Evaluation of a Handwashing Promotion Program in Chinese Elementary Schools
Study Details
Study Description
Brief Summary
The purpose of this study is to determine the effects of a commercial hand washing promotion program on hygiene knowledge, attitudes, and practices, and on health outcomes such as reported infectious illnesses and school absences.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
Diarrheal and respiratory diseases cause 3.8 million deaths annually among children in the developing world. Reduced rates of these diseases have been measured during intensive, home-based handwashing interventions. We evaluated a school-based handwashing program for 1st grade students to determine whether a more scalable intervention could also reduce illness rates, and impact hygiene knowledge and attitudes.
Thirty schools from each of 3 counties in Fujian Province, China, were randomized to one of the following groups: a) control; b) standard intervention, which included a handwashing program (1 hour of hygiene instruction and 1 soap sample kit per pupil); or c) expanded intervention, which included the handwashing program, soap for school sinks and 1 peer hygiene monitor per class. Teachers collected illness symptom information from students weekly and recorded student absences daily between January and April, 2005. Mean illness and absence rates were calculated for each school. Students were given a knowledge, attitudes, and practices questionnaire before the intervention and again 5 months later.
Study Design
Outcome Measures
Primary Outcome Measures
- student illness rates []
- student absence rates []
Secondary Outcome Measures
- teacher illness rate []
- changes in student hygiene knowledge []
- changes in student hygiene attitudes []
- changes in school water use []
Eligibility Criteria
Criteria
Inclusion Criteria:
- school has running water
Exclusion Criteria:
- school has not previously received commercial handwashing promotion program
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Fujian Province CDC | Fuzhou | Fujian | China | 350001 |
Sponsors and Collaborators
- Centers for Disease Control and Prevention
- Procter and Gamble
- Centers for Disease Control and Prevention, China
- Fujian Province CDC
Investigators
- Study Director: Anna B Bowen, MD, MPH, Centers for Disease Control and Prevention
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDC-NCID-4427