evaluating the efficacy of hygiene improvement frameworks using existing cultural beliefs marie...

Evaluating the Efficacy of Hygiene Improvement Frameworks Using Existing Cultural Beliefs

Marie Grace Trinidad

UROP May 2008

University of California,

Irvine

Acknowledgements:This work would not be possible without:

Professor Zuzana Bic, MUDr., Dr.P.H.

Professor Valerie Jenness, Ph.D.

Dr. Candace Coffman, Ph.D.

Professor Susan Tananbaum, Ph.D.

Said Shokair and UROP

Linda Murphy and LURF

The Social Ecology Honors Program

Outline

• Motivation for Study• Central Research Question • Methodology• Findings• Conceptual Framework

Motivation

To identify optimal approaches for reducing diarrheal disease in

developing countries

Source: United Nations Development Programme, Human Development Report, 2006, available at http://hdr.undp.org/hdr2006/. Map is from globalhealthfacts.org

Source: United Nations Development Programme, Human Development Report, 2006, available at http://hdr.undp.org/hdr2006/. Map is from globalhealthfacts.org

Source: United Nations Development Programme, Human Development Report, 2006, available at http://hdr.undp.org/hdr2006/. Map is from globalhealthfacts.org

Central Question

What hygiene interventions in developing countries are effective and

sustainable?

Research Methodology

• Literature Review: Web of Science and JSTOR• Hygiene intervention (8 papers): diarrheal burden,

perceived sustainability, broad applicability, and weakness in intervention design

• Motivations for hygiene behavior (14 papers): cultural factors and motivations for behavior change

Hygiene Interventions: all reduced diarrhea by 20-50%

ApproachEducational Interventions

Provision of soap

Purchase of water vessels

Purchase of latrines

Point of use disinfectants

ChallengesSocial structures

Cost

Cost

Cost

Taste, Cost, Time

Motivations for Hygiene Behavior

• Nurture: desire to care for children • Disgust: perceptions of contamination• Appearance: reflections of respectability• Status: desire to resemble royal class• Sorcery: protection from evil spirits• Health: prevention of diarrhea

Disease beliefs

Household practices

AIDS prevalence

Per capita health $

Household income

Hygiene behaviors

Diarrheal burden

Under 5 mortality

Sanitation coverage

Water coverage

If you have any questions please contact me:

Marie Grace Trinidad

University of California, Irvine

mtrinida@uci.edu