The Handwashing Practices and Awareness Among Children in Primary Schools in Karongi District, Rwanda: What Strategies Can Promote Effective Handwashing Practices?

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DOI: 10.21522/TIJPH.2013.12.03.Art016

Authors : Nteziryayo Theoneste, Basaza K. Robert

Abstract:

Child mortality in Africa is a pressing issue, particularly due to diarrhea and respiratory tract infections. These diseases are often transmitted through improper handwashing practices. This research aimed to identify the factors that influence handwashing habits and assess the availability of adequate facilities and water sources in primary schools in the Karongi district. A mixed-method approach was used to collect data from 583 students through structured questionnaires and 120 teachers through semi-structured interviews. Additionally, interviews with parents and community members were conducted to gain broader insights into community hygiene practices and support systems. Quantitative analysis using SPSS showed that promoting handwashing among school children reduces illness and absenteeism. Over two-thirds (67.2%) of students reported receiving effective support from their teachers, and another two-thirds (66.7%) stated that they wash their hands with soap and water. Moreover, close to another two-thirds (64%) of students acknowledged the importance of hygiene in disease prevention, and nearly two-thirds (60.9%) were aware of the health risks associated with poor hygiene. Qualitative findings revealed that while primary schools have sufficient hygiene facilities, there are challenges such as water shortages, inadequate hygiene resources, a limited number of washing stations, and water supply shortages. The study concludes that it is crucial to promote handwashing through educational campaigns to reduce disease transmission and improve the health outcomes of school children in Rwanda. Additionally, it emphasizes the need to address resource challenges in primary schools.

References:

[1]. Gawai, P. P., Taware, S. A., Chatterjee, A. S., & Thakur, H. P., 2016, A Cross Sectional Descriptive Study of Hand Washing Knowledge and Practices Among Primary School Children in Mumbai, Maharashtra, India. Int J Community Med Public Health, 3(10), 2958-2966, https://doi.org/10.18203/2394-6040.ijcmph20163391

[2]. Khatoon, R., Sachan, B., Khan, M. A., & Srivastava, J. P., 2017, Impact of School Health Education Program on Personal Hygiene Among School Children of Lucknow District. Journal of Family Medicine and Primary Care, 6(1), 97-100, https://doi.org/10.4103/2249-4863.214973

[3]. Bloomfield, S. F., Aiello, A. E., Cookson, B., O'Boyle, C., & Larson, E. L., 2007, The Effectiveness of Hand Hygiene Procedures in Reducing the Risks of Infections in Home and Community Settings Including Handwashing and Alcohol-Based Hand Sanitizers. American Journal of Infection Control, 35(10), S27-S64, https://doi.org/10.1016/j.ajic.2007.07.001

[4]. McMichael, C., 2019, Water, Sanitation and Hygiene (Wash) in Schools in Low-Income Countries: A Review of Evidence of Impact. International Journal of Environmental Research and Public Health,16(3), 359, https://doi.org/10.3390/ijerph16030359

[5]. Setyautamii, T., Sermsri, S., & Chompikul, J., 2012, Proper Hand Washing Practices Among Elementary School Students in Selat Sub-District, Indonesia. Journal of Public Health and Development, 10 (2), 3–20, Retrieved From https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/2642

[6]. Admasie, A., Guluma, A., & Feleke, F. W., 2022, Handwashing Practices and its Predictors Among Primary School Children in Damote Woide District, South Ethiopia: An Institution Based Cross-Sectional Study. Environmental Health Insights, 16, https://doi.org/10.1177/11786302221086795

[7]. World health organization (WHO) 2015, Clean Care is Safer Care, Retrieved From https://www.who.int/gpsc/clean_hands_protection/en/

[8]. Biswas, D., Sahoo, S., Dasgupta, A., Preeti, P. S., & Amitavakumar Das, S., 2015, Quantification of Perception Status of Hand Washing Practice Among School Children in a Rural Area of West Bengal. Scholars Journal of Applied Medical Sciences, 3(4), 1683-1687, https://doi.org/10.36347/sjams.2015.v03i04.015

[9]. Mane, A. B., Reddy, N. S., Reddy, P., Chetana, K. V., Srijith, S. N., & Sriniwas, T., 2016, Differences of Hand Hygiene and its Correlates Among School Going Children in Rural and Urban Area of Karnataka, India. Archives of Medicine, 8(5), 1-5, https://doi.org/10.21767/1989-5216.1000163

[10]. Anand, D., & Prakash, S., 2018, Assessment of the Hygiene and Sanitation Practices of Students of Class VI to IX in Urban Government Inter College at Allahabad District, India. Int J Community Med Public Health, 5(9), 3870-3875, https://doi.org/10.18203/2394-6040.ijcmph20183428

[11]. Louis, E. F., Eugene, D., Ingabire, W. C., Isano, S., & Blanc, J., 2022, Rwanda's Resiliency During the Coronavirus Disease Pandemic. Frontiers in Psychiatry, 12, https://doi.org/10.3389/fpsyt.2021.589526

[12]. Steiner-Asiedu, M., Van-Ess, S. E., Papoe, M., Setorglo, J., Asiedu, D. K., & Anderson, A. K., 2011, Hand Washing Practices Among School Children in Ghana. Current Research Journal of Social Sciences,3(4), 293-300, Retrieved From https://maxwellsci.com/print/crjss/v3-293-300.pdf

[13]. Nwajiuba, C. A., Ogunji, C. V., Uwakwe, R. C., & David, E. I., 2019 Handwashing Practices Among Children in Public Schools in Imo State, Nigeria. Global Journal of Health Science, 11(14), 15, https://doi.org/10.5539/gjhs.v11n14p15

[14]. Almoslem, M. M., Alshehri, T. A., Althumairi, A. A., Aljassim, M. T., Hassan, M. E., & Berekaa, M. M., 2021, Handwashing Knowledge, Attitudes, and Practices Among Students in Eastern Province Schools, Saudi Arabia. Journal of Environmental and Public Health, https://doi.org/10.1155/2021/6638443/

[15]. Habumugisha, V., 2018, Assessing Students’ Knowledge, Attitudes and Practices on Water, Sanitation, Hygiene, and Related Diseases in Selected Schools in Musanze District, Rwanda (Master's thesis), Retrieved From https://repository.pauwes cop.net/bitstream/handle/1/263/MT_Vincent%20HABUMUGISHA.pdf?sequence=1&isAllowed=y

[16]. Bangdiwala, S. I., 2019, Basic Epidemiology Research Designs I: Cross-Sectional Design. International Journal of Injury Control and Safety Promotion, 26(1), 124-126, https://doi.org/10.1080/17457300.2018.1556415

[17]. Cuemath, (n.d.), Sample Size Formula-What is Sample Size Formula? Examples, Retrieved From https://www.cuemath.com/sample-size-formula/

[18]. Berhanu, A., Mengistu, D. A., Temesgen, L. M., Mulat, S., Dirirsa, G., Alemu, F. K., ... & Geremew, A., 2022, Hand Washing Practice Among Public Primary School Children and Associated Factors in Harar town, eastern Ethiopia: An Institution-Based Cross-Sectional Study. Frontiers in Public Health, 10, 975507, https://doi.org/10.3389/fpubh.2022.975507/

[19]. Twinomuhwezi, B., 2021, Factors Associated with Hand Washing Practices Among Secondary School Students in Ndorwa East Constituency in Kabale District (Doctoral Dissertation, Kabale University), Retrieved From https://backend.kab.ac.ug/server/api/core/bitstreams/d434141d-4e54-4d9b-81a5-4cf08df38479/content

[20]. Chen, X., Ran, L., Liu, Q., Hu, Q., Du, X., & Tan, X., 2020, Hand Hygiene, Mask-Wearing Behaviors and its Associated Factors During the COVID-19 Epidemic: A Cross-Sectional Study Among Primary School Students in Wuhan, China. International Journal of Environmental Research and Public Health, 17(8), 2893, https://doi.org/10.3390/ijerph17082893

[21]. Contzen, N., De Pasquale, S., & Mosler, H. J., 2015, Over-Reporting in Handwashing Self-Reports: Potential Explanatory Factors and Alternative Measurements. PloS one,10(8), e0136445, https://doi.org/10.1371/journal.pone.0136445/

[22]. Rosenman, R., Tennekoon, V., & Hill, L. G., 2011, Measuring Bias in Self-Reported Data. International Journal of Behavioural and Healthcare Research, 2(4), 320-332, https://doi.org/10.1504/IJBHR.2011.043414/