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A National Communication Campaign in Indonesia Is Associated with Improved WASH-Related Knowledge and Behaviors in Indonesian Mothers

Author

Listed:
  • Curtis Hanson

    (Department of Public Health, Brigham Young University, Provo, UT 84602, USA)

  • Emily Allen

    (Department of Public Health, Brigham Young University, Provo, UT 84602, USA)

  • Margie Fullmer

    (Department of Public Health, Brigham Young University, Provo, UT 84602, USA)

  • Rachel O’Brien

    (Department of Public Health, Brigham Young University, Provo, UT 84602, USA)

  • Kirk Dearden

    (IMA World Health, Washington, DC 20036, USA)

  • Joshua Garn

    (School of Community Health Sciences, University of Nevada, Reno, NV 89557, USA)

  • Cut Novianti Rachmi

    (Fakultas Kedokteran, Universitas Padjadjaran, Jawa Barat 45363, Indonesia)

  • Jeffrey Glenn

    (Department of Public Health, Brigham Young University, Provo, UT 84602, USA)

  • Joshua West

    (Department of Public Health, Brigham Young University, Provo, UT 84602, USA)

  • Benjamin Crookston

    (Department of Public Health, Brigham Young University, Provo, UT 84602, USA)

  • Parley Hall

    (Department of Public Health, Brigham Young University, Provo, UT 84602, USA)

Abstract

Background: Water, sanitation, and hygiene (WASH) behaviors play a significant role in stunting. Knowledge and behaviors regarding WASH among caregivers are critical to providing children with chances to survive and thrive. The purpose of this study is to determine if exposure to a national communication campaign using media and interpersonal communication (IPC) is associated with WASH-related knowledge and behaviors among Indonesian mothers with children under the age of two. Methods: Data came from a cross-sectional survey of 1734 mothers with children under the age of two. The measures included exposure to two different interventions: media messages (media) and interpersonal communication strategies (IPC) and WASH-related knowledge and behavior. Multiple logistic regression was used to examine the association between intervention exposure and study variables. Results: Exposure to both media and IPC interventions was associated with participants having a higher knowledge of appropriate defecation practices ( p < 0.001), higher knowledge of proper handwashing practices ( p < 0.001), and higher self-reported handwashing at critical times ( p < 0.001) but was not associated with reported practicing of appropriate defecation (OR = 0.780, 95% CI: 0.566–1.101). Mothers exposed to only media interventions were more likely to have knowledge of appropriate defecation practices ( p < 0.001) and to have reported practicing appropriate defecation behaviors (OR = 1.539, 95% CI: 1.173–2.019). Mothers exposed to only IPC interventions were more likely to have reported handwashing at critical times ( p = 0.009). Conclusions: Exposure to both media and IPC interventions was associated with increased knowledge and optimal behaviors related to WASH. These findings demonstrate the value of communications campaigns that use mass media coupled with IPC to improve WASH knowledge and behavior.

Suggested Citation

  • Curtis Hanson & Emily Allen & Margie Fullmer & Rachel O’Brien & Kirk Dearden & Joshua Garn & Cut Novianti Rachmi & Jeffrey Glenn & Joshua West & Benjamin Crookston & Parley Hall, 2020. "A National Communication Campaign in Indonesia Is Associated with Improved WASH-Related Knowledge and Behaviors in Indonesian Mothers," IJERPH, MDPI, vol. 17(10), pages 1-10, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3727-:d:362623
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    References listed on IDEAS

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    1. Dean Spears & Arabinda Ghosh & Oliver Cumming, 2013. "Open Defecation and Childhood Stunting in India: An Ecological Analysis of New Data from 112 Districts," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
    2. Amy J. Pickering & Habiba Djebbari & Carolina Lopez & Massa Coulibaly & Maria Laura Alzua, 2015. "Effect of a community-led sanitation intervention on child diarrhoea and child growth in rural Mali: a cluster-randomised controlled trial," Post-Print hal-01456117, HAL.
    3. Waterkeyn, Juliet & Cairncross, Sandy, 2005. "Creating demand for sanitation and hygiene through Community Health Clubs: A cost-effective intervention in two districts in Zimbabwe," Social Science & Medicine, Elsevier, vol. 61(9), pages 1958-1970, November.
    4. Dean Spears, 2012. "How much international variation in child height can sanitation explain?," Working Papers 1436, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
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    1. Eliza Broadbent & McKayla McConkie & Emily Aleson & Lily Kim & Rebekah Stewart & Generose Mulokozi & Kirk A. Dearden & Mary Linehan & Dennis Cherian & Scott Torres & Ben T. Crookston & Parley C. Hall , 2022. "Promoting Caregiver Early Childhood Development Behaviors through Social and Behavioral Change Communication Program in Tanzania," IJERPH, MDPI, vol. 19(9), pages 1-10, April.

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