Chase, ClaireDo, Quy-Toan2013-01-022013-01-022012-09https://hdl.handle.net/10986/12056Handwashing with soap, which has been shown to reduce diarrhea in young children by as much as 48 percent, is frequently mentioned as one of the most effective and inexpensive ways to save children's lives. Yet rates of handwashing remain very low throughout the world. Handwashing with soap campaigns are de rigueur in developing countries, but little is known about their effectiveness. Few have been rigorously evaluated, and none on a large-scale. This paper evaluates a large-scale handwashing campaign in three provinces of Vietnam in 2010. Exposure to the campaign resulted in a slight increase in the availability of handwashing materials in the household, and caregivers in the treatment group were more likely to report washing hands at some of the times emphasized by the campaign. However, observed handwashing with soap at these times is low, and there isn't any difference between the treatment and control groups. As a result, no impact on health or productivity is found. These results suggest that even under seemingly optimal conditions, where knowledge and access to soap and water are not main constraints, behavior change campaigns that take place on a large scale face tradeoffs in terms of intensity and effectiveness.en-USCC BY 3.0 IGOACUTE RESPIRATORY INFECTIONACUTE RESPIRATORY INFECTIONSANEMIAAPPROPRIATE INCENTIVESAVIAN INFLUENZABABYBEHAVIOR CHANGEBREASTFEEDINGBULLETINCAPACITY BUILDINGCARE FOR CHILDRENCAREGIVERSCHILD DEATHSCHILD DEVELOPMENTCHILD HEALTHCHILD MORTALITYCHILD MORTALITY RATESCHILD NUTRITIONCHILD SURVIVALCLEANLINESSCOMMUNICATION CAMPAIGNCOOKINGDEFECATIONDEVELOPING COUNTRIESDEVELOPMENT EFFORTSDEVELOPMENT POLICYDIARRHEADIARRHEAL DISEASESDIARRHOEADISEASEDISEASE BURDENDISEASE PREVENTIONDRINKING WATERECONOMIC GROWTHEDUCATIONAL ATTAINMENTENVIRONMENTAL HEALTHENVIRONMENTAL SANITATIONEPIDEMIOLOGYETHNIC GROUPETHNIC GROUPSFAMILY MEMBERSFEMALESFEVERFOCUS GROUP DISCUSSIONSFOOD PREPARATIONGAUGEGENDER NORMSGERM THEORYGERMSGOVERNMENT AGENCIESHAND WASHINGHANDS WITH SOAPHANDWASHINGHEALTH EDUCATIONHEALTH FACILITIESHEALTH INDICATORSHEALTH MESSAGESHEALTH OUTCOMESHEALTH WORKERSHIV/AIDSHOME VISITSHOUSEHOLD ASSETSHOUSEHOLD LEVELHYGIENEHYGIENE BEHAVIORHYGIENE BEHAVIOURHYGIENE EDUCATIONHYGIENE PRACTICESHYGIENE PROMOTIONHYGIENE PROMOTION PROGRAMILLNESSIMPACT ON HEALTHIMPAIRMENTSINFANTINFECTIONINFECTIONSINFLUENZAINTERNATIONAL JOURNAL OF EPIDEMIOLOGYINTERPERSONAL COMMUNICATIONINTERVENTIONLIVING CONDITIONSLOCAL CAPACITYLOCAL TELEVISIONMALARIAMALNUTRITIONMARKETINGMASS MEDIAMILLENNIUM DEVELOPMENT GOALSMINISTRY OF HEALTHMINORITYMORBIDITYMORTALITYMOTHERNATIONAL GOVERNMENTNATIONAL GOVERNMENTSNATIONAL LEVELNAUSEANUMBER OF HOUSEHOLDSNUTRITIONPATHOGENSPOLICY DISCUSSIONSPOLICY RESEARCHPOLICY RESEARCH WORKING PAPERPOOR HYGIENEPOPULATION ESTIMATESPOPULATION SIZEPOSTERSPRACTITIONERSPRETESTINGPREVALENCEPREVENTABLE DISEASESPRIMARY CAREGIVERSPROGRESSPROMOTIONAL MATERIALSPSYCHOLOGYPUBLIC HEALTHQUALITY CONTROLRADIORURAL AREASRURAL POPULATIONRURAL WATER SUPPLYSAFE DRINKING WATERSAFE WATERSANITATIONSANITATION FACILITIESSEXSEXUALITYSOAPSOCIAL DEVELOPMENTSOCIAL SCIENCESOCIAL SCIENCESSUSTAINABLE DEVELOPMENTSYMPTOMSTELEVISIONTOUCHTRANSMISSION OF DISEASETREATMENTTROPICAL MEDICINETUBERCULOSISTVUNION MEMBERSURBAN AREASVACCINEVOMITINGWASH HANDS WITH SOAPWASHING HANDSWATER SOURCEWATER TREATMENTWORKERSWORLD HEALTH ORGANIZATIONYOUNG CHILDRENMicrodata SetWorld Bank10.1596/1813-9450-6207