Access to handwashing with soap facility: a post-sensitisation investigation of drivers

ABSTRACT

As part of measures to promote good hygiene, the United Nations International Children's Emergency Fund adopted affordable handwashing with soap facility (Tippy-Tap), and implemented sensitisation training for residents in the Binduri District of Ghana. In the context of good hygiene technology adoption, this study examines how poor communities have adopted and used Tippy-Tap over a period of 1 year. The study further identifies the associated post-sensitisation drivers of the Tippy-Tap. In addition to descriptive analysis, this study relies on post-sensitisation cross-sectional data and a logit regression with its marginal effects for the analysis. The results show that after the sensitisation programme, the adoption and use rate now stand at 90%, up from the baseline of 4%. The study provides evidence that female household-heads are more likely to adopt and use the Tippy-Tap relative to male household-heads. The study further reveals that being educated increases the probability of accessing the Tippy-Tap facility by about 23%. Subsequently, this study finds that personal, household, and community-level characteristics are the key drivers of the high adoption and use rate. In conclusion, the study finds evidence of a high adoption and use rate of the Tippy-Tap initiative after its sensitisation. The study recommends extensive sensitisation of hand hygiene using community-level social norms and practices.