Abstract
The global problem of access to improved sanitation and water management practices has been compounded by the gap existing between knowledge and practice as well as attitude. The aim of this study was to assess households' knowledge and attitude on water, sanitation, and hygiene practices through a school health programme. Semistructured questionnaires, focus group discussions, key informant interviews, and observation checklist were used to obtain information from 95 households which were systematically sampled. It was found that a school programme may not improve the gap between knowledge, attitude, and practice but may be good for future generations. This was found to be due to sociocultural issues which impede hygiene transformation. The implication is that health programmes must find innovative ways of bridging this gap in order to bring change in households through culture sensitive interventions.
Highlights
The global problem of access to safe water and sanitation continues to plague the poor countries of the world
The existence of a gap between knowledge and practice on water, sanitation, and hygiene (WASH) despite intervention programmes being in places has been associated with sociocultural factors which are seldom taken into account when intervention programmes are introduced [2]
This study gives a snap shot of the influence of an intervention programme on knowledge and attitude towards water use, sanitation, and hygiene practices among community members staying around intervention schools
Summary
The global problem of access to safe water and sanitation continues to plague the poor countries of the world. The existence of a gap between knowledge and practice on water, sanitation, and hygiene (WASH) despite intervention programmes being in places has been associated with sociocultural factors which are seldom taken into account when intervention programmes are introduced [2]. Many of such interventions have gone ahead to target schools and provide WASH services with the aim of influencing household adoption through children as proxies with mixed outcome
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