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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

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  • 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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    6. Agüero, Jorge M. & Beleche, Trinidad, 2017. "Health shocks and their long-lasting impact on health behaviors: Evidence from the 2009 H1N1 pandemic in Mexico," Journal of Health Economics, Elsevier, vol. 54(C), pages 40-55.
    7. 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.
    8. Marc A Jeuland & David E Fuente & Semra Ozdemir & Maura C Allaire & Dale Whittington, 2013. "The Long-Term Dynamics of Mortality Benefits from Improved Water and Sanitation in Less Developed Countries," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-16, October.
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    10. 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.
    11. 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.
    12. 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.
    13. Abu Siddique & Tabassum Rahman & Debayan Pakrashi & Asad Islam & Firoz Ahmed, 2020. "Raising COVID-19 Awareness in Rural Communities: A Randomized Experiment in Bangladesh and India," Munich Papers in Political Economy 09, Munich School of Politics and Public Policy and the School of Management at the Technical University of Munich.
    14. 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.
    15. Daniel Bennett & Asjad Naqvi & Wolf‐Peter Schmidt, 2018. "Learning, Hygiene and Traditional Medicine," Economic Journal, Royal Economic Society, vol. 128(612), pages 545-574, July.
    16. Vinish Shrestha & Rashesh Shrestha, 2018. "The Combined Role of Subsidy and Discussion Intervention in Demand for a Stigmatized Products," Working Papers 2018-05, Towson University, Department of Economics, revised Apr 2023.
    17. Roman Hoffmann & Sebastian Uljas Lutz, 2019. "The health knowledge mechanism: evidence on the link between education and health lifestyle in the Philippines," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(1), pages 27-43, February.
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