Sreenivasan N., Gotestrand S.A., Ombeki S., Oluoch G., Fischer T.K., Quick R.
Evaluation of the impact of a simple hand-washing and water-treatment intervention in rural health facilities on hygiene knowledge and reported behaviours of health workers and their clients, Nyanza Province, Kenya, 2008
Faculty of Health Sciences, University of Copenhagen, Denmark; Epidemic Intelligence Service, Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States; CARE, Kenya; Department of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark; Department of Virology, Statens Serum Institut, Copenhagen, Denmark; Waterborne Diseases Prevention Branch, Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States
Sreenivasan, N., Faculty of Health Sciences, University of Copenhagen, Denmark, Epidemic Intelligence Service, Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States; Gotestrand, S.A., Faculty of Health Sciences, University of Copenhagen, Denmark; Ombeki, S., CARE, Kenya; Oluoch, G., CARE, Kenya; Fischer, T.K., Department of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark, Department of Virology, Statens Serum Institut, Copenhagen, Denmark; Quick, R., Waterborne Diseases Prevention Branch, Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States
Many clinics in rural western Kenya lack access to safe water and hand-washing facilities. To address this problem, in 2005 a programme was initiated to install water stations for hand washing and drinking water in 109 health facilities, train health workers on water treatment and hygiene, and motivate clients to adopt these practices. In 2008, we evaluated this intervention's impact by conducting observations at facilities, and interviewing staff and clients about water treatment and hygiene. Of 30 randomly selected facilities, 97% had water stations in use. Chlorine residuals were detectable in at least one container at 59% of facilities. Of 164 interviewed staff, 79% knew the recommended water-treatment procedure. Of 298 clients, 45% had received training on water treatment at a facility; of these, 68% knew the recommended water-treatment procedure. Use of water stations, water treatment, and client training were sustained in some facilities for up to 3 years. Copyright © Cambridge University Press 2014 This is a work of the U.S. Government and is not subject to copyright protection in the United States..
water; adult; aged; Article; attitude to health; controlled study; female; hand washing; health care facility; health care personnel; health care quality; human; Kenya; male; rural health care; water treatment; epidemiology; evaluation study; health care personnel; hygiene; interview; middle aged; procedures; standards; statistics and numerical data; water management; water supply; young adult; Adult; Hand Disinfection; Health Knowledge, Attitudes, Practice; Health Personnel; Humans; Hygiene; Interviews as Topic; Kenya; Middle Aged; Rural Health Services; Water Purification; Water Supply; Young Adult