Tag Archives: hand washing

Robert Dreibelbis on Handwashing Behavior Change in Bangladesh

Robert Dreibelbis on Handwashing Behavior Change in Bangladesh: Global Waters Radio.

“What we are hoping to do with this study is assess the feasibility of using nudges to change handwashing behavior — so instead of changing how people make decisions, you change the context in which those decisions are actually made.” dreibel.png

Robert Dreibelbis is a Lecturer at the London School of Hygiene & Tropical Medicine and an Assistant Professor in the University of Oklahoma’s Department of Anthropology and Department of Civil Engineering and Environmental Sciences.

In honor of Global Handwashing Day (October 15th), Dreibelbis shares with Global Waters Radio his experiences with a handwashing behavior change pilot project in Bangladesh that delivered promising results obtained using subconscious environmental cues called “nudging.”

Without the use of additional handwashing education interventions, the nudge-based intervention implemented by Dreibelbis and his team increased handwashing among school children by 72 percent during the trial period.


Request for Proposals: “GSF Mid-Term Evaluation Consulting Services”

ImageThe Water Supply and Sanitation Collaborative Council (WSSCC) has specified in its Medium Term Strategic Plan 2012-2016 that all programmes funded by WSSCC’s Global Sanitation Fund (GSF) are subject to independent mid-term and five-year evaluations. These evaluations are aligned with the overall GSF financing mechanism, which is based on a five-year programme cycle.

Therefore, WSSCC is now calling for proposals by 7 June 2013 for “GSF Mid-Term Evaluation Consulting Services”. For more information about the consultancy, please click on this link:


The mid-term evaluations of GSF programmes in ten countries will be clustered in two batches of five countries in 2013 and 2014/2015 respectively. The assignment covers design and implementation of the mid-term evaluations as well as analysis, consolidation and dissemination of findings as per the Terms of Reference.

As of 31 March 2013, the GSF programmes are implemented in ten countries: Cambodia, Ethiopia, India, Madagascar, Malawi, Nepal, Nigeria, Senegal, Tanzania and Uganda. In addition, programme preparation is on-going in another six countries; Bangladesh, Benin, Burkina Faso, Kenya, Pakistan and Togo. Sanitation and hygiene awareness-raising and promotion activities in the first ten countries with GSF programmes has resulted in 1.4 million people having improved toilets, and more than 1 million people in nearly 4,000 communities who are now living in open defecation free environments.

Cambodia: hand washing a low priority in rural areas, ARDA study says

Only one in four rural Cambodians practice appropriate hand washing regardless of access to clean water and hygiene knowledge, according to a recent study presented by the Adventist Development and Relief Agency (ADRA) at the World Federation of Public Health Associations/American Public Health Association (WFPHA/APHA) Annual International Health Breakfast held in San Diego, California.

Dr. Leonard Uisetiawan, provincial projects advisor for the ADRA office in Phnom Penh, Cambodia, who presented the study [said] that less than 26 percent of rural Cambodians use good hand washing techniques regardless of access to clean water and hygiene knowledge. In addition, less than 6 percent of child caretakers properly washed their hands after changing a child’s soiled diaper or after defecation.

This research, funded by Colgate-Palmolive through the American Public Health Association, also highlighted that the practice of hand washing in Cambodian homes is not dependent on the availability of soap, water, buckets, accessibility to hand washing areas, household size, amount of children, mother’s vocation, or educational level.

[…] The Hand Washing Research Project has been conducted over the past year as part of “Phum Mittapheap Koma”, a three-year initiative aimed at improving rural health and reducing morbidity and mortality among more than 22,500 women and 17,400 children in the Kampong Thom province.

View a presentation of the Cambodian study here

See also two other related presentations by Colgate Palmolive Research grant recipients:

  • R. Courtney Cawthon: Hand Washing Education in Quezalguaque, Nicaragua;
  • Tova Reichel: Using the Child-to-Child Approach in Promoting Positive Hygiene Behaviors among Orphans and Vulnerable Children (OVC) in Rural Western Kenya 
  • Source: Satha Sin, Nadia McGill and Hearly Mayr, ARDA, 31 Dec 2008 ; WFPHA Monthly E-newsletter, Nov 2008