Knowledge Of Hand Washing Research Articles

Factors associated with hygiene practices among primary school children in southern Ethiopia.

Eight years into the Sustainable Development Goal period, Ethiopia is not on track to achieve good hygiene practices among school children. Ensuring good hygiene practices among primary school children to prevent the spread of communicable diseases remains a challenge in most primary schools in Ethiopia. Therefore, the aim of this study was to identify factors associated with hygiene practices among primary school children in southern Ethiopia. A school-based cross-sectional study was conducted from June 3 to July 28, 2022, in five primary schools. The simple random sampling technique was used to select the school. Subsequently, 640 students were selected from the proportionally allocated sample size. Pretested semi-structured interviewer-administered questionnaires and observational checklists were utilized to collect data. The data was then entered into EpiData version 4.6 and analyzed using SPSS version 25. Variables with a p ≤ 0.25 at bivariate analysis were used to develop a multivariable logistic model to identify factors associated with hygiene practices. P < 0.05 with a 95% confidence interval was considered statistically significant. The magnitude of overall good hygiene practices was 29.2% (95% CI: 25.81-32.59). Urban residence (AOR = 3.4, 95% CI 2.1-5.55), knowledge of handwashing (AOR = 4.5, 95% CI 2.8-7.36), being a member of a hygiene and sanitation club (AOR = 3.7, 95% CI 2.4-6.86), and experience of visiting a model school (AOR = 3.1, 95% CI 2.1-5.55) were found to be significantly associated with hygiene practices. The overall level of good hygiene practices in Kedida district was low. Therefore, it is essential to enhance health education on handwashing, establish sanitation and hygiene clubs, and conduct visits to district model elementary schools.

Hand washing knowledge, attitudes and practices among dental students

Hand washing knowledge, attitudes and practices among dental students

Communities’ knowledge, perceptions and preventive practices on soil-transmitted helminthes in Jimma, Oromia, Ethiopia: Formative mixed study

Background Soil-transmitted helminthes (STH) infections are one of the most common neglected tropical diseases. It has become one of a significant public health problem programmatically aimed for prevention and control in Ethiopia. Limited evidence is available on communities’ knowledge, perceptions, and practices regarding STH particularly in rural settings of Jimma, Ethiopia. Methods A community-based cross-sectional study triangulated with the qualitative method was conducted. The survey included 732 sampled rural households. Linear regression was used to assess association between predictors of knowledge and preventive practices of STH; likewise logistic regression was used to identify the predictors of hand washing practice at critical times. Kruskal-Wallis and Mann-Whitney tests were done to test differences in median risk perception score by socio-demographic factors. Qualitative data were collected through 7 key informant interviews, 6 focus group discussions and 7 expert group discussions then transcribed verbatim. Then, the data were coded, categorized and thematized using the Atlas ti.7.1.4 software package. Results Almost all of the respondents (99.6%) had heard of STH. The prevalence of comprehensive knowledge, risk perception and preventive practices towards STH were 46.7%:(95%CI:43.2, 50.4), 55.2%: (95%CI:51.2,59) and 44.4%:(95%CI:40.8, 48.2) respectively. Likewise, the magnitude of knowledge and practice of hand washing at critical times were 42.5%: (95%CI: 38.7,45.9) and 43.9%: (95%CI: 40, 47.5) respectively. Risk perception and comprehensive knowledge towards STH varied significantly across districts and by respondents’ educational status. Ownership of improved latrine was associated to comprehensive knowledge of STH. The STH preventive practice that varied across districts was predicted by the overall and knowledge specific to washing hands at critical times. The practice of washing hands at critical times was significantly associated to knowledge of hand washing, owning improved latrine, and age from 15 to 34 year compared to &gt;45 year. Moreover, qualitative findings were supportive of the findings. Conclusion Despite reported exposures to STH communication opportunities, the study found modest levels of knowledge, perceptions, and preventive practices related to STH among rural communities where the burden of STH was the programmatic concern. These levels of knowledge, perceptions, and practices varied across the districts. Educational and latrine status predicted overall knowledge, whereas knowledge specific to hand washing and overall knowledge were predictors of STH preventive practice. Furthermore, washing hands during critical times was moderately improved among the young-aged, ownership of improved latrine and knowledgeable on hand washing. This study underscores the need for locally tailored and contextualized community behavioral change interventions needs to be strengthened toward improved STH preventive practices.

Infection prevention and control status at public hospitals and factors associated with COVID-19 infection among healthcare workers in Myanmar: A cross-sectional study

BackgroundHospitals should prepare for emerging diseases and protect healthcare workers (HCWs) from work-related infection. This study aims to assess public hospital preparedness for the coronavirus disease 2019 (COVID-19) a year after the Myanmar government began implementing COVID-19 prevention measures, and to identify factors associated with work-related COVID-19 infection among HCWs in Myanmar.MethodsIn January 2021, data were collected from 101 hospitals and 706 HCWs who had COVID-19 in Myanmar in 2020. Data from the hospitals included basic information, the status of infection prevention and control (IPC), the preparedness for COVID-19 (guidelines, checklists, fever screening, patient pathway, and training), handwashing facilities, and availability of personal protective equipment (PPE). Data of COVID-19 infected HCWs included age, occupation, workplace, severity and source of COVID-19 infection, knowledge and practice of handwashing, and working environment. Chi-square test was performed to compare the preparedness for COVID-19 among three hospital levels (primary, secondary and tertiary levels). Logistic regression analysis was performed to identify the associated factors of work-related infection of HCWs.ResultsThe total number of beds, HCWs, and COVID-19 patients in 2020 at the 101 hospitals was 12,888, 14,421, and 19,835, respectively. The availability of PPE was high in hospitals at all levels. Approximately 80% of hospitals had functional status of IPC, set up fever screening and patient pathway, and provided training on IPC and COVID-19. However, only 39.6% of hospitals had developed COVID-19 guidelines and 55.4% had developed checklists. The percentage of hospitals that prepared each measurement was lowest at the primary level. The factors associated with work-related COVID-19 among HCWs were being 30–39 years old, working as a doctor, working at isolation wards, having disinfection technique training, and having enough PPE at the workplace.ConclusionThe preparedness for COVID-19 at public hospitals in Myanmar in January 2021 was insufficient, especially in the availability of the guidelines and checklists and at primary hospitals. A support system for hospital pandemic preparedness and monitoring of IPC implementation is needed. The government should prepare for emerging diseases and provide appropriate and adequate PPE and additional training to all HCWs, especially HCWs who work for isolation wards.

An examination of the relationship between risk perceptions, cultural-religious beliefs and coping during COVID-19 pandemic control in South Asian countries: a systematic review

BackgroundCovid 19 was declared as a public health emergency by the World Health Organisation (WHO) due to its rapid spread and catastrophic effects on health. It affected around 119 M people with mortality rate of 0.27% worldwide, including South-Asians. This review aims to understand the risk perceptions, cultural religious beliefs and the coping mechanisms of South Asians during the Covid 19 pandemic.MethodsWe conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The following search engines were used: Medline, Cochrane Library, PsycINFO, CINAHL, and Web of Science. Included studies investigated perceptions and opinions of individuals on knowledge, risk and protective factors, native faith based practices, and attitudes towards the COVID-19 pandemic.ResultsThe database search produced 282 articles to screen. The final narrative synthesis included five studies comprising of 13,476 participants from Pakistan, India, Nepal, and Bangladesh. Ten studies, comprising 7,893 participants, were eligible and included for meta-analysis. The overall pooled prevalence with maximum heterogeneity for correct knowledge of symptoms, hand washing or use of sanitizers, face masking use of herbal or traditional remedies and physical distancing or avoidance of contact was reported through meta-analysis.ConclusionThe review brings forth a useful comparison of individual and cultural differences in KAP, risk perceptions and coping strategies. This review highlights the need for and importance of tailored information dissemination, culturally sensitive risk communication, targeted educational interventions, community engagement and empowerment, policy, and infrastructure improvements, as well as continued research and data collection. By addressing these implications, efforts to mitigate the impact of COVID-19 can be more effective and equitable across diverse populations.Prospero registrationCRD42021246475.

Game-based training to promote handwashing, handrub and gloving for hospital pharmacy operators

ObjectivesAdherence to handwashing, handrub and gloving procedures is mandatory for safe, aseptic drug compounding in hospital pharmacies. This study measured participants’ satisfaction and effectiveness of a game-based training tool (Handtastic...

Knowledge Attitudes and Practices (KAP) of Hand Washing among Selected School Children of Dhaka City

Background &amp; objective: Communicable diseases like diarrhoea and acute respiratory tract infection are the commonest cause of morbidity and mortality in children of developing countries. Children are more vulnerable to food and water-borne diseases. Hand washing is an effective method for preventing communicable diseases particularly water-borne diseases. The purpose of this study is, therefore to evaluate the knowledge, attitudes, and practices (KAP) of hand washing among selected primary-level school children of Dhaka City as a mode of disease prevention. Methods: From January 1st to June 30th, 2016, primary school students (only those in the fifth grade) in Dhaka City participated in this descriptive, cross-sectional survey. Following ethical approval from the school authority, the local guardian of the children, a total of 252 children were purposively enrolled from various elementary schools in Dhaka City. The knowledge of hand washing included in this study comprises information on cleaning hands before meals, after urinating, defecating, and playing, procedures for washing hands, information about World Hand Washing Day, instructions for washing hands, facilities for washing hands, and materials for washing hands. We offered each respondent ten questions, with a mark of 1 for each accurate response, to gauge their degree of expertise. Results: Over 70% of the respondents were 11-12 years old with the mean age of the respondents being 10.8 ± 0.7 years. The boy-to-girl ratio was roughly 11:9. While respondents’ fathers were primarily service-holder (about 55%) mothers were generally housewives (70%). Sixty percent of the respondents had 3-4 members in their family. The majority (98%) of the respondents knew about hand-washing. However, over two-fifth (42.2%) of them were completely unaware of the steps of hand-washing, and nearly 70% did not know the minimum hand-washing time to wash out the bacteria attached to the hand surface. Overall, 55.2% of the respondents had good knowledge, 32.5% had adequate knowledge, and 12.3% had excellent knowledge about hand-washing. Conclusion: The study concluded that most of the students usually wash their hands in critical times; however, they do not know the correct way and steps of hand washing. So, more attention is to be paid to training children to adopt healthy hand-washing behavior. The importance of hand washing should be included in their regular curriculum. Ibrahim Card Med J 2023; 13 (1&amp;2): 66-70

The nexus between household water insecurity, mother's handwashing practices, and diarrheal diseases among under-five children.

This study aimed to examine the association between household water insecurity (HWIS), mother's handwashing practices, and childhood diarrhea in the peri-urban and informal settlements of Hosanna town. A community-based cross-sectional study involving 424 mothers was carried out in Hosanna town, and the data were collected using a pretested structured questionnaire, HWISE Scale, and an observational checklist. Bivariate and multivariable logistic regression models were used to analyze the data. The study revealed that the prevalence of HWIS and diarrhea among under-five children was 68.6% and 16%, respectively. Only 42.2% of the mothers had good handwashing practices. Good knowledge of handwashing, positive attitudes toward handwashing, household water security (HWS), and the presence of handwashing facilities were significantly associated with good handwashing practices. Children aged 6-11 months, HWIS, uncovered and wide-mouthed water storage containers, unsafe child's stool disposal practices, and hands not washed with soap after defecation, before preparing food, and feeding a child were significantly associated with the occurrence of diarrhea. The prevalence of diarrhea and HWIS was very high. The majority of the mothers had poor handwashing practices. Therefore, findings suggest interventions to improve HWS and mother's handwashing practices, which could reduce the risk of diarrheal diseases.

Beraksi (Washing Hand, Care Health, Safe from Infection): Health Education to Increase Knowledge of Personal ahygine and Handwashing

Health issues such as diarrhea or worm infections are related to personal hygiene and environmental cleanliness. One contributing factor is handwashing habits. Handwashing is a crucial component of personal hygiene because the consequences of not washing hands can lead to health problems related to the digestive system (diarrhea, worm infections, hepatitis, typhoid, etc.). The objective of this health education is to assess its influence on the knowledge of personal hygiene and handwashing practices among elementary school children at SD Mekasari Sayang in Sumedang district. The implementation method of health education involves using video and poster presentations, lectures, discussions, demonstrations, and simulations with 25 first-grade students of SDN Mekarsari conducted directly. Data analysis utilizes pre-post test design with Wilcoxon statistical testing to identify the significance of differences before and after the health education intervention. The results of the activity demonstrate differences in knowledge and handwashing practices before and after health education using film, posters, discussion, simulation, and demonstration methods (p-value &lt; 0.05). The conclusion drawn from this health education is an improvement in students' knowledge and practices after the intervention. It is hoped that students' awareness and habits regarding personal hygiene behavior will increase, thereby preventing various health problems (diseases) that may arise. Keywords: Personal Hygiene, health education, handwashing, elementary school students.

Evaluating the Personal Protective Equipment and Surgical Hand-Washing Knowledge Levels of Nursing Students in the Preoperative Period

Evaluating the Personal Protective Equipment and Surgical Hand-Washing Knowledge Levels of Nursing Students in the Preoperative Period

Assessment of Hand-Washing Knowledge and Practice among Nursing Undergraduates in Saudi Arabia.

The present study investigated the knowledge and practice of hand hygiene among entry-level nursing students at King Saud University in Riyadh, Saudi Arabia. Participants and Methods: A cross-sectional, institutional-based study was conducted among Saudi nursing students over a period of four months at the King Saud University College of Nursing, using a structured, self-administered questionnaire that assessed demographics, knowledge, and the practice of hand washing. A response rate of 95% was obtained. Of the 304 respondents, 66.1% (n = 201) were males. The majority of the students (94.2%) agreed that direct or indirect contact was the most important route for the transmission of healthcare-associated infection. In addition, most of the students washed their hands after contact with body secretions (89.5%), while 83.2% of them washed their hands before and after contact with patients. Furthermore, 83.6% of them applied soap water during hand washing, while 59.9% of the students used an alcohol-based hand rub for hand hygiene. Our results found that female students reported higher mean knowledge score of 10.09 ± 1.27, compared to male students 9.63 ± 1.48, indicating a significant association between the mean knowledge score of hand washing and gender (p=0.004). Similarly, the mean practice score was higher among female students (5.00 ± 1.25), in comparison to male students 4.62 ± 1.46, with a significant association between gender and mean practice score (p=0.037). The findings of this study revealed that Saudi nursing students exhibit adequate knowledge and practice of hand washing. However, the current findings revealed variation in the knowledge and practice scores with respect to gender. The present results could support students and health care professionals in improving their hygienic practice, which may help to provide the optimum therapeutic benefits to patients.

Absence of short-term changes in knowledge and attitudes among household contacts of COVID-19 cases during the post-acute phase of the pandemic in Catalonia and Navarre, Spain.

To evaluate short-term changes in knowledge and attitude towards COVID-19 and preventive measures during the post-acute phase of the pandemic in Spain. A survey was performed in Catalonia and Navarre between May-2022 and July-2023 in household contacts of COVID-19 cases. Knowledge and attitude were assessed at baseline and at three months, using a Likert scale. Responses were grouped according to correct or incorrect. At baseline, 172 subjects were contacted, 118 (69%) of which completed a follow-up interview three months later. Knowledge of correct hand-washing and mask protocols had maintained over time (-1.7%, p = 0.553 and - 2.5%, p = 0.473, respectively). Attitudes toward preventive measures was adequate in the first interview (86%), but attitudes regarding use of face masks decreased significantly (-9.1%, p = 0.048) over time in participants with higher risk of severe COVID-19. However, most short-term changes in knowledge and attitudes were not statistically significant. Household contacts showed correct knowledge and attitude towards COVID-19 and its preventive measures, without significant changes in the short term despite a relaxation of government-mandated preventive measures. These results provide relevant information in case of a new health emergency due to respiratory viruses.

PENGARUH PEMBERIAN PELATIHAN TERHADAP PENGETAHUAN DAN PERILAKU CUCI TANGAN PAKAI SABUN (CTPS) PADA SISWA SD INPRES MAPOLI KECAMATAN KOTA RAJA TAHUN 2022

Health education is a number of experiences that have a beneficial effect on habits, knowledge and behavior related to individual health. Washing hands with soap (CTPS) is one of the sanitation measures by cleaning hands and fingers using water and soap to keep them clean. This study aims to analyze the effect of training on knowledge and behavior of handwashing with soap (CTPS) in students of SD Inpres Mapoli, Kota Raja subdistrict in 2022. This research is a type of quasi-experimental research with population in this study is 130 students. The research sample consisted of 60 students divided into an experimental group of 30 students and a control group of 30 students taken using simple random sampling. Collecting data using questionnaires and observation sheets. The data analysis used repeated measures ANOVA test. The results of this study indicate that there is a significant increase in knowledge with a large effect size (p &lt;0.001 and partial eta squared 0.588). This training can also increase the occurrence of changes in students CTPS behavior with p &lt; 0.001 and a large effect size (partial eta squared of 0.801). From the test results, it was found that p value &lt; 0.05 means that H0 is rejected and H1 is accepted, which means that there is an effect of handwashing with soap training on knowledge and behavior of hand washing in elementary school children. It was concluded that in connection with this research, training on handwashing and soap should be carried out routinely in schools

Socio-economic dimensions of handwashing knowledge in student populations at Ukhiya subdistrict of Cox’s Bazar, Bangladesh

The critical role of handwashing in preventing infectious disease transmission, particularly highlighted during the COVID-19 pandemic, underscores the importance of understanding and enhancing hand hygiene practices in developing countries like Bangladesh. This research aims to identify the socio-economic factors affecting handwashing knowledge among students, thereby informing targeted public health interventions to improve hygiene practices and reduce disease spread. A cross-sectional study was conducted across ten government primary schools in Ukhiya between March and April 2022. The sample comprised 400 students, selected using systematic sampling techniques, excluding those with learning disabilities or unwilling to participate. Data were collected via interviewer-administered questionnaires. Data analysis was performed using SPSS and Stata, with handwashing knowledge scores categorized as 'poor' or 'good' based on responses to 16 questions. The results revealed a high level of handwashing knowledge among students, with 90.5% categorized as having 'good' knowledge. No significant gender differences were observed in handwashing knowledge. However, a strong correlation was found between the educational levels of the students' mothers and handwashing knowledge, highlighting the influence of maternal education on health behaviors. Additionally, the occupational background of students' fathers and hygiene and sanitation clubs in the community were significantly associated with handwashing knowledge. The findings underscore the pivotal role of family and community resources in shaping hand hygiene practices among students. This study concludes that handwashing knowledge among students in Ukhiya is generally high, reflecting effective public health education. However, the influence of socio-economic factors, such as parental education and community resources, suggests that targeted interventions could further enhance hand hygiene practices. Future efforts should aim to translate this high level of handwashing knowledge into consistent practice across diverse socio-economic contexts, contributing to the community's overall well-being.

Knowledge, attitude, and practice of hand washing with soap among students at 4 primary schools in Hanoi in 2022

Objective: Knowledge, attitude, and practice of hand-washing with soap among students at 4 primary schools in Hanoi in 2022. Research subjects and methods: A cross-sectional descriptive study was conducted at Khuong Thuong Primary School, Tam Khuong Primary School, Ha Hoi Primary School, and Khanh Ha Primary School, choosing 50 fourth graders and 50 fifth graders. Results: The majority of students 94.0% said that they enjoy washing their hands. The main reason for this attitude aside from taking up time is that it saves time. 54.2% of students said they often wash their hands with soap at school before eating, and 87.0% said they do so right after using the restroom. 89.5% of students indicated that using soap to wash their hands was required; nevertheless, 14.5% of the 400 respondents reported they did not use soap to wash their hands at school every day. Conclusion: The number of students who know how to wash their hands is high. Students said that hand washing with soap is necessary, but there are still respondents who do not wash their hands with soap every day at school. The students' frequent practice of handwashing is extremely high after using the restroom, but comparatively low after playing with toys.

The Effect of Health Education on Knowledge and Attitudes of Hand Washing in Children at TKA-TPA Al Muhajirin Kampung Parang

Health problems in children are related to the habit of not keeping their hands clean. The lack of hand washing behavior in school age children is caused by low knowledge about hand washing. Health education is an effort to modify behavior through increasing knowledge and skills to improve healthier lifestyles. The purpose of this study was to identify the effect of health education on the level of knowledge and attitudes towards hand washing in children. This type of quantitative research with a Quasi Experiment approach. Research design one group prepost test design. The sample of this study were 20 children out of a total of 20 children at TKA-TPA Al Muhajirin Kampung Parang. The research instrument used a research questionnaire on the level of knowledge and hand washing attitudes. Statistical test using paired t test. The research results showed that the level of knowledge before the intervention was 18 and increased to 19.45 after the intervention. There was a difference in the average level of knowledge between before and after the intervention with an average difference of 1.45 and a p value = 0.000. Variable hand washing attitude, the table shows that the average hand washing attitude indicator of action before the intervention was 18 and increased to 19 after the intervention. There is a difference in the average action between before and after the intervention with a mean rank difference of 1 and a value of p = 0.001. This means that providing health education about hand washing attitudes is effective in increasing hand washing attitudes in children, where there is a significant increase

ANALISIS FAKTOR PERSONAL HYGIENE DAN SANITASI LINGKUNGAN DENGAN DEMAM THYPOID DI WILAYAH KERJA PUSKESMAS KEMALARAJA KABUPATEN OKU

Disease, in an area depends on the presence of humans who understand the environmental conditions suitable for the life of disease-causing microorganisms. environmental hygiene, sanitation and poor personal hygiene are factors that can increase the spread of diseases, especially typhoid. Factors related to the incidence of typhoid fever are related to clean and healthy living behavior, such as the quality of personal hygiene and environmental sanitation and the lack of public knowledge that does not support a healthy life. The research method uses a cross sectional design. Data are analyzed using the Chi-square test. The population of the entire Kemalaraja Village community is 389 people. The sample taken is simple random sampling. based on the formula contained in Iwan Ariawan's book (2011). amounting to 193 samples. The results of Univariate analysis of bad hand washing habits were 24.9% of respondents, 75.1% of respondents in the category of good hand washing. The unavailability of landfills was 43 (22.3%) of respondents, 77.7% of respondents had available landfills, 23.3% of respondents had bad knowledge, 76.7% of respondents had good knowledge. The results of the chi square test obtained a p value of 0.000 &lt; (0.05) meaning that there is a significant relationship between hand washing habits and the incidence of typhoid fever, p value 0.000 &lt; (0.05) meaning that there is a significant relationship between landfills and the incidence of fever. typhoid, p-value 0.001 &lt; (0.05). This means that there is a significant relationship between knowledge and the incidence of typhoid.&#x0D; Conclusion: There is a significant relationship between hand washing habits, trash bins and knowledge with the incidence of typhoid fever

Hand hygiene knowledge and practices of family caregivers in inpatient pediatrics.

Family caregivers are essential inpatient pediatric care partners, yet their handwashing knowledge and compliance are rarely studied. Through hand hygiene audits and self-administered questionnaires, we observed 9% compliance, significantly lower than self-reported practice. We suggest interventions to improve caregiver handwashing behaviors to decrease infection transmission risk to hospitalized children.

Hand Washing – its Awareness and Practices Among School Children and Facilities Available in Rural Government Schools of District Rohtak, Haryana

Introduction: Hand washing with soap (HWWS) is one of the single most cost-effective public health interventions. HWWS is effective in reducing diarrhea and can reduce its risk up to 48% and acute respiratory infections by more than 20%. Government of India launched Swachh Bharat Swachh Vidyalaya program, which also provided guidelines for hand washing i.e., availability of soap at hand washing stations, hand washing to be done before mid-day meal and also after use of toilet or urinal. The objective of the study was to assess knowledge and practices of hand washing among school children along with adequacy of available hand washing facilities and contributors responsible for it.&#x0D; Methods: A descriptive cross-sectional study was carried out in all Government schools of Lakhan Majra block, Rohtak, Haryana, India. Thirty-Eight schools for provision of facilities and 613 students for assessing knowledge, practice and behavior change were included in the study employing stratified random sampling technique. Semi-structured interview schedule was used for data collection.&#x0D; Results: All schools had hand washing facilities. Soap was available in 63.2% and 97.2% students knew benefits of hand washing while 88.9% of them were promoting it also. Less than one fifth of the students could demonstrate the correct steps of hand washing.&#x0D; Conclusions: Majority of students were aware of washing hands before and after critical times. Soap availability in schools was inadequate

Assessing the Impact of a Handwashing Knowledge and Practices Program among Poor Households in Rural Bangladesh: A Cluster-Randomized Pre-Post Study.

Improvement in hand hygiene has been strongly associated with positive outcomes in maternal and child health. Although Bangladesh has a high level of awareness of key hygiene messages, the practice of handwashing, the most effective hygiene behavior, is low. Suchana, a multisectoral nutrition program, aims to increase knowledge and practices around various water, sanitation, and hygiene settings in Sylhet region, the northeast of rural Bangladesh. This study aimed to investigate the changes in indicators related to handwashing knowledge and practices among Suchana beneficiaries in final compared with baseline evaluations. Data were derived from the baseline and final cross-sectional evaluation survey. The following handwashing knowledge and practices were considered: handwashing before preparing food, before eating food and feeding children, before serving food, after defecation, and after touching animals. The descriptive findings indicate that Suchana intervention improved handwashing knowledge and practices in the intervention area compared with the control. The odds of having knowledge of hand washing before preparing food (adjusted odds ratio [aOR]: 1.60; 95% CI: 1.30-1.98), before eating food and feeding children (aOR: 1.68; 95% CI: 1.25-2.25), before serving food (aOR: 1.35; 95% CI: 1.04-1.76), after defecation (aOR: 1.74; 95% CI: 1.25-2.41), and after touching animals (aOR: 1.67; 95% CI: 1.29-2.16) were higher in intervention area than the control area. Similarly, the impact on maternal handwashing practices at final evaluation indicated successful effects of the intervention. These results suggest scaling-up of similar interventions for larger populations living in vulnerable areas of rural Bangladesh.