Abstract:

Background: The study of hand washing practices in Ntungamo district is part of a larger strategy being implemented in different countries to decrease the prevalence of childhood diarrhea, in the frame work of the global public – private partnership for hand washing with soap.

Purpose: This study of hand washing practices using soap in Ntungamo district aimed at reducing childhood diarrhea prevalence in the district. It represents a preliminary study designed to collect the information necessary to design appropriate strategies to reduce diarrhea prevalence in under five years of age.

Methods: The study used quantitative and qualitative methods to collect data from a representative sample of several supervision areas of Ntungamo district.

 Results: The practice of hand washing after latrine use among the respondents was very low (52%) compared to washing hands before and after meals (77%). The study also revealed a low use of soap during hand washing where (52%) who washed their hands after contact with feces, only 14.6% used soap. Whereas whose who washed their hands while handling food were77%, but out of 77% only 28% used soap

There was no diarrhea reported among respondents that had A-level education and only 20% of those that had post-secondary education reported having diarrhea episodes among the under-five compared to 64% that reported diarrhea among the under-fives for those that had incomplete primary level of education, 57% among the households of functional adult learning graduates and 49% for those that completed primary level of education.

Keywords: Handing washing, Soap, Caregivers, Supervision areas.

References:

[1].   Agma Prins 1990 “preventive anti diarrhoeal interventions,” WHO bulletin Geneva Switzerland.

[2].   Alabama A and M and Auburn university: Food safety: It is in your Hands!

[3].   Andreason A. Social Marketing in the 21^st century. London: Sage 2006.

[4].   Barros A, Ross D, Fonseca W, Williams L, Moreira-Filho D. Preventing acute respiratory infections and diarrhea in child day care centres.

[5].   Biran A, Tabyshalieva A, Salmorbekova Z. Formative research for hygiene promotion in Kyrgyzstan. Health policy and planning 2005; 20(4):213-21.

[6].   Burgers L, Boot M, C. W. Hygiene Education in water Supply and Sanitation Programmes. The Hague: IRC, 1988.

[7].   Curtis V, Aunger R, Rabie T. Evidence that Disgust evolved to protect from risk of disease. Proceedings of the Royal Society B 2004; 271 (suppl 4): S131-3.

[8].   Curtis V, Cairncross S. Effects of washing hands with soap on diarrhea risk in the community: a systematic review. Lancet Infectious Diseases 2003; 3: 275-281.

[9].   Curtis V, Kanki B, Cousens S, Diallo I, Kpozehouen A, Sangare M, et al. Evidence for behavior change following a hygiene promotion programme in West Africa. Bulletin of WHO 2001; 79(6):518-526.

[10].  Curtis V, Kanki B, Cousens S, Sanou A, Diallo I, Mertens T. Dirt and diarrhea: Formative research for hygiene promotion programmes. Health policy and Planning 1997; 12(2): 122-131.

[11].  Curtis V, Kanki B, Mertens T, Traore T, Diallo I, Tall F, et al. Potties, pits and pipes: explaining hygiene behaviors in Burkina Faso. Social science and medicine 1995; 41(3): 383-393.

[12].  Curtis V, Kanki B. Happy, Healthy and Hygienic: how to step up a hygiene promotion pragramme. New York: UNICEF, 1998.

[13].  Curtis V, Scott B, Cardosi J. The Hand washing Handbook. Washington: The World Bank.

[14].  Curtis V, Sinha P, Singh S. Accentuate the positive: Promoting behavior change in Lucknow’s slums. Waterlines 1997; 16(2):5-7.

[15].  Curtis VA, Biran A, Deverell K, Hughes C, Bellamy K, Drasar B. Hygiene in the home: relating bugs to behavior. Social science and Medicine 2003; 57(4): 657-672.

[16].  Curtis, V and Cairncross, S. 2003. “Effects of washing hands with soap on diarrhea risk in the community: A systematic review.” The lancet Infectious Diseases, Vol. 3 May 2003, pp. 275-281.

[17].  Gilman RH, Marquis G, Ventura G, Campos M, Spira W, Diaz F. Water cost and availability: Key determinants of family hygiene in a Peruvian shantytown. American Journal of Public Health 1993; 83(11):1554-1558.

[18].  Grier SA, Bryant C. Social Marketing and Public Health. Annual Review of Public Health 2005; 26: 319-339.

[19].  Kenrick DT, Maner JK, Li NP, Becker V, Schaller M. Dynamical evolutionary psychology: Mapping the domains of the new interactionist paradigm. Personality and social psychology review, 2002; 6:347-356.

[20].  Kenya Mugisha 1981, “some etiological factors in acute diarrhea in children at Mulago hospital “. A dissertation for the degree of masters of medicine in paediatric and child health.

[21].  Kilmer, Chris (October 21, 2009). Hand washing Rate Low among Doctors. ABC News.

[22].  Kyamanywa Danny (1997) - knowledge, attitude and practices of the urban communities of Tororo in relation to home management of diarrhea in children.

[23].  Loevinsohn BP. Health education interventions in developing countries: a methodological review of published articles. International Journal of Epidemiology 1990; 19:788-794.

[24].  Lorna Fewtrell, Kaunfman R. B, Kay D., Enanoria W., haller L, Dan Colford JMC, Jr 2005. “Water, sanitation, and hygiene interventions to reduce diarrhea in less developed countries: A systematic review and meta-analysis.” The lancet Infectious Diseases, Vol. 5, Issue 1:42-52.