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Practical Guidance for Measuring Handwashing Behavior
Summary
Accurate measures of hand washing behaviour are critical to understanding households' health environment, but it can be challenging to measure hand washing reliably. This document discusses a set of hand washing indicators and recommendations prepared to support the Water and Sanitation Program's (WSP) six-country scaling-up of hand washing promotion and community-led total sanitation. The following hand washing measures were assessed for their validity, reliability, and efficiency: self-reports, rapid household observations, microbiological measures of hand contamination, structured observations, bars of soap with motion sensors, and combined use of structured observations and motion sensors.
About the publisher
The Water and Sanitation Program (WSP) is a multi-donor partnership administered by the World Bank to support poor people in obtaining affordable, safe and sustainable access to water and sanitation services. WSP works directly with client governments at the local and national level in 25 countries through regional offices in Africa, East and South Asia, Latin America and the Caribbean, and in, Washington D.C. www.wsp.org
