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Could Alcohol-Based Hand Sanitizer Be an Option for Hand Hygiene for Households in Rural Bangladesh?
Yeasmin, Dalia; Dutta, Notan C; Nizame, Fosiul A; Rahman, Musarrat J; Ashraf, Sania; Ram, Pavani K; Leontsini, Elli; Rahman, Mahbubur; Winch, Peter J; Luby, Stephen P; Unicomb, Leanne.
  • Yeasmin D; 1International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
  • Dutta NC; 1International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
  • Nizame FA; 1International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
  • Rahman MJ; 1International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
  • Ashraf S; 2The Center for Social Norms and Behavioral Dynamics, University of Pennsylvania, Philadelphia, Pennsylvania.
  • Ram PK; 3Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, New York.
  • Leontsini E; 4Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
  • Rahman M; 1International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
  • Winch PJ; 4Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
  • Luby SP; 5Stanford University, Stanford, California.
  • Unicomb L; 1International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
Am J Trop Med Hyg ; 104(3): 874-883, 2021 Jan 18.
Article in English | MEDLINE | ID: covidwho-1060758
ABSTRACT
In low- and middle-income countries (LMICs), hand sanitizer may be a convenient alternative to soap and water to increase hand hygiene practices. We explored perceptions, acceptability, and use of hand sanitizer in rural Bangladesh. We enrolled 120 households from three rural villages. Promoters distributed free alcohol-based hand sanitizer, installed handwashing stations (bucket with tap, stand, basin, and bottle for soapy water), and conducted household visits and community meetings. During Phase 1, promoters recommended handwashing with soap or soapy water, or hand sanitizer after defecation, after cleaning a child's anus/feces, and before food preparation. In Phase 2, they recommended separate key times for hand sanitizer before touching a child ≤ 6 months and after returning home. Three to 4 months after each intervention phase, we conducted a survey, in-depth interviews, and group discussions with child caregivers and male household members. After Phase 1, 82/89 (92%) households reported handwashing with soap after defecation versus 38 (43%) reported hand sanitizer use. Participants thought soap and water removed dirt from their hands, whereas hand sanitizer killed germs. In Phase 2, 76/87 (87%) reported using hand sanitizer after returning home and 71/87 (82%) before touching a child ≤ 6 months. Qualitative study participants reported that Phase 2-recommended times for hand sanitizer use were acceptable, but handwashing with soap was preferred over hand sanitizer when there was uncertainty over choosing between the two. Hand sanitizer use was liked by household members and has potential for use in LMICs, including during the coronavirus pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rural Population / Alcohols / Hand Hygiene / Hand Sanitizers Type of study: Observational study / Qualitative research Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Am J Trop Med Hyg Year: 2021 Document Type: Article Affiliation country: Ajtmh.20-0755

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rural Population / Alcohols / Hand Hygiene / Hand Sanitizers Type of study: Observational study / Qualitative research Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Am J Trop Med Hyg Year: 2021 Document Type: Article Affiliation country: Ajtmh.20-0755