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Evaluating the Efficacy of Hygiene Improvement Frameworks Using Existing Cultural Beliefs
Marie Grace Trinidad
UROP May 2008
University of California,
Irvine
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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
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Outline
• Motivation for Study• Central Research Question • Methodology• Findings• Conceptual Framework
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Motivation
To identify optimal approaches for reducing diarrheal disease in
developing countries
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Source: United Nations Development Programme, Human Development Report, 2006, available at http://hdr.undp.org/hdr2006/. Map is from globalhealthfacts.org
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Source: United Nations Development Programme, Human Development Report, 2006, available at http://hdr.undp.org/hdr2006/. Map is from globalhealthfacts.org
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Source: United Nations Development Programme, Human Development Report, 2006, available at http://hdr.undp.org/hdr2006/. Map is from globalhealthfacts.org
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Central Question
What hygiene interventions in developing countries are effective and
sustainable?
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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
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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
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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
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Disease beliefs
Household practices
AIDS prevalence
Per capita health $
Household income
Hygiene behaviors
Diarrheal burden
Under 5 mortality
Sanitation coverage
Water coverage
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If you have any questions please contact me:
Marie Grace Trinidad
University of California, Irvine