Handwashing behaviours in low‐ and middle‐income countries

Added June 17, 2020

Citation: Vindigni SM, Riley PL, Jhung M. Systematic review: handwashing behaviour in low‐to middle‐income countries: outcome measures and behaviour maintenance. Tropical Medicine & International Health. 2011 Apr;16(4):466-77.

What is this? Physical interventions, such as hand washing, should interrupt or reduce the spread of COVID-19.

In this systematic review, the authors searched for studies that evaluated the behavioural impact of hand-hygiene interventions in community, school, and health care settings in low- and middle-income countries. They restricted their searches to articles published in English and did the search in August 2009. They included 30 studies, which were in community settings (19 studies), healthcare settings (7) and schools (4).

What was found: In school-based settings, positive change in hand washing behaviours were found with membership in safe water clubs, peer-to-peer teaching, classroom training sessions and role play.

In healthcare settings, positive changes in hand washing behaviours were found for peer education, role modelling and performance feedback.

The effects of interventions for community settings and long-term effects in all settings are uncertain.


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