Hygiene behaviours among school children in rural VN:  the role of a school based hygiene promotion   Le thi Thanh Xuan, H...
BACKGROUND <ul><li>Better water and sanitation infrastructure does not necessarily improve health   </li></ul><ul><li>Hygi...
Children and We…. Basic facilities are created Children enjoy learning and learn better Take back to their families Invest...
Percent Reduction in Diarrhoea by SSHE interventions
VIETNAM? <ul><li>1 national WS in 1986->  HE was developed (curricula and textbooks) for PSC </li></ul><ul><li>National ta...
GENERAL OBJECTIVE <ul><li>Generate in-depth information on how school children perceive hygiene, how they practice hygiene...
SPECIFIC OBJECTIVES <ul><li>Describe and analyse activities and institutions involve in hygiene promotion as understood by...
KEY STUDY QUESTIONS <ul><li>What are formal and informal school-based hygiene promotion activities as perceived by communi...
KEY STUDY QUESTIONS <ul><li>How do school children practice hygienic (especially hand washing)? What motivates such behavi...
KEY HYGIENE BEHAVIORS <ul><li>Handwashing (after defecation and/or before eating, cooking) </li></ul><ul><li>Drinking wate...
STUDY POPULATION <ul><li>The primary:  school children (grade 1, 4, 7) </li></ul><ul><li>The secondary:  teachers, adminis...
SELECTION CRITERIA  <ul><li>The children able to communicate;  </li></ul><ul><li>Diversity of ethnic groups </li></ul><ul>...
STUDY DESIGN  Response-to-hygiene study 4 th  objective Hygiene practice study (home and school surveys) 3 rd  objective H...
SCHOOL STUDY x x x x Observation x x Role models x x x X Behavior trials X x x x x x x Beliefs inte. x Family structure X ...
HOME STUDY X X X X X x x Child interview x x X X Caretaker interview X X Structured observation X X X X X X Open Observati...
STUDY LOCATION <ul><li>Hop Thanh and Ta Phoi communes, Lao Cai city, Lao Cai province </li></ul><ul><li>Home study: two-th...
TIMELINE Sept-Nov 08 and April-May09 School study (1-2 weeks per school) June-Aug 08 and 09 Home study April-July 08 Stake...
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Ph D Protocol Presentation

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PHD protocol presentation at the Watsan WG Meeting on August 22, 2008

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Ph D Protocol Presentation

  1. 1. Hygiene behaviours among school children in rural VN: the role of a school based hygiene promotion Le thi Thanh Xuan, Hanoi Medical University PhD research protocol, SANIVAT project Presented at TWG meeting, 22 Aug 08
  2. 2. BACKGROUND <ul><li>Better water and sanitation infrastructure does not necessarily improve health </li></ul><ul><li>Hygiene behaviour, rather than service levels, was found to be more closely related with improvements in health </li></ul><ul><li>Schools are most important places of learning and behaviour change for children </li></ul><ul><li>Childhood is the best time for children to learn hygiene behaviours </li></ul>
  3. 3. Children and We…. Basic facilities are created Children enjoy learning and learn better Take back to their families Investing in children-> positive change
  4. 4. Percent Reduction in Diarrhoea by SSHE interventions
  5. 5. VIETNAM? <ul><li>1 national WS in 1986-> HE was developed (curricula and textbooks) for PSC </li></ul><ul><li>National target: 100% school hygienic sanitation coverage from 12% in rural areas by 2010 </li></ul><ul><li>Many efforts but still poor personal hygiene of rural population and school children (11.5% students who WHWS after defecation). </li></ul><ul><li>School sanitation and hygiene is still limited ( 77.4% of schools had latrines but only 37.7% that met the MOH hygienic standards, 52.5% of schools did not supply drinking water for pupils) </li></ul><ul><li>Hygiene seems to be influenced by ethnicity, educational level and socio-economic status </li></ul>
  6. 6. GENERAL OBJECTIVE <ul><li>Generate in-depth information on how school children perceive hygiene, how they practice hygiene (including sanitation at school setting), what motivates their hygiene behaviour and how they respond to participatory school-based hygiene promotion activities </li></ul>
  7. 7. SPECIFIC OBJECTIVES <ul><li>Describe and analyse activities and institutions involve in hygiene promotion as understood by communities and government authorities, especially at school setting. </li></ul><ul><li>Analyse how school children perceive hygiene and hygiene practices to be related to human health. </li></ul><ul><li>Analyse how school children practice hygienic behaviours and what motivates these behaviours </li></ul><ul><li>Assess how school children respond to participatory school-based hygiene promotion pilot activities (based on WASH approach) </li></ul>
  8. 8. KEY STUDY QUESTIONS <ul><li>What are formal and informal school-based hygiene promotion activities as perceived by communities and government authorities? </li></ul><ul><li>What are the formal and informal hygiene promotional activities that school children have been exposed to? </li></ul><ul><li>Who are actors involve in performing these activities? </li></ul><ul><li>Who are the actors influencing or motivating hygiene behaviour at community level and among school children in particularly? </li></ul><ul><li>How do school children perceive hygiene? </li></ul><ul><li>How do school children perceive hygiene practices to be related to human health? </li></ul>
  9. 9. KEY STUDY QUESTIONS <ul><li>How do school children practice hygienic (especially hand washing)? What motivates such behaviour? </li></ul><ul><li>Why do school children fail to adopt specific hygiene practices promoted by schools or outside agencies? </li></ul><ul><li>What are important factors in determining hygienic behaviour of school children? </li></ul><ul><li>How do school hygiene promotional activities influence to hygiene perception and practices of school children? </li></ul><ul><li>Is there any difference between boys and girls? Any difference among different ethnic group students? Between different age groups? </li></ul>
  10. 10. KEY HYGIENE BEHAVIORS <ul><li>Handwashing (after defecation and/or before eating, cooking) </li></ul><ul><li>Drinking water </li></ul><ul><li>Using latrines (both at school and at home) </li></ul>
  11. 11. STUDY POPULATION <ul><li>The primary: school children (grade 1, 4, 7) </li></ul><ul><li>The secondary: teachers, administrators, cleaners and parents of primary pupils and parent-pupil associations </li></ul><ul><li>The tertiary: related persons in the commune (VHWs, CHWs, CPC and local residence) and local authorities at district and provincial levels (DOET, PMC, WU, IEC…) </li></ul>
  12. 12. SELECTION CRITERIA <ul><li>The children able to communicate; </li></ul><ul><li>Diversity of ethnic groups </li></ul><ul><li>Diversity of age groups (both primary and secondary school) </li></ul><ul><li>Diversity of genders (boys and girls) </li></ul><ul><li>Diversity of geography (both main and branches) </li></ul><ul><li>Able to participate in the study (with informed consent) </li></ul><ul><li>Diversity of sanitary system at school (schools with and without latrine and drinking water supply) </li></ul>
  13. 13. STUDY DESIGN Response-to-hygiene study 4 th objective Hygiene practice study (home and school surveys) 3 rd objective Hygiene perception study of school children (school survey) 2 nd objective Stakeholder interviews (qualitative study) 1 st objective Design Objective
  14. 14. SCHOOL STUDY x x x x Observation x x Role models x x x X Behavior trials X x x x x x x Beliefs inte. x Family structure X x x x Daily diary x Motivator picture x Face-to-face child I. x Hygiene facilities ob. x x x x x Cleaner I. x x X X School staff I. School-home transfer Response Motivation Practice Perception Ability Opportunity Areas Tools
  15. 15. HOME STUDY X X X X X x x Child interview x x X X Caretaker interview X X Structured observation X X X X X X Open Observation School-home transfer Response Motivation Practice Perception Ability Opportunity Areas Tools
  16. 16. STUDY LOCATION <ul><li>Hop Thanh and Ta Phoi communes, Lao Cai city, Lao Cai province </li></ul><ul><li>Home study: two-three villages (represents for highland and lowland, most and least popular ethnic groups, having schools) </li></ul><ul><li>School study: all 4 main primary school and secondary school and two satellites (located in two villages of home study) </li></ul>
  17. 17. TIMELINE Sept-Nov 08 and April-May09 School study (1-2 weeks per school) June-Aug 08 and 09 Home study April-July 08 Stakeholder interviews Time Study
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