Impact of multiple hygienic interventions on caregivers’ behaviors in a conflict setting, Yemen: A cluster-randomized controlled trial
ABSTRACT
Background:
Several household hygiene programs have been implemented by the Ministry of Public Health and Population and International Non-Governmental Organizations to reduce the risk factors related to child morbidity and mortality in Yemen. However, no research was conducted to assess the impact of such interventions on caregiver’s hygiene behavior. We therefore carried out a cluster-randomized controlled trail to assess whether such interventions could improve caregiver’s hygiene behavior.
Objective:
The study aimed to identify the impact of hygiene promotion interventions on mothers’ practices on water, sanitation and hygiene
Methods:
A six-month cluster-randomised control trial was conducted in the Hufash district of the Al-Mahweet Province in Yemen from May to October 2015. Twenty villages were randomly selected and assigned to an intervention arm that received hygiene promotional interventions and control arm. In total, 358 households were interviewed at the baseline and endpoint. A logistic regression model was fitted to data and Adjusted Odds Ratio (AOR) was used to estimate the effect size of the intervention.
Results:
the intervention made significant improvement in caregivers washing hand after using latrine (AOR 2.6, 95% CI 1.75 - 3.90) and before feeding the baby (AOR 1.8, 95% CI 1.14-2.92), safe dispose of child faces (AOR 2.0, 95% CI 1.35-2.53), covering the remaining food (AOR 1.1, 95% CI 1.08-1.19), cleaning the cooking utensils (AOR 1.27, 95% CI 1.08-1.51) and the cleanness of drinking water storage container (AOR 1.3, 95% CI 1.17-1.46). However, the intervention had no effect on caregiver’s handwashing practices after cleaning child faces, before preparing food and before eating meal as well as no improvement in cleanness of the floor of kitchen.
Conclusions:
The findings from this trial reveal the important role that hygiene promotion can play in improving caregivers’ behaviors that could lead to better child health at high-risk communities where access to primary health care is limited. Clinical Trial: NCT03810430
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.