Abstract

Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review

Highlights

  • water source (Water) and sanitation are at the very core of sustainable development, critical to the survival of people and the planet

  • The quantitative studies were conducted in low- and middle-income countries (LMICs) worldwide, with the majority of the studies in South Asia and Sub-Saharan Africa

  • Promotional approaches aimed at handwashing and sanitation behaviour change can be effective in terms of handwashing with soap, latrine use, safe faeces disposal and open defecation

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Summary

Introduction

Water and sanitation are at the very core of sustainable development, critical to the survival of people and the planet. Implementation of participatory approaches to promote safe hygiene practices, establish community-based management systems for the WASH facilities, create up-front demand and encourage community participation and ownership is called the “software” element of the intervention (Peal et al, 2010). The latter is important to ensure long term sustainability of behaviours and technical durability of facilities since it was shown that the impact of WASH interventions on the burden of disease falls over time (Cairncross et al, 2010; Waddington et al, 2009)

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