Robert Dreibelbis, Peter J. Winch, Elli Leontsini, Kristyna R. S. Hulland et al.
BACKGROUND: Promotion and provision of low-cost technologies that enable improved water, sanitation, and hygiene (WASH) practices are seen as viable solutions for reducing high rates of morbidity and mortality due to enteric illnesses in low-income countries. A number of theoretical models, explanat...
Robert Dreibelbis, Anne Kroeger, Kamal Hossain, Mohini Venkatesh et al.
Behavior change communication for improving handwashing with soap can be labor and resource intensive, yet quality results are difficult to achieve. Nudges are environmental cues engaging unconscious decision-making processes to prompt behavior change. In this proof-of-concept study, we developed an...
Kristyna R. S. Hulland, Elli Leontsini, Robert Dreibelbis, Leanne Unicomb et al.
BACKGROUND: In Bangladesh diarrhoeal disease and respiratory infections contribute significantly to morbidity and mortality. Handwashing with soap reduces the risk of infection; however, handwashing rates in infrastructure-restricted settings remain low. Handwashing stations--a dedicated, convenient...
Elise Grover, Mohammed Kamal Hossain, Saker Uddin, Mohini Venkatesh et al.
OBJECTIVE: To determine the impact of environmental nudges on handwashing behaviours among primary school children as compared to a high-intensity hygiene education intervention. METHODS: In a cluster-randomised trial (CRT), we compared the rates of handwashing with soap (HWWS) after a toileting eve...
Christine Marie George, Shwapon Biswas, Danielle Jung, Jamie Perin et al.
Inadequate hand hygiene is estimated to result in nearly 300,000 deaths annually, with the majority of deaths being among children younger than 5 years. In an effort to promote handwashing with soap and water treatment behaviors among highly susceptible household members of cholera patients, we rece...
Nina A. Martin, Kristyna R. S. Hulland, Robert Dreibelbis, Farhana Sultana et al.
OBJECTIVE: To understand factors that influence sustained adoption of water, sanitation and hygiene (WASH) technologies or behaviours. METHODS: Systematic review of the current literature. Articles were gathered from databases of peer-reviewed articles and grey literature, and screened for relevance...
Elise Grover, Mohammed Kamal Hossain, Saker Uddin, Mohini Venkatesh et al.
We analyzed data from a cluster-randomized controlled trial conducted among 20 schools in Rajshahi, Bangladesh, to explore the role of social influence on handwashing with soap (HWWS) in a primary school setting. Using data collected through covert video cameras outside of school latrines, we used r...
Fouzia Akter, Neiva Banze, Igor Capitine, Kondwani Chidziwisano et al.
Abstract Sustainable Development Goal 6.2 measures sanitation progress by type of toilet service. Improving people’s subjective sanitation experiences is also important but rarely rigorously measured. The Sanitation-related Quality of Life index (SanQoL-5) combines answers to five simple questions (...
Matthew C. Freeman, Jonny Crocker, Jenala Chipungu, Jay Bagwan et al.
Jonny Crocker, Jeffrey P. Walters, Jenala Chipungu, Jayant Bhagwan et al.
Sarah Bick, Alem Ezezew, Charles Opondo, Baptiste Leurent et al.
Summary Background Water, sanitation and hygiene (WASH) interventions in schools may improve the health and school attendance of schoolchildren, particularly among post-menarcheal girls, but existing evidence is mixed. We examined the impact of an urban WASH in schools programme (Project WISE) on ch...
Laura Braun, Clara MacLeod, Joseph Wells, Jenala Chipungu et al.
Background Foodborne diseases are an important cause of global morbidity and mortality, particularly among children who often experience diarrhoeal illnesses linked to foodborne enteric infections. Evidence on the effectiveness of interventions to reduce diarrhoea remains limited. This review synthe...
Rehnuma Haque, Syeda Nurunnahar, Md Shariful Islam, Tasmin Sayeed Nodi et al.
Microbial contamination of child feeding equipment (CFE) includes feeding bottles, teats, and breast pumps. This contamination is a recognized pathway for enteric pathogen exposure during early childhood, particularly during the complementary feeding period (6-24 months). Inadequate or inconsistent ...
Jonny Crocker, Jeffrey P. Walters, Jenala Chipungu, Jay Bhagwan et al.
BACKGROUND Hygienic toileting is associated with positive health outcomes; yet efforts to provide the necessary preconditions for this behavior, namely provision of anal cleansing materials, a well-maintained toilet facility, and handwashing, are often limited-especially in schools-by a complex set ...