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What causes sustainable changes in hygiene behaviour? A cross-sectional study from Kerala, India

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  • Cairncross, Sandy
  • Shordt, Kathleen
  • Zacharia, Suma
  • Govindan, Beena Kumari

Abstract

This study was designed and the field work carried out by a non-governmental organisation ( NGO) responsible for implementing hygiene promotion. The sustainability of changed hygiene behaviour was studied at various periods up to nine years after the conclusion of a multifaceted hygiene promotion intervention in Kerala, India. Various methods including a questionnaire to assess knowledge, spot observation, demonstration of skills on request, and household pocket voting were used and compared for the measurement of the hygiene outcome. Pocket voting gave the lowest prevalence of good practice, which we infer to be the more accurate. Good handwashing practice was reported by more than half the adults in intervention areas, but

Suggested Citation

  • Cairncross, Sandy & Shordt, Kathleen & Zacharia, Suma & Govindan, Beena Kumari, 2005. "What causes sustainable changes in hygiene behaviour? A cross-sectional study from Kerala, India," Social Science & Medicine, Elsevier, vol. 61(10), pages 2212-2220, November.
  • Handle: RePEc:eee:socmed:v:61:y:2005:i:10:p:2212-2220
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    References listed on IDEAS

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    1. McCauley, Ann P. & West, Sheila & Lynch, Matthew, 1992. "Household decisions among the Gogo people of Tanzania: Determining the roles of men, women and the community in implementing a trachoma prevention program," Social Science & Medicine, Elsevier, vol. 34(7), pages 817-824, April.
    2. Waterkeyn, Juliet & Cairncross, Sandy, 2005. "Creating demand for sanitation and hygiene through Community Health Clubs: A cost-effective intervention in two districts in Zimbabwe," Social Science & Medicine, Elsevier, vol. 61(9), pages 1958-1970, November.
    3. Curtis, Valerie & Kanki, Bernadette & Mertens, Thierry & Traore, Etienne & Diallo, Ibrahim & Tall, François & Cousens, Simon, 1995. "Potties, pits and pipes: Explaining hygiene behaviour in Burkina Faso," Social Science & Medicine, Elsevier, vol. 41(3), pages 383-393, August.
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    Cited by:

    1. Jorge M. Agüero & Trinidad Beleche, 2016. "Health Shocks and the Long-Lasting Change in Health Behaviors: Evidence from Mexico," Working papers 2016-26, University of Connecticut, Department of Economics.
    2. Aunger, Robert & Schmidt, Wolf-Peter & Ranpura, Ashish & Coombes, Yolande & Maina, Peninnah Mukiri & Matiko, Carol Nkatha & Curtis, Valerie, 2010. "Three kinds of psychological determinants for hand-washing behaviour in Kenya," Social Science & Medicine, Elsevier, vol. 70(3), pages 383-391, February.
    3. Bennett, D. & Naqvi, S.A.A. & Schmidt, W-P., 2014. "Learning, Hygiene, and Traditional Medicine," Health, Econometrics and Data Group (HEDG) Working Papers 14/25, HEDG, c/o Department of Economics, University of York.
    4. Nauges, Céline & Van Den Berg, Caroline, 2009. "Perception of Health Risk and Averting Behavior: An Analysis of Household Water Consumption in Southwest Sri Lanka," TSE Working Papers 09-139, Toulouse School of Economics (TSE).
    5. Meredith, Jennifer & Robinson, Jonathan & Walker, Sarah & Wydick, Bruce, 2013. "Keeping the doctor away: Experimental evidence on investment in preventative health products," Journal of Development Economics, Elsevier, vol. 105(C), pages 196-210.
    6. Dammert, Ana C. & Galdo, Jose C. & Galdo, Virgilio, 2014. "Preventing dengue through mobile phones: Evidence from a field experiment in Peru," Journal of Health Economics, Elsevier, vol. 35(C), pages 147-161.
    7. McMichael, Celia & Robinson, Priscilla, 2016. "Drivers of sustained hygiene behaviour change: A case study from mid-western Nepal," Social Science & Medicine, Elsevier, vol. 163(C), pages 28-36.
    8. Whittington, Dale & Jeuland, Marc & Barker, Kate & Yuen, Yvonne, 2012. "Setting Priorities, Targeting Subsidies among Water, Sanitation, and Preventive Health Interventions in Developing Countries," World Development, Elsevier, vol. 40(8), pages 1546-1568.
    9. Briscoe, Ciara & Aboud, Frances, 2012. "Behaviour change communication targeting four health behaviours in developing countries: A review of change techniques," Social Science & Medicine, Elsevier, vol. 75(4), pages 612-621.

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