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A longitudinal study of the impact of behavioural change intervention on cleanliness, diarrhoeal morbidity and growth of children in rural Bangladesh

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  • Ahmed, Nasar U.
  • Zeitlin, Marian F.
  • Beiser, Alexa S.
  • Super, Charles M.
  • Gershoff, Stanley N.

Abstract

A community-based intervention was developed through direct participation of the target population in assessment and iterative trials to improve hygiene practices and to reduce childhood diarrhoea in lowland rural Bangladesh. A total of 185 (98%) households with children ages 0-18 months in five contiguous villages were targeted for the interventions. A comparison site was selected for a detailed observational study and for use as a control for the intervention. About 97% of all households with children ages 0-18 months were enrolled for study at the control site. Children in this age group were targeted because at this developmental stage they were most vulnerable to diarrhoeal morbidity and malnutrition (related to unhygienic practices). The intervention was implemented with the assistance of village leaders through a "Clean Life" campaign by local project workers and volunteer mothers who were chosen from the target households. The intervention activities started in January 1986 and lasted for 7 months. Higher adoption rates of the intervention were associated with better cleanliness status, which was related to lower diarrhoea and malnutrition rates in the intervention site. The results of between-site longitudinal analyses showed that after the intervention, the intervention site had substantially higher cleanliness scores, lower diarrhoeal morbidity, and better growth status compared to those of the control site, with differences increasing over time. The findings suggest that this type of community-based intervention can be very beneficial in modifying hygiene behaviours and lowering childhood diarrhoea and malnutrition.

Suggested Citation

  • Ahmed, Nasar U. & Zeitlin, Marian F. & Beiser, Alexa S. & Super, Charles M. & Gershoff, Stanley N., 1993. "A longitudinal study of the impact of behavioural change intervention on cleanliness, diarrhoeal morbidity and growth of children in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 37(2), pages 159-171, July.
    • Handle: RePEc:eee:socmed:v:37:y:1993:i:2:p:159-171
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    Cited by:

    1. Arimond, Mary & Ruel, Marie T., 2001. "Assessing care," FCND discussion papers 119, International Food Policy Research Institute (IFPRI).
      • Arimond, Mary & Ruel, Marie T., 2001. "Assessing care," FCND briefs 119, International Food Policy Research Institute (IFPRI).
    2. Seguin, Maureen & Niño-Zarazúa, Miguel, 2013. "What do we know about non-clinical interventions for preventable and treatable childhood diseases in developing countries?," MPRA Paper 49817, University Library of Munich, Germany.
    3. Valeria Oliveira-Cruz & Kara Hanson & Anne Mills, 2003. "Approaches to overcoming constraints to effective health service delivery: a review of the evidence," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 41-65.
    4. Evans, W.D. & Pattanayak, S.K. & Young, S. & Buszin, J. & Rai, S. & Bihm, Jasmine Wallace, 2014. "Social marketing of water and sanitation products: A systematic review of peer-reviewed literature," Social Science & Medicine, Elsevier, vol. 110(C), pages 18-25.
    5. Chloe Gerhardt, 1994. "Sustainable health? primary health care and selective alleviation," Sustainable Development, John Wiley & Sons, Ltd., vol. 2(1), pages 8-11.
    6. Seguin, Maureen & Niño-Zarazúa, Miguel, 2013. "What do we know about non-clinical interventions for preventable and treatable childhood diseases in developing countries?," MPRA Paper 49817, University Library of Munich, Germany.
    7. 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 & Phili, 2017. "Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 13(1), pages 1-447.

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