Behavioral antecedents for handwashing in a low-income urban setting in Bangladesh: an exploratory study. BMC Public Health, May 2017. We argue that handwashing with soap is influenced by broader range of antecedents, many unrelated to fecal contamination, that indicate to people when and where to wash their hands. This exploratory study aimed to identify and characterize this broader range of handwashing antecedents for use in future handwashing promotion efforts.
Provision versus promotion to develop a handwashing station: the effect on desired handwashing behavior. BMC Public Health, May 2017. We conducted a three-month pilot intervention to evaluate two options for setting up handwashing stations: i) provide a handwashing station, or ii) help the family to make their own from available materials. Additionally, we assessed the feasibility of this intervention to be integrated with a child feeding program.
Impact of Community Health Clubs on Diarrhea and Anthropometry in Western Rwanda: Cluster-Randomized Controlled Trial. FASEB Jnl, May 2017. (Abstract/order) – The CHC approach, as implemented in this setting in western Rwanda, had no impact on any main outcomes, but it had a positive impact on household water treatment and type and structure of sanitation facility. Our results raise questions about the value of implementing this intervention at scale.
Diet Quality, Water and Toilets Remain a Lingering Challenge for Undernutrition in India. FASEB Jnl, May 2017. (Abstract/order) – Using data from 2005–06, our regression analyses demonstrate a positive synergistic effect of better complementary feeding and better toilets for all anthropometric indicators, but not for improved drinking water or better ways of disposing child stools.
Evaluation of Student Handwashing Practices During a School-Based Hygiene Program in Rural Western Kenya, 2007. International Quarterly of Community Health Education, May 2017. (Abstract/order) – Teacher training and installation of water stations resulted in observed improvements in pupils’ hygiene, particularly when water stations were located
Consistency of Use and Effectiveness of Household Water Treatment Among Indian Households Claiming to Treat Their Water. Am Jnl Trop Med Hyg, online first. (Abstract/order) – Our findings raise questions about the value of the data gathered through the international monitoring of HWT as predictors of water quality in the home, as well as questioning the ability of HWT, as actually practiced by vulnerable populations, to reduce exposure to waterborne diseases.
Adding a Water, Sanitation and Hygiene Intervention and a Lipid-Based Nutrient Supplement to an Integrated Agriculture and Nutrition Program Improved the Nutritional Status of Young Burkinabé Children. FASEB Jnl, May 2017. (Abstract/order) – Adding WASH to the program in 2014 led to a significantly greater reduction in anemia, and including both WASH and LNS in communities with prior EHFP program exposure led to the largest and most diverse nutritional impacts including significant reductions in anemia, IDA and VAD. These results highlight the importance of addressing the multiple causes of undernutrition simultaneously, through multisectoral programs.