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Facilitating hand hygiene in displacement camps during the COVID-19 pandemic: a qualitative assessment of a novel handwashing stand and hygiene promotion package

BACKGROUND: Handwashing with soap is critical for the prevention of diarrhoeal diseases and outbreak related diseases, including interrupting the transmission of COVID-19. People living in large displacement settings are particularly vulnerable to such outbreaks, however, practicing handwashing is t...

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Autores principales: White, Sian, Jain, Anika, Bangura, Abie, Farrington, Michelle, Mekonen, Melaku, Nhial, Bang Chuol, Hoque, Enamul, Moniruzzaman, Md., Namegabe, Pascaline, Walassa, John, Majorin, Fiona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756724/
https://www.ncbi.nlm.nih.gov/pubmed/36527055
http://dx.doi.org/10.1186/s13031-022-00492-8
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author White, Sian
Jain, Anika
Bangura, Abie
Farrington, Michelle
Mekonen, Melaku
Nhial, Bang Chuol
Hoque, Enamul
Moniruzzaman, Md.
Namegabe, Pascaline
Walassa, John
Majorin, Fiona
author_facet White, Sian
Jain, Anika
Bangura, Abie
Farrington, Michelle
Mekonen, Melaku
Nhial, Bang Chuol
Hoque, Enamul
Moniruzzaman, Md.
Namegabe, Pascaline
Walassa, John
Majorin, Fiona
author_sort White, Sian
collection PubMed
description BACKGROUND: Handwashing with soap is critical for the prevention of diarrhoeal diseases and outbreak related diseases, including interrupting the transmission of COVID-19. People living in large displacement settings are particularly vulnerable to such outbreaks, however, practicing handwashing is typically challenging in these contexts. METHODS: We conducted a qualitative assessment of the implementation of a combined intervention to facilitate handwashing behaviour in displacement camps and in surrounding communities in Bangladesh, Ethiopia and the Democratic Republic of Congo during the COVID-19 pandemic. The intervention comprised a ‘hardware’ infrastructural component (provision of the Oxfam Handwashing Station) and a ‘software’ hygiene promotion package (Mum’s Magic Hands). We used programmatic logbooks, interviews with implementation staff and focus group discussions with crisis-affected populations to assess the use, feasibility and acceptability of the intervention. RESULTS: Both components of the intervention were viewed as novel and appealing by implementing staff and crisis-affected populations across the study sites. The acceptability of the handwashing station could be improved by redesigning the tap and legs, exploring local supply chain options, and by providing a greater number of facilities. The implementation of the hygiene promotion package varied substantially by country making it challenging to evaluate and compare. A greater focus on community engagement could address misconceptions, barriers related to the intuitiveness of the handwashing station design, and willingness to participate in the hygiene promotion component. CONCLUSIONS: The combination of a ‘hardware’ and ‘software’ intervention in these settings appeared to facilitate both access and use of handwashing facilities. The acceptability of the combined intervention was partially because a great deal of effort had been put into their design. However, even when delivering well-designed interventions, there are many contextual aspects that need to be considered, as well as unintended consequences which can affect the acceptability of an intervention. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13031-022-00492-8.
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spelling pubmed-97567242022-12-16 Facilitating hand hygiene in displacement camps during the COVID-19 pandemic: a qualitative assessment of a novel handwashing stand and hygiene promotion package White, Sian Jain, Anika Bangura, Abie Farrington, Michelle Mekonen, Melaku Nhial, Bang Chuol Hoque, Enamul Moniruzzaman, Md. Namegabe, Pascaline Walassa, John Majorin, Fiona Confl Health Research BACKGROUND: Handwashing with soap is critical for the prevention of diarrhoeal diseases and outbreak related diseases, including interrupting the transmission of COVID-19. People living in large displacement settings are particularly vulnerable to such outbreaks, however, practicing handwashing is typically challenging in these contexts. METHODS: We conducted a qualitative assessment of the implementation of a combined intervention to facilitate handwashing behaviour in displacement camps and in surrounding communities in Bangladesh, Ethiopia and the Democratic Republic of Congo during the COVID-19 pandemic. The intervention comprised a ‘hardware’ infrastructural component (provision of the Oxfam Handwashing Station) and a ‘software’ hygiene promotion package (Mum’s Magic Hands). We used programmatic logbooks, interviews with implementation staff and focus group discussions with crisis-affected populations to assess the use, feasibility and acceptability of the intervention. RESULTS: Both components of the intervention were viewed as novel and appealing by implementing staff and crisis-affected populations across the study sites. The acceptability of the handwashing station could be improved by redesigning the tap and legs, exploring local supply chain options, and by providing a greater number of facilities. The implementation of the hygiene promotion package varied substantially by country making it challenging to evaluate and compare. A greater focus on community engagement could address misconceptions, barriers related to the intuitiveness of the handwashing station design, and willingness to participate in the hygiene promotion component. CONCLUSIONS: The combination of a ‘hardware’ and ‘software’ intervention in these settings appeared to facilitate both access and use of handwashing facilities. The acceptability of the combined intervention was partially because a great deal of effort had been put into their design. However, even when delivering well-designed interventions, there are many contextual aspects that need to be considered, as well as unintended consequences which can affect the acceptability of an intervention. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13031-022-00492-8. BioMed Central 2022-12-16 /pmc/articles/PMC9756724/ /pubmed/36527055 http://dx.doi.org/10.1186/s13031-022-00492-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
White, Sian
Jain, Anika
Bangura, Abie
Farrington, Michelle
Mekonen, Melaku
Nhial, Bang Chuol
Hoque, Enamul
Moniruzzaman, Md.
Namegabe, Pascaline
Walassa, John
Majorin, Fiona
Facilitating hand hygiene in displacement camps during the COVID-19 pandemic: a qualitative assessment of a novel handwashing stand and hygiene promotion package
title Facilitating hand hygiene in displacement camps during the COVID-19 pandemic: a qualitative assessment of a novel handwashing stand and hygiene promotion package
title_full Facilitating hand hygiene in displacement camps during the COVID-19 pandemic: a qualitative assessment of a novel handwashing stand and hygiene promotion package
title_fullStr Facilitating hand hygiene in displacement camps during the COVID-19 pandemic: a qualitative assessment of a novel handwashing stand and hygiene promotion package
title_full_unstemmed Facilitating hand hygiene in displacement camps during the COVID-19 pandemic: a qualitative assessment of a novel handwashing stand and hygiene promotion package
title_short Facilitating hand hygiene in displacement camps during the COVID-19 pandemic: a qualitative assessment of a novel handwashing stand and hygiene promotion package
title_sort facilitating hand hygiene in displacement camps during the covid-19 pandemic: a qualitative assessment of a novel handwashing stand and hygiene promotion package
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756724/
https://www.ncbi.nlm.nih.gov/pubmed/36527055
http://dx.doi.org/10.1186/s13031-022-00492-8
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