Identifying psychosocial determinants of water, sanitation, and hygiene (WASH) behaviors for the development of evidence-based Baby WASH interventions (REDUCE program)

Williams, Camille; Thomas, Elizabeth; Kuhl, Jennifer; Bisimwa, Lucien; Coglianese, Nicole; Bauler, Sarah; François, Ruthly; Saxton, Ronald; Sanvura, Presence; Bisimwa, Jean Claude; Mirindi, Patrick; Perin, Jamie; George, Christine Marie

doi:10.1016/j.ijheh.2021.113850

Cited by 6 publications

(3 citation statements)

References 46 publications

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“…Behavior change communication programs should target behavioral determinants associated with the targeted outcome behaviors using behavior change frameworks such as the Integrated Behavioural Model for WASH [41]. In eastern DRC, perceived susceptibility to disease and self-efficacy were associated with higher handwashing with soap [46] and could be targeted in CATI hygiene promotion. In addition, it is possible to send hygiene promotion mobile messages to CATI households as behavior reminders as is done for the PICHA7 WASH program in South Kivu, DRC [45].…”

Section: Discussionmentioning

confidence: 99%

A Quantitative and Qualitative Program Evaluation of a Case-Area Targeted Intervention to Reduce Cholera in Eastern Democratic Republic of the Congo

Endres,

Mwishingo,

Thomas

et al. 2023

IJERPH

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Individuals living near cholera patients have an increased risk of cholera infections. Case-area targeted interventions (CATIs) promoting improved water, sanitation, and hygiene (WASH) present a promising approach to reducing cholera for those residing near cholera cases. However, there is limited evidence on the effectiveness and implementation of this approach in increasing WASH behaviors. We conducted a mixed-methods program evaluation in rural and urban eastern Democratic Republic of the Congo. The quantitative component included household structured observations and spot checks in CATI and control areas to assess WASH conditions and behaviors. The qualitative component included semi-structured interviews with CATI recipients, non-recipients, and implementers to assess CATI implementation. A total of 399 participants were enrolled in the quantitative evaluation conducted within 1 month of CATI delivery. For the qualitative evaluation, 41 semi-structured interviews were conducted, 30 with individuals in CATI areas (recipients and non-recipients) and 11 with CATI implementers. Handwashing with soap was low among both CATI and control area participants (1% vs. 2%, p = 0.89). Significantly more CATI area households (75%) had chlorine tablets present compared to control area households (0%) (p < 0.0001); however, the percentage of households with stored water free chlorine concentrations > 0.2 mg/L was low for both CATI and control area households (11% vs. 6%, p = 0.45). Implementers reported an insufficient supply of soap for distribution to recipients and mistrust in the community of their activities. CATI recipients demonstrated low knowledge of the correct preparation and use of chlorine for water treatment. Recipients also indicated a need for CATI implementers to engage community leaders. As CATIs are part of cholera control plans in many cholera-endemic countries, it is important to evaluate existing programs and develop evidence-based approaches to deliver CATIs that are both tailored to the local context and engage affected communities to increase WASH behaviors to reduce the spread of cholera.

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Section: Discussionmentioning

confidence: 99%

A Quantitative and Qualitative Program Evaluation of a Case-Area Targeted Intervention to Reduce Cholera in Eastern Democratic Republic of the Congo

Endres,

Mwishingo,

Thomas

et al. 2023

IJERPH

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“…In our study protocol, 3 h structured observation was conducted in healthcare facilities by a trained research officer approximately 24 h after PICHA7 or standard intervention delivery to observe handwashing behaviors among diarrhea patients and patient attendants at key events. Observation data were collected using a structured questionnaire form on a netbook computer according to our previously published methods [33,34]. Key events recorded during structured observation included (1) before food preparation (food), (2) before eating (food), (3) before feeding someone (food), (4) after going to the toilet (stool/vomit), (5) after disposing of stool (stool/vomit), (6) after vomiting (stool/vomit), (7) after cleaning vomit or stool, and (8) after washing the anus of children (stool/vomit).…”

Section: Data Collectionmentioning

confidence: 99%

Effect of a Water, Sanitation, and Hygiene Program on Handwashing with a Cleansing Agent among Diarrhea Patients and Attendants in Healthcare Facilities in the Democratic Republic of the Congo: A Randomized Pilot of the PICHA7 Program

Mwishingo,

Endres,

Bisimwa

et al. 2024

IJERPH

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Healthcare-acquired infections are a major problem in healthcare facility settings around the world. The Democratic Republic of the Congo (DRC) has over 2 million diarrhea patients hospitalized each year. These healthcare settings become high-risk environments for spreading diarrheal illnesses such as cholera. The objective of the Preventative Intervention for Cholera for 7 Days (PICHA7) program is to develop evidence-based water, sanitation, and hygiene (WASH) interventions to reduce cholera and other severe diarrheal diseases in the DRC. The study objective was to evaluate the effectiveness of PICHA7 program delivery in increasing handwashing with a cleansing agent at stool/vomit- and food-related events in a healthcare facility setting among diarrhea patients and patient attendants. A pilot of the PICHA7 program was conducted among 284 participants in 27 healthcare facilities from March 2020 to November 2021 in urban Bukavu in the South Kivu Province of the DRC. The standard arm received the standard message provided in the DRC to diarrhea patients on the use of oral rehydration solution and a basic WASH message at healthcare facility discharge. The PICHA7 arm received the PICHA7 WASH pictorial module delivered by a health promoter focused on handwashing with a cleansing agent at the bedside of the diarrhea patient in the healthcare facility and provision of a soapy water bottle (water and detergent powder). Within 24 h of intervention delivery, a three-hour structured observation of handwashing practices at stool/vomit- and food-related events (key events) was conducted in healthcare facilities of diarrhea patients and their attendants. Compared to the standard arm, there was significantly more handwashing with a cleansing agent at key events in the PICHA7 arm (40% vs. 15%) (odds ratio: 5.04; (95% confidence interval (CI): 2.01, 12.7)). These findings demonstrate that delivery of the PICHA7 WASH pictorial module and provision of a soapy water bottle to diarrhea patients and their attendants presents a promising approach to increase handwashing with a cleansing agent among this high-risk population in healthcare facilities in the eastern DRC.

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“…Sanitasi lingkungan sendiri terdiri dari beberapa aspek, seperti sumber air bersih, sarana pembuangan tinja seperti penggunaan jamban, saluran pembuangan air limbah (SPAL), jenis lantai rumah dan sarana pembuangan sampah (Kusumawardani et al, 2019) Sejalan dengan teori tersebut, beberapa penelitian menunjukkan bahwa perilaku cuci tangan banyak dipengaruhi oleh faktor norma sosial yang meliputi perilaku oleh orang lain, teman sebaya, dan pengasuh dalam rumah tangga (Kartika et al, 2016 ;Seimetz et al, 2017 ;Dwipayanti et al, 2021;Inauen et al, 2020 ;Mosler et al, 2015). Selain faktor norma, perilaku cuci tangan juga dipengaruhi oleh faktor kemampuan (self-efficacy) (Seimetz et al, 2017 ;Inauen et al, 2020 ;Williams et al ., 2021 ;Kpoeh et al ., 2020, Mosler et al, 2015. Sementara itu, dalam higiene pangan, faktor psikososial yang paling banyak berpengaruh adalah persepsi risiko (Choi et al, 2013).…”

Section: Pendahuluanunclassified

Literature Review : Faktor Psikososial Yang Berhubungan Dengan Perilaku Higiene Dan Sanitasi

Mirayani,

Dwipayanti

2023

ACH

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Hygiene and sanitation behavior is defined as an action or effort to improve hygiene and health through early maintenance of each individual and the environmental factors that influence it, so that the individual is protected from the threat of disease-causing germs. Poor hygiene and sanitation behavior is caused by many factors. One of the approaches that influence changes in WASH behavior is the psychosocial approach of the RANAS Model. The purpose of this study was to determine the psychosocial factors associated with hygiene and sanitation behavior. Leading databases searched through Google Scholar from 2013-2023. From 174 articles, 10 articles were identified and included in the review. Several psychosocial factors influence hygiene and sanitation behavior in the school setting: perceived risk (vulnerability), attitude factor, norm factor, ability factor (self-efficacy), and self-regulation (remembering), in the household scope: risk perception, risk factor norms, ability factors, and self-regulation, in the community sphere: perceptions of risk and norms. In addition to psychosocial factors, several studies have found that gender, education level, knowledge, waste disposal, and bathing practices have an effect on hygiene and sanitation behavior. Of the five existing psychosocial factors, norms and self-efficacy factors are the most influential factors on hygiene and sanitation behavior. Therefore, in providing interventions or programs later on hygiene and sanitation behavior, interventions related to social norms and self-efficacy can be made. Key words : Psychosocial factors, RANAS Models, Hygiene and Sanitation behavior

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Identifying psychosocial determinants of water, sanitation, and hygiene (WASH) behaviors for the development of evidence-based Baby WASH interventions (REDUCE program)

Cited by 6 publications

References 46 publications

A Quantitative and Qualitative Program Evaluation of a Case-Area Targeted Intervention to Reduce Cholera in Eastern Democratic Republic of the Congo

A Quantitative and Qualitative Program Evaluation of a Case-Area Targeted Intervention to Reduce Cholera in Eastern Democratic Republic of the Congo

Effect of a Water, Sanitation, and Hygiene Program on Handwashing with a Cleansing Agent among Diarrhea Patients and Attendants in Healthcare Facilities in the Democratic Republic of the Congo: A Randomized Pilot of the PICHA7 Program

Literature Review : Faktor Psikososial Yang Berhubungan Dengan Perilaku Higiene Dan Sanitasi

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