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Natalie Fahsen

Biographic Data

ID7008374
NAMENatalie Fahsen
GIVEN NAMESNatalie
FAMILY NAMEFahsen
SIGNATUREFAHSEN N
AFFILIATIONSUniversidad del Valle de Guatemala
ORCID0009-0001-3991-7524
VERIFIEDYes
TOTAL WORKS6
TOTAL CITATIONS0
AUTHOR COUNT6
EDITOR COUNT0
FIRST PUBLICATION YEAR2019
LATEST PUBLICATION YEAR2025
H-INDEX0
  • Qualitative and quantitative evaluation of hand hygiene knowledge, attitudes, and practices among healthcare workers in Quetzaltenango, Guatemala in the Covid-19 context

    Open Access•Paulina Garzaro, Natalie Fahsen et al.•ARTICLE•PLOS Global Public Health•2025

    Healthcare workers and patients are at continual risk for healthcare-associated infections due to poor hand hygiene. Programs that support appropriate hand hygiene practices may mitigate this risk, although implementation is challenged by several barriers, including limited availability of hand hygiene products at the point of care, as described by the world health organization (WHO). In this study, we used mixed methodologies, including in-depth…

  • A Quasi-Experimental Pre-Post Assessment of Hand Hygiene Practices and Hand Dirtiness Following a School-Based Educational Campaign

    Open Access•Michelle M Pieters, Natalie Fahsen et al.•ARTICLE•International Journal of…•2025

    Hand hygiene (HH) is essential for preventing disease transmission, particularly in schools where children are in close contact with other children. This study evaluated a school-based intervention on observed HH practices and hand cleanliness in six primary schools in Guatemala. Hand cleanliness was measured using the Quantitative Personal Hygiene Assessment Tool. The intervention included (1) HH behavior change promotion through Handwashing Fes…

  • Changes in Hand Hygiene Knowledge, Attitudes, and Practices Among Primary School Students

    Open Access•Michelle M Pieters, Natalie Fahsen et al.•ARTICLE•International Journal of…•2025

    School-aged children are vulnerable to infectious diseases due to their developing immune systems and frequent social interactions. The COVID-19 pandemic underscored the importance of non-pharmaceutical interventions, like hand hygiene (HH). This study evaluated the changes achieved through a school-based intervention to Guatemalan primary school students' HH knowledge, attitudes, and self-reported practices while collecting teacher feedback to i…

  • Assessment of Water, Sanitation, and Hygiene Conditions in Public Elementary Schools in Quetzaltenango, Guatemala, in the Context of the Covid-19 Pandemic

    Open Access•Michelle M Pieters, Natalie Fahsen et al.•ARTICLE•International Journal of…•2023

    Water, sanitation, and hygiene (WASH) services in schools are essential to reduce infectious disease transmission, including that of COVID-19. This study aimed to establish a baseline of WASH services in six public elementary schools in Guatemala, with a focus on hand hygiene. We used the WHO/UNICEF Joint Monitoring Programme (JMP) report indicators to assess the WASH infrastructure at each school. We collected water samples from easily accessibl…

  • Assessing hand hygiene knowledge, attitudes, and behaviors among Guatemalan primary school students in the context of the Covid-19 pandemic

    Open Access•Michelle M Pieters, Natalie Fahsen et al.•ARTICLE•BMC Public Health•2023

    The results from the KAP survey show high scores, however correct identification of key moments for HH was relatively uncommon, especially after restroom use and after coughing or sneezing. Additionally, half of HH opportunities observed had correct HH practices and on average, hands were dirtiest when arriving at school. These findings will inform interventions to improve HH practices and behaviors, which will be evaluated with follow-up data co…

  • Developing a national patient safety plan in Guatemala

    Open Access•Randall Lou-Meda, Sindy Méndez et al.•ARTICLE•Revista Panamericana de Salud…•2019

    Objective. Patient safety is challenging for health systems around the world, particularly in low- and middleincome countries such as Guatemala. The goal of this report is to summarize a strategic planning process for a national patient safety plan in Guatemala. Methods. This strategic planning process involved multiple stakeholders, including representatives of the Guatemala Ministry of Health and Social Assistance, medical leadership from acros…

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  • Developing a national patient safety plan in Guatemala

    Open Access•Randall Lou-Meda, Sindy Méndez et al.•ARTICLE•Revista Panamericana de Salud…•2019

    Objective. Patient safety is challenging for health systems around the world, particularly in low- and middleincome countries such as Guatemala. The goal of this report is to summarize a strategic planning process for a national patient safety plan in Guatemala. Methods. This strategic planning process involved multiple stakeholders, including representatives of the Guatemala Ministry of Health and Social Assistance, medical leadership from acros…

  • Assessment of Water, Sanitation, and Hygiene Conditions in Public Elementary Schools in Quetzaltenango, Guatemala, in the Context of the Covid-19 Pandemic

    Open Access•Michelle M Pieters, Natalie Fahsen et al.•ARTICLE•International Journal of…•2023

    Water, sanitation, and hygiene (WASH) services in schools are essential to reduce infectious disease transmission, including that of COVID-19. This study aimed to establish a baseline of WASH services in six public elementary schools in Guatemala, with a focus on hand hygiene. We used the WHO/UNICEF Joint Monitoring Programme (JMP) report indicators to assess the WASH infrastructure at each school. We collected water samples from easily accessibl…

  • Assessing hand hygiene knowledge, attitudes, and behaviors among Guatemalan primary school students in the context of the Covid-19 pandemic

    Open Access•Michelle M Pieters, Natalie Fahsen et al.•ARTICLE•BMC Public Health•2023

    The results from the KAP survey show high scores, however correct identification of key moments for HH was relatively uncommon, especially after restroom use and after coughing or sneezing. Additionally, half of HH opportunities observed had correct HH practices and on average, hands were dirtiest when arriving at school. These findings will inform interventions to improve HH practices and behaviors, which will be evaluated with follow-up data co…

  • Qualitative and quantitative evaluation of hand hygiene knowledge, attitudes, and practices among healthcare workers in Quetzaltenango, Guatemala in the Covid-19 context

    Open Access•Paulina Garzaro, Natalie Fahsen et al.•ARTICLE•PLOS Global Public Health•2025

    Healthcare workers and patients are at continual risk for healthcare-associated infections due to poor hand hygiene. Programs that support appropriate hand hygiene practices may mitigate this risk, although implementation is challenged by several barriers, including limited availability of hand hygiene products at the point of care, as described by the world health organization (WHO). In this study, we used mixed methodologies, including in-depth…

  • A Quasi-Experimental Pre-Post Assessment of Hand Hygiene Practices and Hand Dirtiness Following a School-Based Educational Campaign

    Open Access•Michelle M Pieters, Natalie Fahsen et al.•ARTICLE•International Journal of…•2025

    Hand hygiene (HH) is essential for preventing disease transmission, particularly in schools where children are in close contact with other children. This study evaluated a school-based intervention on observed HH practices and hand cleanliness in six primary schools in Guatemala. Hand cleanliness was measured using the Quantitative Personal Hygiene Assessment Tool. The intervention included (1) HH behavior change promotion through Handwashing Fes…

  • Changes in Hand Hygiene Knowledge, Attitudes, and Practices Among Primary School Students

    Open Access•Michelle M Pieters, Natalie Fahsen et al.•ARTICLE•International Journal of…•2025

    School-aged children are vulnerable to infectious diseases due to their developing immune systems and frequent social interactions. The COVID-19 pandemic underscored the importance of non-pharmaceutical interventions, like hand hygiene (HH). This study evaluated the changes achieved through a school-based intervention to Guatemalan primary school students' HH knowledge, attitudes, and self-reported practices while collecting teacher feedback to i…

Medicine (6 works) · Nursing (6 works) · Environmental health (5 works) · Hygiene (5 works) · Public health (5 works) · COVID-19 and Mental Health (3 works) · Geography (3 works) · Pediatric health and respiratory diseases (3 works) · Business (2 works) · Context (archaeology (2 works)

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