Handwashing Practices and Its Predictors Among Primary School Children in Damote Woide District, South Ethiopia: An Institution Based Cross-Sectional Study

Admasie, Amha; Guluma, Alemu; Feleke, Fentaw Wassie

doi:10.1177/11786302221086795

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…Similarly, the finding was also higher than the prevalence of good handwashing practice in primary school children of Sebeta town (32%), 23 Damote Woide district (28.1%), Mareko District (23%), 19 and Arbaminch town (22.2%). 20,21 The higher good handwashing prevalence in the current study might be due to the study location. As the nation's capital, it is more likely that students from schools in Addis Ababa to have better access to facilities, services, and hygiene information compared to students living in remote or rural areas with limited resources.…”

Section: Discussionmentioning

confidence: 81%

“…14 Poor handwashing practices in schools were found to have a negative impact on health and attendance [15][16][17] The prevalence of good handwashing practice in primary school children of Yirgalem town, 18 Damote Woide district, Mareko District, 19 and Arbaminch town were 39.1%, 28.10%, 23%, and 22.23% 2 Environmental Health Insights respectively. 20,21 An institutional-based cross-sectional study that was conducted to assess handwashing practice of students in 6 public primary schools in Harar town, the capital of Harari Regional State in eastern Ethiopia, reported lower handwashing practice at critical times such as 13.3% after using the toilet and 51.3% before eating. 22 Besides, more than half of the students were washing their hands for less than 20 seconds, indicating insufficient practice.…”

Section: Introductionmentioning

confidence: 99%

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Handwashing Practices and Associated Factors Among School Children in Kirkos and Akaki Kality Sub-Cities, Addis Ababa, Ethiopia

Melaku

Addis

2023

Environ�Health�Insights

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Background: Provision of handwashing facilities and proper practices are essential for preventing fecal-oral and acute respiratory infectious diseases. The aim of this study was to assess availability of handwashing facilities and predictors to students’ good hygiene practices in Addis Ababa, Ethiopia. Methods: A mixed-methods study design was conducted in schools of Addis Ababa from January to March 2020 in 384 students, 98 school directors, 6 health clubs, and 6 school administrators. Data were collected using pretested interviewer-administered questionnaires, interview guide, and observational checklists. The quantitative data were entered into EPI Info version 7.2.2.6 and analyzed using SPSS 22.0. A bivariable at P < .2 and multivariable logistic regression analysis at P < .05 for quantitative and thematic analysis for qualitative data were used. Results: Handwashing stations were available in 85 (86.7%) of the schools. However, 16 (16.3%) schools had neither water nor soap near the handwashing facilities while 33 (38.8%) of schools had both. There was no high school that had both soap and water. Approximately one-third (135, 35.2%) of students practiced proper handwashing, among which 89 (65.9%) were from private schools. The handwashing practices were significantly associated with gender (AOR = 2.45, 95% CI: (1.66-3.59)), having trained coordinator (AOR = 2.16, 95% CI: (1.32-2.48)) and health education program (AOR = 2.53, 95% CI: (1.73-3.59)), school ownership (AOR = 0.49, 95% CI: (0.33-0.72)), and training (AOR = 1.74, 95% CI: (1.82-3.69)). Water supply interruption, and lack of budget, adequate space, training, health education, maintenance, and coordination were the main barriers that prevent students from practicing proper handwashing. Conclusions: Handwashing facilities and materials provision and good handwashing practices of students were low. Moreover, providing soap and water for handwashing was insufficient to promote good hygiene practices. There should be regular hygiene education, training, maintenance, and better coordination among stakeholders to create a healthy school environment.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Handwashing Practices and Associated Factors Among School Children in Kirkos and Akaki Kality Sub-Cities, Addis Ababa, Ethiopia

Melaku

Addis

2023

Environ�Health�Insights

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Assessing hand hygiene knowledge, attitudes, and behaviors among Guatemalan primary school students in the context of the COVID-19 pandemic

Pieters,

Fahsen,

Quezada

et al. 2023

BMC Public Health

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Background Hand hygiene (HH) is an important practice that prevents transmission of infectious diseases, such as COVID-19. However, in resource-limited areas, where water and soap are not always available, it can be difficult to practice HH correctly and at appropriate moments. The purpose of this study was to assess HH knowledge and behaviors among students from six elementary schools in Quetzaltenango, Guatemala to identify gaps that could later inform interventions to improve HH. Methods We conducted knowledge, attitude, and practices (KAP) surveys among primary school students during the COVID-19 pandemic in July 2022. We also observed students’ HH practices at three different moments during the day, making note of the use of the HH station and materials, duration of handwashing, presence of a HH assistant, and the students’ sex. We also used the Quantitative Personal Hygiene Assessment Tool (qPHAT), to measure hand dirtiness before eating, after restroom use, and upon arriving to school. Results We surveyed 109 students across six schools. Mean scores were 4 out of 5 for knowledge, 8 out of 8 for attitudes, and 6 out of 7 for HH practices. Most students identified “before eating” as a critical moment for HH (68.8%), fewer identified “after restroom use” (31.2%), and no students mentioned HH being necessary “after coughing or sneezing”. We observed 326 HH opportunities of which 51.2% performed correct HH (used water and soap for at least 20 s or used alcohol-based hand rub, where materials were available). We collected 82 qPHAT hand swabs. A Kruskal Wallis test revealed a significant difference in hand dirtiness between entering the school and after restroom use (p = 0.017), but no significant difference before eating and after entering the school (p = 0.6988). Conclusions The results from the KAP survey show high scores, however correct identification of key moments for HH was relatively uncommon, especially after restroom use and after coughing or sneezing. Additionally, half of HH opportunities observed had correct HH practices and on average, hands were dirtiest when arriving at school. These findings will inform interventions to improve HH practices and behaviors, which will be evaluated with follow-up data collection.

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Hand hygiene practices among primary and secondary school students in sub-Saharan Africa: a systematic review

Bishoge,

Omary,

Liheluka

et al. 2023

Journal of Water, Sanitation and Hygiene for Development

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The purpose of this study was to comprehensively appraise and synthesize studies on hand hygiene practices among primary and secondary school students in sub-Saharan Africa (SSA). This is a thorough review of scientific papers published between 2015 and 2023 from primary databases such as the Web of Science, Science Direct, PubMed, and Google Scholar. The review criteria were met by 26 out of 63 studies assessed for legibility. The review demonstrated that students in SSA had moderate and good hand washing practices in terms of regular hand washing, cleaning hands after defecation, and before and after eating. Furthermore, the review pinpoints hand washing practices as influenced by factors such as knowledge, hand washing facilities and materials, influences from parents and teachers or others, personal and social factors, media, gender, age, and other factors such as location, attitudes, and school modernity. Furthermore, the reviewed studies highlighted recommendations for improving hand hygiene practices, such as enhancing hand hygiene and environmental health education, mobilizing resources for hand washing, creating and implementing health policy, and conducting further studies. This review provides data for policymakers on how to improve student hand hygiene and adds to existing knowledge on hand hygiene practices.

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Handwashing Practices and Its Predictors Among Primary School Children in Damote Woide District, South Ethiopia: An Institution Based Cross-Sectional Study

Cited by 3 publications

References 25 publications

Handwashing Practices and Associated Factors Among School Children in Kirkos and Akaki Kality Sub-Cities, Addis Ababa, Ethiopia

Handwashing Practices and Associated Factors Among School Children in Kirkos and Akaki Kality Sub-Cities, Addis Ababa, Ethiopia

Assessing hand hygiene knowledge, attitudes, and behaviors among Guatemalan primary school students in the context of the COVID-19 pandemic

Hand hygiene practices among primary and secondary school students in sub-Saharan Africa: a systematic review

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