflated by social desirability in direct self-reports. Indirect questioning techniques with higher levels of confidentiality seem helpful in obtaining more realistic estimates of the degree to which people follow the recommended personal hygiene measures. More realistic estimates of compliance can help to inform and to adjust public information campaigns on COVID-19 hygiene recommendations.

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