Handwashing promotion in 10-year-old children: intervention studies in Northern Argentina
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Abstract
Although handwashing prevents serious infectious diseases at low cost, only one in five people wash their hands after using the bathroom. This study presents an interdisciplinary, short-term and low-cost intervention aimed at promoting knowledge about handwashing in 10-year-old children and two pilot studies to assess its impact. In the 2016 pilot study, conducted in Puerto Iguazú city, the responses to a survey about handwashing of children who participated and did not participate in the intervention were compared. The intervention consisted in playful activities in which children were instructed in different aspects of handwashing. In the 2017 pilot, carried out in four locations in northern Argentina, the responses of children before and after the intervention were compared. The results of both pilot studies indicated that this intervention has the potential to promote knowledge about the steps needed to achieve proper hand washing.
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References
Bandura, A. (2004). Health promotion by social cognitive means. Health education & behavior, 31(2), 143-164.
Basdevant, A., Boute, D., & Borys, J. M. (1999). Who should be educated? Education strategies: could children educate their parents?. International Journal of Obesity, 23(S4), S10.
Betts, J., Mckay, J., Maruff, P., & Anderson, V. (2006). The development of sustained attention in children: The effect of age and task load. Child Neuropsychology, 12(3), 205-221.
Borra, S. T., Kelly, L., Shirreffs, M. B., Neville, K., & Geiger, C. J. (2003). Developing health messages: qualitative studies with children, parents, and teachers help identify communications opportunities for healthful lifestyles and the prevention of obesity. Journal of the american dietetic association, 103(6), 721-728.
Boyce, J. M., & Pittet, D. (2002). Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Infection Control & Hospital Epidemiology, 23(S12), S3-S40.
Cairncross, S., Bartram, J., Cumming, O., & Brocklehurst, C. (2010). Hygiene, sanitation, and water: what needs to be done?. PLoS Medicine, 7(11), e1000365.
Chin, Y. T., Lim, Y. A. L., Chong, C. W., Teh, C. S. J., Yap, I. K. S., Lee, S. C., ... & Chua, K. H. (2016). Prevalence and risk factors of intestinal parasitism among two indigenous sub-ethnic groups in Peninsular Malaysia. Infectious diseases of poverty, 5(1), 77.
Curtis, V., & Cairncross, S. (2003). Effect of washing hands with soap on diarrhoea risk in the community: a systematic review. The Lancet infectious diseases, 3(5), 275-281.
Demberere, T., Chidziya, T., Ncozana, T., & Manyeruke, N. (2016). Knowledge and practices regarding water, sanitation and hygiene (WASH) among mothers of under-fives in Mawabeni, Umzingwane District of Zimbabwe. Physics and Chemistry of the Earth, Parts A/B/C, 92, 119-124.
Diamond, A. (2013). Executive functions. Annual review of psychology, 64, 135-168.
Dib, J., Oquilla, J., Lazarte, S. G., & Gonzalez, S. N. (2012). Parasitic prevalence in a suburban school of Famaillá, Tucumán, Argentina. ISRN microbiology, 2012.
Ejemot?Nwadiaro, R. I., Ehiri, J. E., Meremikwu, M. M., & Critchley, J. A. (2008). Hand washing for preventing diarrhoea. Cochrane database of systematic reviews, (1).
Freeman, M. C., Chard, A. N., Nikolay, B., Garn, J. V., Okoyo, C., Kihara, J., ... & Mwandawiro, C. S. (2015). Associations between school-and household-level water, sanitation and hygiene conditions and soil-transmitted helminth infection among Kenyan school children. Parasites & vectors, 8(1), 412.
Freeman, M. C., Stocks, M. E., Cumming, O., Jeandron, A., Higgins, J. P., Wolf, J., ...& Curtis, V. (2014). Systematic review: hygiene and health: systematic review of handwashing practices worldwide and update of health effects. Tropical Medicine & International Health, 19(8), 906-916.
Gamboa, M. I., Basualto Farjat, J. Á., Kozubsky, L., Costas, M. E., Cueto Rúa, E., & Lahitte, H. B. (1996). Enteroparasitosis en dos poblaciones periurbanas de la plata, Argentina. Bol. chil. parasitol, 51(1/2), 37-41.
Gamboa, M. I., Navone, G. T., Orden, A. B., Torres, M. F., Castro, L. E., & Oyhenart, E. E. (2011). Socio-environmental conditions, intestinal parasitic infections and nutritional status in children from a suburban neighborhood of La Plata, Argentina. Acta tropica, 118(3), 184-189.
Garn, J. V., Mwandawiro, C. S., Nikolay, B., Drews-Botsch, C. D., Kihara, J. H., Brooker, S. J., ... & Freeman, M. C. (2016). Ascaris lumbricoides infection following school-based deworming in western Kenya: assessing the role of pupils' school and home water, sanitation, and hygiene exposures. The American journal of tropical medicine and hygiene, 94(5), 1045-1054.
Global Handwashing Partnership (2017) Guía para planificadores. Disponible en: https://globalhandwashing.org/resources/ghd-planners-guide/?_sft_content=partnership-documents
Gortmaker, S. L., Peterson, K., Wiecha, J., Sobol, A. M., Dixit, S., Fox, M. K., & Laird, N. (1999). Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Archives of pediatrics & adolescent medicine, 153(4), 409-418.
Grimes, J. E., Tadesse, G., Mekete, K., Wuletaw, Y., Gebretsadik, A., French, M. D., ... & Templeton, M. R. (2016). School water, sanitation, and hygiene, soil-transmitted helminths, and schistosomes: national mapping in Ethiopia. PLoS neglected tropical diseases, 10(3), e0004515.
Gurses, A. P., Marsteller, J. A., Ozok, A. A., Xiao, Y., Owens, S., & Pronovost, P. J. (2010). Using an interdisciplinary approach to identify factors that affect clinicians' compliance with evidence-based guidelines. Critical care medicine, 38, S282-S291.
Heft, H., & Chawla, L. (2006). 12 Children as agents in sustainable development: the ecology of competence. Children and their environments, 199-216.
Hermida, M. J., Segretin, M. S., Prats, L. M., Fracchia, C. S., Colombo, J. A., & Lipina, S. J. (2015). Cognitive neuroscience, developmental psychology, and education: Interdisciplinary development of an intervention for low socioeconomic status kindergarten children. Trends in Neuroscience and Education, 4(1-2), 15-25.
Instituto Nacional de Estadísticas y Censos (2010). Anuario estadístico de la República Argentina. Buenos Aires: INDEC.
Larson, E. (1988). A causal link between handwashing and risk of infection? Examination of the evidence. Infection Control & Hospital Epidemiology, 9(1), 28-36.
Larson, E. L., & 1994 APIC Guidelines Committee. (1995). APIC guidelines for handwashing and hand antisepsis in health care settings. American journal of infection control, 23(4), 251-269.
Lemay, S., Bédard, M. A., Rouleau, I., & Tremblay, P. L. (2004). Practice effect and test-retest reliability of attentional and executive tests in middle-aged to elderly subjects. The Clinical Neuropsychologist, 18(2), 284-302.
Mahmud, M. A., Spigt, M., Bezabih, A. M., Pavon, I. L., Dinant, G. J., & Velasco, R. B. (2015). Efficacy of handwashing with soap and nail clipping on intestinal parasitic infections in school-aged children: a factorial cluster randomized controlled trial. PLoS medicine, 12(6), e1001837.
Manz, K. M., Clowes, P., Kroidl, I., Kowuor, D. O., Geldmacher, C., Ntinginya, N. E., ... & Saathoff, E. (2017). Trichuris trichiura infection and its relation to environmental factors in Mbeya region, Tanzania: A cross-sectional, population-based study. PloS one, 12(4), e0175137.
Milano, A. M., Oscherov, E. B., Palladino, A. C., & Bar, A. R. (2007). Children enteroparasitosis in North East Argentine urban area. Medicina, 67(3), 238-242.
Mitchell, I. K., Ling, C., Krusekopf, C., & Kerr, S. (2015). Pathways toward whole community transformation: a case study on the role of school engagement and environmental education. Environment, Development and Sustainability, 17(2), 279-298.
Mitchell, R. E., Fraser, A. M., & Bearon, L. B. (2007). Preventing food-borne illness in food service establishments: Broadening the framework for intervention and research on safe food handling behaviors. International Journal of Environmental Health Research, 17(1), 9-24.
Naikoba, S., & Hayward, A. (2001). The effectiveness of interventions aimed at increasing handwashing in healthcare workers-a systematic review. Journal of hospital infection, 47(3), 173-180.
O'Reilly, C. E., Freeman, M. C., Ravani, M., Migele, J., Mwaki, A., Ayalo, M., ... & Quick, R. (2008). The impact of a school-based safe water and hygiene programme on knowledge and practices of students and their parents: Nyanza Province, western Kenya, 2006. Epidemiology & Infection, 136(1), 80-91.
Percy-Smith, B., & Burns, D. (2013). Exploring the role of children and young people as agents of change in sustainable community development. Local Environment, 18(3), 323-339.
Pittet, D., Allegranzi, B., Boyce, J., & World Health Organization World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts. (2009). The World Health Organization guidelines on hand hygiene in health care and their consensus recommendations. Infection Control & Hospital Epidemiology, 30(7), 611-622.
Rabbi, S. E., & Dey, N. C. (2013). Exploring the gap between hand washing knowledge and practices in Bangladesh: a cross-sectional comparative study. BMC public health, 13(1), 89.
Rabie, T., & Curtis, V. (2006). Handwashing and risk of respiratory infections: a quantitative systematic review. Tropical medicine & international health, 11(3), 258-267.
Rodriguez, V., Giuffre, C., Villa, S., Almada, G., Prasopa-Plaizier, N., Gogna, M., ... & Graciela, A. (2015). A multimodal intervention to improve hand hygiene in ICUs in Buenos Aires, Argentina: a stepped wedge trial. International Journal for Quality in Health Care, 27(5), 405-411.
Rosenthal, V. D., Guzman, S., & Safdar, N. (2004). Effect of education and performance feedback on rates of catheter-associated urinary tract infection in intensive care units in Argentina. Infection Control & Hospital Epidemiology, 25(1), 47-50.
Rosenthal, V. D., Guzman, S., & Safdar, N. (2005). Reduction in nosocomial infection with improved hand hygiene in intensive care units of a tertiary care hospital in Argentina. American journal of infection control, 33(7), 392-397.
Rothman, A. J., Gollwitzer, P. M., Grant, A. M., Neal, D. T., Sheeran, P., & Wood, W. (2015). Hale and hearty policies: How psychological science can create and maintain healthy habits. Perspectives on Psychological Science, 10(6), 701-705.
Steinmann, P., Zhou, X. N., Li, Y. L., Li, H. J., Chen, S. R., Yang, Z., ... & Utzinger, J. (2007). Helminth infections and risk factor analysis among residents in Eryuan county, Yunnan province, China. Acta tropica, 104(1), 38-51.
Tamilarasi, R., Arunmozhi, R., Raja, V. K., & Rajajeyakumar, M. (2016). A Study to Assess the Knowledge and Practice of Hand Washing among School Going Adolescents in Chennai. world, 1, 3.
Walker, C. L. F., Rudan, I., Liu, L., Nair, H., Theodoratou, E., Bhutta, Z. A., ... & Black, R. E. (2013). Global burden of childhood pneumonia and diarrhoea. The Lancet, 381(9875), 1405-1416.
Whitby, M., Pessoa-Silva, C. L., McLaws, M. L., Allegranzi, B., Sax, H., Larson, E., ... & Pittet, D. (2007). Behavioural considerations for hand hygiene practices: the basic building blocks. Journal of Hospital Infection, 65(1), 1-8.
Woldemicael, G. (2001). Diarrhoeal morbidity among young children in Eritrea: environmental and socioeconomic determinants. Journal of health, population and nutrition, 83-90.
Wu, S., Ma, C., Yang, Z., Yang, P., Chu, Y., Zhang, H., ... & Wang, Q. (2016). Hygiene behaviors associated with influenza-like illness among adults in Beijing, China: a large, population-based survey. PloS one, 11(2), e0148448.
Zonta, M. L., Navone, G. T., & Oyhenart, E. E. (2007). Parasitosis intestinales en niños de edad preescolar y escolar: situación actual en poblaciones urbanas, periurbanas y rurales en Brandsen, Buenos Aires, Argentina. Parasitología latinoamericana, 62(1-2), 54-60.