Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis

Social and behavior change (SBC) has long been recognized as a necessary step in the promotion of handwashing with soap (HHWS), and identifying the barriers and enablers of this behavior are key to increasing its adoption. Based on the health belief model (HBM), the theory of reasoned action (TRA) a...

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Autores principales:	Md. Abul Kalam, Thomas P. Davis, Md. Ariful Islam, Shahidul Islam, Bonnie L. Kittle, Marc Pérez Casas
Formato:	article
Lenguaje:	EN
Publicado:	IWA Publishing 2021
Materias:	barrier analysis behavior change behavioral determinants handwashing hygiene Environmental technology. Sanitary engineering TD1-1066
Acceso en línea:	https://doaj.org/article/b0df5f7015824a9aade3e46b399f8d72
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spelling	oai:doaj.org-article:b0df5f7015824a9aade3e46b399f8d722021-11-23T18:22:54ZExploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis2043-90832408-936210.2166/washdev.2021.070https://doaj.org/article/b0df5f7015824a9aade3e46b399f8d722021-11-01T00:00:00Zhttp://washdev.iwaponline.com/content/11/6/1006https://doaj.org/toc/2043-9083https://doaj.org/toc/2408-9362Social and behavior change (SBC) has long been recognized as a necessary step in the promotion of handwashing with soap (HHWS), and identifying the barriers and enablers of this behavior are key to increasing its adoption. Based on the health belief model (HBM), the theory of reasoned action (TRA) and other behavioral models, this barrier analysis study was conducted to identify the barriers and enablers of HWWS after defecation in an urban setting in Bangladesh. We conducted interviews with 45 adults who washed their hands with soap after defecation (doers) and compared them to 45 adults who did not (non-doers). The analysis showed that the main barriers of HWWS after defecation were related to perceived self-efficacy, difficulty to remember to buy soap, access to low-cost soap, low perceived severity of diarrhea, and not believing that HWWS would reduce diarrhea. Believing that it is Allah's will when one gets diarrhea was mentioned more frequently by the non-doers, while feeling clean and keeping free from illness were reported as benefits of HWWS significantly by the doers. The results suggest that an SBC strategy that addresses these key barriers and enablers would be more effective in promoting the adoption of HWWS. HIGHLIGHTS This study has revealed critical differences in beliefs between doers and non-doers on HWWS from a behavioral perspective.; Key barriers included access to soap and handwashing station and difficulty in remembering to hand wash.; Self-efficacy and social norms are important determinants of HWWS behavior.; Targeting the specific behavioral determinants is critical to increase the adoption of HWWS behavior.;Md. Abul KalamThomas P. DavisMd. Ariful IslamShahidul IslamBonnie L. KittleMarc Pérez CasasIWA Publishingarticlebarrier analysisbehavior changebehavioral determinantshandwashinghygieneEnvironmental technology. Sanitary engineeringTD1-1066ENJournal of Water, Sanitation and Hygiene for Development, Vol 11, Iss 6, Pp 1006-1015 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	barrier analysis behavior change behavioral determinants handwashing hygiene Environmental technology. Sanitary engineering TD1-1066
spellingShingle	barrier analysis behavior change behavioral determinants handwashing hygiene Environmental technology. Sanitary engineering TD1-1066 Md. Abul Kalam Thomas P. Davis Md. Ariful Islam Shahidul Islam Bonnie L. Kittle Marc Pérez Casas Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis
description	Social and behavior change (SBC) has long been recognized as a necessary step in the promotion of handwashing with soap (HHWS), and identifying the barriers and enablers of this behavior are key to increasing its adoption. Based on the health belief model (HBM), the theory of reasoned action (TRA) and other behavioral models, this barrier analysis study was conducted to identify the barriers and enablers of HWWS after defecation in an urban setting in Bangladesh. We conducted interviews with 45 adults who washed their hands with soap after defecation (doers) and compared them to 45 adults who did not (non-doers). The analysis showed that the main barriers of HWWS after defecation were related to perceived self-efficacy, difficulty to remember to buy soap, access to low-cost soap, low perceived severity of diarrhea, and not believing that HWWS would reduce diarrhea. Believing that it is Allah's will when one gets diarrhea was mentioned more frequently by the non-doers, while feeling clean and keeping free from illness were reported as benefits of HWWS significantly by the doers. The results suggest that an SBC strategy that addresses these key barriers and enablers would be more effective in promoting the adoption of HWWS. HIGHLIGHTS This study has revealed critical differences in beliefs between doers and non-doers on HWWS from a behavioral perspective.; Key barriers included access to soap and handwashing station and difficulty in remembering to hand wash.; Self-efficacy and social norms are important determinants of HWWS behavior.; Targeting the specific behavioral determinants is critical to increase the adoption of HWWS behavior.;
format	article
author	Md. Abul Kalam Thomas P. Davis Md. Ariful Islam Shahidul Islam Bonnie L. Kittle Marc Pérez Casas
author_facet	Md. Abul Kalam Thomas P. Davis Md. Ariful Islam Shahidul Islam Bonnie L. Kittle Marc Pérez Casas
author_sort	Md. Abul Kalam
title	Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis
title_short	Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis
title_full	Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis
title_fullStr	Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis
title_full_unstemmed	Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis
title_sort	exploring behavioral determinants of handwashing with soap after defecation in an urban setting in bangladesh: findings from a barrier analysis
publisher	IWA Publishing
publishDate	2021
url	https://doaj.org/article/b0df5f7015824a9aade3e46b399f8d72
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Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis

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