Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review

Emmy De Buck; Hans Van Remoortel; Karin Hannes; Thashlin Govender; Selvan Naidoo; Bert Avau; Axel Vande Veegaete; Alfred Musekiwa; Vittoria Lutje; Margaret Cargo; Hans‐Joachim Mosler; Philippe Vandekerckhove; Taryn Young

doi:10.4073/csr.2017.7

January 1, 2017Campbell Systematic ReviewsOpen Access

Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review

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Key Points

To evaluate the effectiveness of different promotional approaches for improving handwashing and sanitation behaviors in low- and middle-income countries and identify factors influencing their implementation.
Synthesized evidence from 42 quantitative impact evaluations (experimental, quasi-experimental, and observational designs) and 28 qualitative implementation studies published through March 2016.
Evaluated interventions including community-based approaches, social marketing, hygiene messaging, and psychosocial theory-driven components across low- and middle-income countries, predominantly in South Asia and Sub-Saharan Africa.
Community-based approaches incorporating sanitation components increased handwashing with soap, latrine use, and safe feces disposal while reducing open defecation frequency.
Social marketing and standalone hygiene messaging demonstrated limited or unsustainable long-term effects on sanitation outcomes unless combined with handwashing components and sustained contact.
None of the reviewed promotional approaches demonstrated consistent improvements in health outcomes or sustained changes in underlying behavioral factors such as knowledge, attitudes, and skills.

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Implication

Systematic review finds community-based approaches improve handwashing and sanitation practices in low- and middle-income countries, highlighting the importance of combined local interventions.

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Buck et al. (2017) studied this question.

synapsesocial.com/papers/6a1ec00dae66660099a44563 https://doi.org/10.4073/csr.2017.7

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Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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