Assessing the environmental context of hand washing among school children in Limpopo, South Africa
Hand washing, hygiene and sanitation, quasi-experimental design, South Africa, waterborne disease
Despite its simplicity and efficacy, the promotion of hand washing for disease prevention remains a challenge, particularly in resource-limited settings. This article reports on a quasi-experimental school-based study that aimed to improve habitual hand washing. Significant increases in hand washing occurred following improvements in hygiene and sanitation facilities (School A: t = 13.86, p = 0.0052). Smaller increases in hand washing occurred following education (School A: t = 2.63; p = 0.012; School B, no infrastructure improvements: t = 1.66, p = 0.239). Health policy and programming need to pay greater attention to the interplay of the structural, social and individual dimensions of unique contextual environments that influence habitual behaviours.
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DOI of published version
UNI ScholarWorks, Rod Library, University of Northern Iowa
Bulled, Nicola; Poppe, Kara; Ramatsisti, Khuliso; Sitsula, Londolani; Winegar, Geoffrey; Gumbo, Jabulani; Dillingham, Rebecca; and Smith, James, "Assessing the environmental context of hand washing among school children in Limpopo, South Africa" (2017). Faculty Publications. 851.