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Exploring Determinants of Handwashing with Soap in Indonesia

A Quantitative Analysis

Bibliographic Data

ID15469882
AuthorsMitsuaki Hirai (0000-0003-1759-0775, Milken Institute), Jay P Graham (0000-0001-7062-6293, Milken Institute), Kay Mattson (Albany Research Institute), Andrea Kelsey (George Washington University), Supriya Mukherji (W WF-I nd on es ia), Aidan A Cronin (W WF-I nd on es ia, corresponding author)
Year2016
Volume13
Issue9
Pages868-868
Publication date2016-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph13090868
PMID27598178
OpenAlexW2511574153
LanguageEN
Citations received13
References cited11

Handwashing with soap is recognized as a cost-effective intervention to reduce morbidity and mortality associated with enteric and respiratory infections. This study analyzes rural Indonesian households' hygiene behaviors and attitudes to examine how motivations for handwashing, locations of handwashing space in the household, and handwashing moments are associated with handwashing with soap as potential determinants of the behavior. The analysis was conducted using results from a UNICEF cross-sectional study of 1700 households in six districts across three provinces of Indonesia. A composite measure of handwashing with soap was developed that included self-reported handwashing, a handwashing demonstration, and observed handwashing materials and location of facilities in the home. Prevalence ratios were calculated to analyze associations between handwashing with soap and hypothesized determinants of the behavior. Our results showed that determinants that had a significant association with handwashing with soap included: (1) a desire to smell nice; (2) interpersonal influences; (3) the presence of handwashing places within 10 paces of the kitchen and the toilet; and (4) key handwashing moments when hands felt dirty, including after eating and after cleaning child stools. This study concludes that handwashing with soap may be more effectively promoted through the use of non-health messages

Environmental health · Hand washing · Hygiene · SOAP · Toilet · Washing hands · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · COVID-19 Prevention and Impact · Medicine

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Unique citing works13
Citations per year1,63
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 13

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