Publication: Behavioral Determinants of Handwashing with Soap Among Mothers and Caretakers : Emergent Learning from Senegal and Peru
Date
2012-02
ISSN
Published
2012-02
Author(s)
World Bank
Abstract
The Water and Sanitation Program (WSP)
has supported the Global Scaling up Handwashing Project in
Peru, Senegal, Tanzania, and Vietnam. The project has tested
whether innovative promotional approaches to behavior change
can generate widespread and sustained improvements in
household hygiene practices. The implementation phase of the
project ended in June 2011. The project has a significant
learning objective, an important component of which is to
ascertain the key factors that influence behavior change.
These are known as behavioral determinants. Studies such as
a formative research study conducted in Kenya in 2007 have
found that while knowledge around hand-washing tends to be
high, practice rates are low. This finding is illustrative
of the knowledge-behavior gap encountered by anti-smoking
and condom-use initiatives, among others, and reflects the
complexity of human behavior. More specifically, FOAM
(Focus, Opportunity, Ability, and Motivation) was developed
to inform the design of formative research, interventions as
well as monitoring to increase the effectiveness of its
behavior change program. A key feature of the project is its
monitoring and evaluation component, which includes
randomized control baseline and end-line studies,
longitudinal surveys, periodic implementation surveys, and a
comprehensive management information system (MIS) that
enabled continuous monitoring and improvement. These
components have been used to measure and track key
indicators such as diarrhea incidence. This Learning Note
aims to highlight key findings from two studies, the impact
evaluation baseline study conducted in Peru in 20074 and a
'doer/non-doer' study conducted in Senegal in 2010.
Citation
“World Bank. 2012. Behavioral Determinants of Handwashing with Soap Among Mothers and Caretakers : Emergent Learning from Senegal and Peru. Water and Sanitation Program : Learning Note. © Washington, DC. http://openknowledge.worldbank.org/entities/publication/34882a0a-079e-5a0d-a639-21b1f7477cee License: CC BY 3.0 IGO.”