Observed Practices and Perceived Advantages of Different Hand Cleansing Agents in Rural Bangladesh: Ash, Soil, and Soap
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Author
Nizame, Fosiul A.Unicomb, Leanne
Luby, Stephen P.
Arman, Shaila
Winch, Peter J.
Nasreen, Sharifa
Halder, Amal K.
Journal title
The American Journal of Tropical Medicine and HygieneDate Published
2015-06-03Publication Volume
92Publication Issue
6Publication Begin page
1111Publication End page
1116
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Show full item recordAbstract
Bangladeshi communities have historically used ash and soil as handwashing agents. A structured observation study and qualitative interviews on the use of ash/soil and soap as handwashing agents were conducted in rural Bangladesh to help develop a handwashing promotion intervention. The observations were conducted among 1,000 randomly selected households from 36 districts. Fieldworkers observed people using ash/soil to wash their hand(s) on 13% of occasions after defecation and on 10% after cleaning a child's anus. This compares with 19% of people who used soap after defecation and 27% after cleaning a child who defecated. Using ash/soil or soap was rarely (< 1%) observed at other times recommended for handwashing. The qualitative study enrolled 24 households from three observation villages, where high usage of ash/soil for handwashing was detected. Most informants reported that ash/soil was used only for handwashing after fecal contact, and that ash/soil could clean hands as effectively as soap.Citation
Nizame FA, Nasreen S, Halder AK, Arman S, Winch PJ, Unicomb L, Luby SP. Observed practices and perceived advantages of different hand cleansing agents in rural Bangladesh: ash, soil, and soap. Am J Trop Med Hyg. 2015 Jun;92(6):1111-6. doi: 10.4269/ajtmh.14-0378. Epub 2015 Apr 13. PMID: 25870425; PMCID: PMC4458811.DOI
10.4269/ajtmh.14-0378ae974a485f413a2113503eed53cd6c53
10.4269/ajtmh.14-0378
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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International