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Nonrandomized Trial of Feasibility and Acceptability of Strategies for Promotion of Soapy Water as a Handwashing Agent in Rural Bangladesh

View Article: PubMed Central - PubMed

ABSTRACT

We conducted a nonrandomized trial of strategies to promote soapy water for handwashing in rural Bangladesh and measured uptake. We enrolled households with children < 3 years for three progressively intensive study arms: promotion of soapy water (N = 120), soapy water promotion plus handwashing stations (N = 103), and soapy water promotion, stations plus detergent refills (N = 90); we also enrolled control households (N = 72). Our handwashing stations included tap-fitted buckets and soapy water bottles. Community promoters visited households and held community meetings to demonstrate soapy water preparation and promote handwashing at key times. Field workers measured uptake 4 months later. In-depth interviews and focus group discussions assessed factors associated with uptake. More households had soapy water at the handwashing place in progressively intensive arms: 18% (promotion), 60% (promotion plus station), and 71% (promotion, station with refills). Compared with the promotion-only arm, more households that received stations had soapy water at the primary handwashing station (44%, P ≤ 0.001; 71%, P < 0.001 with station plus detergent refill). Qualitative findings highlighted several dimensions that affected use: contextual (shared courtyard), psychosocial (perceived value), and technology dimensions (ease of use, convenience). Soapy water may increase habitual handwashing by addressing barriers of cost and availability of handwashing agents near water sources. Further research should inform optimal strategies to scale-up soapy water as a handwashing agent to study health impact.

No MeSH data available.


Handwashing station and soapy water bottle distributed to trial households in rural Kishoreganj, Bangladesh, 2011.
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fig1: Handwashing station and soapy water bottle distributed to trial households in rural Kishoreganj, Bangladesh, 2011.

Mentions: Soapy water was a mixture of detergent (30 g; the amount supplied in widely, commercially available sachets) and water (1.5 L) contained in a plastic bottle, with a hole on its top, so that a user can squeeze the soapy water onto their hands when needed. We provided a 1.5-L plastic bottle for caregivers to make and store soapy water (Figure 1Figure 1.


Nonrandomized Trial of Feasibility and Acceptability of Strategies for Promotion of Soapy Water as a Handwashing Agent in Rural Bangladesh
Handwashing station and soapy water bottle distributed to trial households in rural Kishoreganj, Bangladesh, 2011.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5303048&req=5

fig1: Handwashing station and soapy water bottle distributed to trial households in rural Kishoreganj, Bangladesh, 2011.
Mentions: Soapy water was a mixture of detergent (30 g; the amount supplied in widely, commercially available sachets) and water (1.5 L) contained in a plastic bottle, with a hole on its top, so that a user can squeeze the soapy water onto their hands when needed. We provided a 1.5-L plastic bottle for caregivers to make and store soapy water (Figure 1Figure 1.

View Article: PubMed Central - PubMed

ABSTRACT

We conducted a nonrandomized trial of strategies to promote soapy water for handwashing in rural Bangladesh and measured uptake. We enrolled households with children < 3 years for three progressively intensive study arms: promotion of soapy water (N = 120), soapy water promotion plus handwashing stations (N = 103), and soapy water promotion, stations plus detergent refills (N = 90); we also enrolled control households (N = 72). Our handwashing stations included tap-fitted buckets and soapy water bottles. Community promoters visited households and held community meetings to demonstrate soapy water preparation and promote handwashing at key times. Field workers measured uptake 4 months later. In-depth interviews and focus group discussions assessed factors associated with uptake. More households had soapy water at the handwashing place in progressively intensive arms: 18% (promotion), 60% (promotion plus station), and 71% (promotion, station with refills). Compared with the promotion-only arm, more households that received stations had soapy water at the primary handwashing station (44%, P ≤ 0.001; 71%, P < 0.001 with station plus detergent refill). Qualitative findings highlighted several dimensions that affected use: contextual (shared courtyard), psychosocial (perceived value), and technology dimensions (ease of use, convenience). Soapy water may increase habitual handwashing by addressing barriers of cost and availability of handwashing agents near water sources. Further research should inform optimal strategies to scale-up soapy water as a handwashing agent to study health impact.

No MeSH data available.