evaluating the efficacy of hygiene improvement frameworks using existing cultural beliefs marie...
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Outline Motivation for Study Central Research Question Methodology Findings Conceptual FrameworkTRANSCRIPT
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