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Hygiene and Hygiene Education





               Handwashing with soap  Handwashing with soap (or ash) is crucial to reduce infection.    

     Hygiene and Sanitation Software: An Overview of Approaches [WSSCC, 2010]

     ►Enabling Technologies for Handwashing with Soap Database [WSP webpages] – a wealth of
     really useful information!

   
     See also: Community health clubs

     The global burden of hygiene-related diseases in relation to the home and community [nternational
     Scientific Forum on Home Hygiene, 2009]

 
               The Handwashing Handbook: A guide for developing a hygiene promotion program to increase
               handwashing with soap [World Bank, 2009]  Key messages.

               Hand washing for preventing diarrhoea [Cochrane review, 2008]

     Hands, water, and health: Fecal contamination in Tanzanian communities with improved, non-
     networked water supplies [Environmental Science and  Technology, 2010] – “Levels of fecal
     contamination on hands of mothers and children were positively correlated to fecal      contamination in stored drinking water within households. Household
     characteristics associated with hand contamination included mother’s educational
     attainment, use of an improved toilet, an infant in the household, and
     dissatisfaction with the quantity of water available for hygiene. In addition, fecal
     contamination on hands was associated with the prevalence of gastrointestinal 
     and respiratory symptoms within a household. The results suggest that reducing
     fecal contamination on hands should be investigated as a strategy for improving
     stored drinking water quality and health among households using non-networked 
     water supplies.”

               
               Soapbox, the e-newsletter of the Global PPP for Handwashing with Soap. 

     Video: Malawi Handwashing Advertisement [PSI/UNICEF, 2009]

     The effect of a soap promotion and hygiene education campaign on handwashing behaviour in rural
     India: a cluster randomised trial [Tropical Medicine & International Health, 2009]

     Efficacy of waterless hand hygiene compared with handwashing with soap: A field study in
     Dar es Salaam, Tanzania
[American Journal of Tropical Medicine and Hygiene, 2010]

     Effectiveness of liquid soap and hand sanitizer against Norwalk virus on contaminated hands [AEM,
     2010]

     Evaluation of a pre-existing, 3-year household water treatment and handwashing intervention in rural
     Guatemala [International Journal of Epidemiology, 2009]

     Use of ash and mud for handwashing in low income communities [International Scientific Forum on
     Home Hygiene, 2009]

     Prevention of the spread of infection: The need for a family-centered approach to hygiene promotion
     [American Journal of Infection Control, 2010]

     In the Fight to Save Children’s Lives Handwashing Takes Center Stage [WSP, 2008] − watch 
     the video!

     Changing the world, one lather at a time: 'Yuck factor' boosts handwashing habits in Ghana
     campaign [San Francisco Chronicle, 2008]

               Hand washing for preventing diarrhoea (Cochrane Review) [Evidence-based Child Health, 2009]

     Hand washing for preventing diarrhoea [Cochrane Database of Systematic Reviews, 2008]
     Listen
here.

     Are Ugandans’ Hands Clean Enough? Summary findings of a formative and baseline survey on
     handwashing with soap (WSP, 2007)
− “although 84 percent of the adults recognized
     the need to wash hands with soap after using the toilet, only 14 percent were
     observed to do so.”

     Planned, motivated and habitual hygiene behaviour: an eleven country review [Health Education
     Research
, 2009
free access to pdf] 

               A matter of  hygiene and hand washing [Chapter 9 of Toilets That Make Compost

     Beyond tippy-taps: The role of enabling products in scaling up and sustaining handwashing [IRC,
     2010]

     The “Canacla”: a new water-saving handwashing technology introduced in Rwanda [Source
     Weekly, 2007] 
watch here.

     Hygiene Evaluation Procedures: Approaches and Methods for Assessing Water- and
     Sanitation-Related Hygiene Practices [Practical Action Publishing, 2007]

     Hand washing for preventing diarrhoea: a review [The Cochrane Library, 2008]

     Direct observation of hygiene in a Peruvian shantytown: not enough handwashing and too little water
     [Tropical Medicine & International Health, 2008]

     Sanitation and Hygiene Promotion: Programming Guidance [WHO, 2005]     

     Bangladeshi communities take ownership of hygiene issues [DFID webpage, 2006] − role of 
     Community Hygiene Promoters     

     Interventions for the control of diarrhoeal diseases among young children: promotion of personal
     and domestic hygiene [Bull. WHO, 1984] (by Richard Feachem)

     Hygiene Promotion A Practical Manual for Relief and Development, 2nd ed. [Practical Action
     Publishing, 2007]
 

               Home Hygiene in Developing Countries [IFH & WSSCC, 2006]

               Encouraging Good Hygiene and Sanitation  [Tearfund, 2005]

               Hygiene Promotion  [IRC Thematic Overview Paper, 2003]
             
               Local Initiatives for Better Hygiene − Four Case Studies from Asia [IRC, 2007]


               Hygiene Promotion in Burkina Faso and Zimbabwe: New Approaches to Behaviour Change
               [WSP, 2002]

               The Value of Hygiene Promotion  [WELL, 2003]

               Sanitation and Hygiene Promotion  [WSSCC, 2005]

               Dirt, disgust, and disease: Is hygiene in our genes? [Perspectives in Biology and Medicine,
               2001]

     Domestic hygiene and diarrhoea – pinpointing the problem  [Tropical Medicine & International            Health, 2000]

     Home hygiene and the prevention of infectious disease in developing countries [whole issue of
     International Journal of Environmental Health Research, June 2003]

     Is hygiene promotion cost-effective? A case study in Burkina Faso  [Tropical Medicine &                    International Health, 2002]

               Water, Sanitation and Hygiene Understanding [WEDC Technical Brief]

               Hygiene Education [WaterAid Fact Sheet]

               A Manual on Hygiene Promotion [UNICEF & LSHTM, 1999]

               Hygiene Education [WHO Drinking-water Quality Guidelines, 2nd ed., Vol. 3, Chapter 7]

               Western Cape Health and Hygiene Education Programmes [WIN-SA, n.d])

               Evaluation of a water, sanitation, and hygiene intervention on diarrhoea in northern Pakistan  
               [Bull. WHO, 2003]

     Social Returns from Drinking Water, Sanitation and Hygiene Education: A Case Study of Two
     Coastal Villages in Kerala [India] [Centre for Development Studies, Trivendrum, 2002]

     What is the Role of Household Hygiene and Safe Water in the Child Health Agenda? (APHA,
     2007) [Links to four presentations]

               Hygiene Central [London School of Hygiene and Tropical Medicine]
               The Director of The Hygiene Centre is Dr Val Curtis who graduated in civil
               engineering from the University of Leeds in 1980.

               Hygiene Improvement Project [USAID website]
               The Hygiene Improvement Framework: A Comprehensive Approach for Preventing Childhood                        Diarrhea (USAID Environmental Health Project, 2004)
               Improving Health through Behavior Change A Process Guide on Hygiene Promotion (USAID
               Environmental Health Project
, 2004)
               Advancing Hygiene Improvement for Diarrhea Prevention: Lessons Learned (USAID Environmental
               Health Project
, 2004)

               Comprehensive Family Hygiene Promotion in Peri-Urban Cape Town: Gastrointestinal and Skin
               Disease Reduction in Children Under Five [abstract of paper presented at the International
               Congress on Infectious Diseases, Kuala Lumpur, June 2008]

               The faecal coliform fingertip count: a potential method for evaluating the effectiveness of low-cost
               water supply and sanitation initiatives [Journal of Tropical Medicine and Hygiene, 1988]
               Field trial of a low-cost method to evaluate hand cleanliness [Tropical Medicine & International
               Health
, 2007]

     The Global Burden of Hygiene-related Diseases in relation to the Home and Community
     [International Scientific Forum on Home Hygiene, 2009]

     Home hygiene in developing countries: prevention of infection in the home and peri-domestic settings
     [International Scientific Forum on Home Hygiene, 2006]

     Guidelines for the Prevention of Infection and Cross-Infection in the Domestic Environment: Focus
     on Home Hygiene Issues in Developing Countries [ISFHH, 2002]

     Handwashing and respiratory infections 
     Handwashing with soap – a new way to prevent ARIs? [Tropical Medicine & International
     Health
, 2003] [ARIs = acute respiratory infections]
     Handwashing and risk of respiratory infections: a quantitative systematic review [Tropical
     Medicine & International Health
, 2006]
     
Comprehensive Family Hygiene Promotion in Peri-Urban Cape Town: Reduction of Respiratory
     Illness in Children Under Five [abstract of paper presented at the International Congress on
     Infectious Diseases, Kuala Lumpur, June 2008]

     Associations among handwashing indicators, wealth, and symptoms of childhood respiratory illness
     in urban Bangladesh [Tropical Medicine & International Health, 2008]
 

     Comparing the performance of indicators of hand-washing practices in rural Indian households
     [Tropical Medicine & International Health, 2008]

               Listen
               You’d Better Wash Your Hands [Foodsafe, UC Davis − double click on the white  in the black
               strip above the lyrics]

              Handwashing quiz    [courtesy of globalhandwashing.org]

               Can Hygiene be Cool and Fun? Insights from School Children in Senegal [WSP, 2007]

     Child-centred Course for Teachers to Promote Basic Health and Hygiene Awareness in Rural
     Communities [WRC, South Africa, 2007]

            How to make soap:
     Soapmaking  [ITDG Technical Brief]
     Small-scale Soapmaking [IT Publications, 1986]
     

 
Global Handwashing Day (15 October 2008)

Faecal bacteria join the commute (BBC News, 15 October 2008)

Global Handwashing Day logo


     For kids: 

     Clean Freak Patrol: Superheroes of the Micro World  −  an entertaining educational website
     making washing hands fun for kids (with music, videos, songs and interactive games)

     Wormbusters logo

     Soil-transmitted Parasites: Roundworms, Hookworms, Whipworms  [wormbusters.org]

     Hygiene Education [Institut Pasteur] − includes games

Hygiene education for kids

    Singing the message home [WaterAid, 2007]
    When 5,000 children die every day as a result of diseases caused by unclean
    water and poor sanitation, the need for hygiene education is a serious issue. In
    Singida District in Tanzania children are having fun learning about sanitation 
    through songs, games and drama. Translation of part of one of their songs:

        We can prevent diseases like cholera, bilharzia and diarrhoea

        We have to get rid of them completely and wipe them out

        We should not walk barefoot by water

        We should boil water before drinking it

        We should wash our hands after going to the latrine and before eating

        Don't wash at the waterpoint

        We can get rid of diarrhoea.

    Listen
here.