在孟加拉农村贫困家庭中评估洗手知识和实践计划的影响:一个集群随机化前后研究
Towfida Jahan Siddiqua1, Nuzhat Choudhury1, Md Ahshanul Haque1
1Nutrition and Clinical Services Division, ICDDR,B, Dhaka, Bangladesh.
孟加拉国农村的Suchana计划显著改善了母亲和儿童的洗手知识和做法. 这种干预措施通过促进基本的卫生行为,对母亲和儿童健康结果产生了积极的影响.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 水,环境卫生和卫生 (WASH)
背景情况:
- 手部卫生对于母亲和儿童的健康结果至关重要.
- 尽管孟加拉国有很高的意识,但洗手的做法仍然很低.
- 苏查纳计划的目标是Sylhet.农村的水,环境卫生和卫生 (WASH).
研究的目的:
- 评估Suchana受益人手洗知识和实践的变化.
- 为了比较手洗指标的基线和最终评估数据.
- 评估Suchana干预对卫生行为的影响.
主要方法:
- 在基线和最终阶段进行了横截面评估调查.
- 收集了关于特定洗手实践的数据:在准备食物,吃饭,供应食物之前,排便后和触摸动物后.
- 统计分析,包括调整的几率比率 (aOR),用于比较干预和控制区域.
主要成果:
- 苏查纳干预措施在所有评估实践中显著改善了洗手知识.
- 在干预区域观察到,在准备食物 (aOR: 1.60),进食 (aOR: 1.68),提供食物 (aOR: 1.35),排便 (aOR: 1.74) 和触摸动物 (aOR: 1.67) 后洗手的知识率更高.
- 在最终评估中,母亲洗手的做法也显示出成功的干预效应.
结论:
- 苏查纳计划有效地提高了孟加拉农村的洗手知识和实践.
- 促进手部卫生的干预措施对于改善母婴健康至关重要.
- 建议在弱势群体中扩大类似的成功WASH干预措施.
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