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Assessing the environmental context of hand washing among school children in Limpopo, South Africa

Author

Listed:
  • Nicola Bulled
  • Kara Poppe
  • Khuliso Ramatsisti
  • Londolani Sitsula
  • Geoffrey Winegar
  • Jabulani Gumbo
  • Rebecca Dillingham
  • James Smith

Abstract

Despite its simplicity and efficacy, the promotion of hand washing for disease prevention remains a challenge, particularly in resource-limited settings. This article reports on a quasi-experimental school-based study that aimed to improve habitual hand washing. Significant increases in hand washing occurred following improvements in hygiene and sanitation facilities (School A: t = 13.86, p = 0.0052). Smaller increases in hand washing occurred following education (School A: t = 2.63; p = 0.012; School B, no infrastructure improvements: t = 1.66, p = 0.239). Health policy and programming need to pay greater attention to the interplay of the structural, social and individual dimensions of unique contextual environments that influence habitual behaviours.

Suggested Citation

  • Nicola Bulled & Kara Poppe & Khuliso Ramatsisti & Londolani Sitsula & Geoffrey Winegar & Jabulani Gumbo & Rebecca Dillingham & James Smith, 2017. "Assessing the environmental context of hand washing among school children in Limpopo, South Africa," Water International, Taylor & Francis Journals, vol. 42(5), pages 568-584, July.
    • Handle: RePEc:taf:rwinxx:v:42:y:2017:i:5:p:568-584
    DOI: 10.1080/02508060.2017.1335140
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    Cited by:

    1. Lee Smith & Laurie Butler & Mark A Tully & Louis Jacob & Yvonne Barnett & Guillermo F. López-Sánchez & Rubén López-Bueno & Jae Il Shin & Daragh McDermott & Briona A. Pfeifer & Damiano Pizzol & Ai Koya, 2020. "Hand-Washing Practices among Adolescents Aged 12–15 Years from 80 Countries," IJERPH, MDPI, vol. 18(1), pages 1-15, December.

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