The use of Hygiene Index in measuring Hygiene Behaviour Change in Zimbabwe
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The document discusses using a Hygiene Index to measure behavior change in hygiene practices in Zimbabwe. It describes implementing integrated hygiene promotion activities through health clubs, community facilitators, and local leadership. A PHHE Index tool was developed to assess hygiene practices in homes using a scoring system to classify hygiene levels. Over 2300 people were followed every 6 months. Results found that communities can effectively monitor themselves, certain unhealthy behaviors were common, distance to water was prioritized over quality, and significant impact on adoption of healthier behaviors and reduction of diseases was revealed.
The use of Hygiene Index in measuring Hygiene Behaviour Change in Zimbabwe
- 1. The use of Hygiene Index in measuring Hygiene Behaviour Change in ZimbabweMuchanyara Jarawaza
- 3. Health & Hygiene Approaches Integrated with other livelihood activitiesPHHE and Health Clubs trainingNGO partners, community facilitators, EHTs, school health masters, local leadershipFormation of health clubsVillage, schoolPHHE Index Impact Assessment and Planning tool
- 4. PHHE Index Tool & DesignAssess hygiene practice in & around the home Rural & Urban tools developed Administered by community membersProxy formula derived from weighted scoresPoor (0-37) Medium (38-74)Good (75 – 89)Very Good (91- 112)6 monthly follow ups (N= 2300+ )
- 8. Health clubs & Practice
- 9. Access to Safe Water
- 10. Hygiene Severity Risk Map (2011)
- 11. Lessons LearntMonitoring in rural communities can be done effectively by the communities themselvesCertain unhealthy behaviours were common among communities e.g. household water treatment not a normTo the community, distance to water was more important than quality. Results revealed a significant impact on adoption of healthier behaviours and reduction in diseases
- 12. THE END
Editor's Notes
- #5: 21 questions based on the F-diagram:Water -Treatment, transportation, storage, usageKitchen/personal -Cleanliness, waste disposal, personalSanitation -Use of, cleanliness, hand washingEnvironment-Litter/faecal matter, stagnant waterWas translated into 3 vernacular languages
- #7: R1 – 2010R2- 2011Overall R2 average slightly higher than R1 – NOT to be seen as longitudinal - different respondents in R1 and R2 – including some additional districts in R2From now on we will be doing longitudinal – i.e. comparisons over time to assess impact. Evidence of peer influence These scores showNo differences across HH sizeSlightly better scores in R2
- #11: Data can be mapped to see the spatial distribution – hygiene risk map