Faculty Publications

Title

Assessing the environmental context of hand washing among school children in Limpopo, South Africa

Document Type

Article

Keywords

Hand washing, hygiene and sanitation, quasi-experimental design, South Africa, waterborne disease

Journal/Book/Conference Title

Water International

Volume

42

Issue

5

First Page

568

Last Page

584

Abstract

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.

Original Publication Date

7-4-2017

DOI of published version

10.1080/02508060.2017.1335140

Repository

UNI ScholarWorks, Rod Library, University of Northern Iowa

Language

en

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