Projects per year
Abstract
Diarrheal disease in under-five children remains high in Sub-Saharan Africa; primarily attributed to environmental pathogen exposure through poorly managed water, sanitation, and hygiene (WASH) pathways, including foods. This formative study in rural Malawi used a theoretical base to determine the personal, social, environmental, and psychosocial factors that are to be considered in the development of an integrated intervention for WASH and food hygiene. Using a mixed methods approach, a stakeholder analysis was followed by data collection pertaining to 1079 children between the ages of four to 90 weeks: observations (n = 79); assessment of risks, attitudes, norms and self-regulation (RANAS) model (n = 323); structured questionnaires (n = 1000); focus group discussions (n = 9); and, in-depth interviews (n = 9) (PACTR201703002084166). We identified four thematic areas for the diarrheal disease intervention: hand washing with soap; food hygiene; feces management (human and animal); and, water management. The contextual issues included: the high level of knowledge on good hygiene practices not reflected in observed habits; inclusion of all family members incorporating primary caregivers (female) and financial controllers (male); and, endemic poverty as a significant barrier to hygiene infrastructure and consumable availability. The psychosocial factors identified for intervention development included social norms, abilities, and self-regulation. The resulting eight-month context specific intervention to be evaluated is described.
Original language | English |
---|---|
Article number | 4656 |
Number of pages | 17 |
Journal | Sustainability |
Volume | 11 |
Issue number | 17 |
DOIs | |
Publication status | Published - 27 Aug 2019 |
Keywords
- WASH
- food hygiene
- complementary foods
- RANAS
- Malawi
Fingerprint
Dive into the research topics of 'Developing a contextually appropriate integrated hygiene intervention to achieve sustained reductions in diarrheal diseases'. Together they form a unique fingerprint.Projects
- 1 Finished
-
SHARE project
Morse, T. (Principal Investigator)
London School of Hygiene and Tropical Medicine
1/03/16 → 31/05/20
Project: Research
Datasets
-
Data for: "Developing a contextually appropriate integrated hygiene intervention to achieve sustained reductions in diarrheal diseases"
Morse, T. (Creator) & CHIDZIWISANO, K. R. (Creator), University of Strathclyde, 30 Aug 2019
DOI: 10.15129/c947bb82-9eec-4bf3-92bf-62f98ab9fbc7
Dataset