Promoting Handwashing Behavior in Peru : The Effect of Large-Scale Mass-Media and Community Level Interventions
This paper analyzes a randomized experiment that uses novel strategies to promote handwashing with soap at critical times in Peru. It evaluates a large-scale intervention that includes a mass media provincial campaign and a district-level community...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2012/11/16956626/promoting-handwashing-behavior-peru-effect-large-scale-mass-media-community-level-interventions http://hdl.handle.net/10986/19928 |
| id |
okr-10986-19928 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACUTE RESPIRATORY INFECTIONS ANEMIA ASCARIASIS ASCARIS LUMBRICOIDES BABY BEHAVIOR CHANGE BETTER HYGIENE BULLETIN CAPACITY BUILDING CAREGIVERS CHILD DEVELOPMENT CHILD HEALTH CHILD MORTALITY CHILD STOOLS CLEAN HANDS CLEAN WATER CLEANLINESS COLDS COMMUNICATION CAMPAIGN COMMUNITIES COMMUNITY ACTIVITIES DEATHS OF CHILDREN DEFECATION DEPRESSION DESCRIPTION DEVELOPING COUNTRIES DEVELOPMENT POLICY DIARRHEA DIET DIRTY HANDS DISEASE TRANSMISSION DISEASE VECTORS DISSEMINATION DISTRICTS DRACUNCULIASIS DRINKING WATER DWELLING DWELLINGS E. COLI EARTHQUAKE EQUALITY ESCHERICHIA COLI EXPOSURE TO INFORMATION FAMILIES FEVER FOOD PREPARATION GENDER GLOBAL HEALTH GLOBAL POVERTY GROUNDWATER HAND WASHING HANDWASHING HEADACHES HEALTH EXPERTS HEALTH INDICATORS HEALTH OUTCOMES HEALTH PROBLEMS HEALTH PROMOTERS HEALTH PROMOTION HEALTHY LIFE HELMINTHES HOOKWORM HOOKWORM INFECTION HOUSEHOLD ASSETS HOUSEHOLD INCOME HOUSEHOLDS HOUSES HOUSING HUMAN DEVELOPMENT HYGIENE HYGIENE HABITS HYGIENE PROMOTION HYGIENE PROMOTION PROGRAM ILL HEALTH ILLNESSES IMMUNIZATION INFANT INFANT HEALTH INFECTION INFECTIOUS DISEASE INFECTIOUS DISEASES INFORMATION CAMPAIGNS INHABITANTS INTERVENTION INTERVENTIONS IRON JOURNAL OF MEDICINE LEADING CAUSES LEVELS OF KNOWLEDGE LIVER LIVING STANDARDS LOCAL GOVERNMENTS LOW-INCOME SETTINGS MALNUTRITION MASS MEDIA MEDICAL PROFESSIONALS MORTALITY MOTHER NATIONAL GOVERNMENTS NEGATIVE EFFECTS NUMBER OF CHILDREN NUTRITION OBESITY PARASITES PARASITIC INFECTIONS PARASITOLOGICAL ANALYSIS PATHOGENS PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HYGIENE POSTERS PRACTITIONERS PREVALENCE PRIMARY SCHOOL PRIMARY SCHOOLS PROGRESS PUBLIC AFFAIRS PUBLIC HEALTH RADIO REPRODUCTIVE AGE RESPECT RESPIRATORY DISEASES RESPIRATORY TRACT INFECTIONS RISK OF CONTAMINATION ROTAVIRUS SAFE WATER SANITATION SANITATION FACILITIES SANITATION SERVICES SCHISTOSOMIASIS SCHOOL CURRICULA SECONDARY EDUCATION SOAP SOCIAL MARKETING SUSTAINABLE ACCESS SUSTAINABLE DEVELOPMENT SYMPTOMS SYMPTOMS OF ILLNESS SYNDROME TECHNICAL ASSISTANCE TEENAGERS TRACHOMA TRAINING SESSION TREATMENT TROPICAL MEDICINE TV URBAN AREAS VACCINATION VACCINATION CAMPAIGNS VACCINES VIRUS VIRUSES WASH HANDS WITH SOAP WASHING HANDS WATER SOURCE WATER SUPPLY WORLD HEALTH ORGANIZATION YOUNG CHILDREN |
| spellingShingle |
ACUTE RESPIRATORY INFECTIONS ANEMIA ASCARIASIS ASCARIS LUMBRICOIDES BABY BEHAVIOR CHANGE BETTER HYGIENE BULLETIN CAPACITY BUILDING CAREGIVERS CHILD DEVELOPMENT CHILD HEALTH CHILD MORTALITY CHILD STOOLS CLEAN HANDS CLEAN WATER CLEANLINESS COLDS COMMUNICATION CAMPAIGN COMMUNITIES COMMUNITY ACTIVITIES DEATHS OF CHILDREN DEFECATION DEPRESSION DESCRIPTION DEVELOPING COUNTRIES DEVELOPMENT POLICY DIARRHEA DIET DIRTY HANDS DISEASE TRANSMISSION DISEASE VECTORS DISSEMINATION DISTRICTS DRACUNCULIASIS DRINKING WATER DWELLING DWELLINGS E. COLI EARTHQUAKE EQUALITY ESCHERICHIA COLI EXPOSURE TO INFORMATION FAMILIES FEVER FOOD PREPARATION GENDER GLOBAL HEALTH GLOBAL POVERTY GROUNDWATER HAND WASHING HANDWASHING HEADACHES HEALTH EXPERTS HEALTH INDICATORS HEALTH OUTCOMES HEALTH PROBLEMS HEALTH PROMOTERS HEALTH PROMOTION HEALTHY LIFE HELMINTHES HOOKWORM HOOKWORM INFECTION HOUSEHOLD ASSETS HOUSEHOLD INCOME HOUSEHOLDS HOUSES HOUSING HUMAN DEVELOPMENT HYGIENE HYGIENE HABITS HYGIENE PROMOTION HYGIENE PROMOTION PROGRAM ILL HEALTH ILLNESSES IMMUNIZATION INFANT INFANT HEALTH INFECTION INFECTIOUS DISEASE INFECTIOUS DISEASES INFORMATION CAMPAIGNS INHABITANTS INTERVENTION INTERVENTIONS IRON JOURNAL OF MEDICINE LEADING CAUSES LEVELS OF KNOWLEDGE LIVER LIVING STANDARDS LOCAL GOVERNMENTS LOW-INCOME SETTINGS MALNUTRITION MASS MEDIA MEDICAL PROFESSIONALS MORTALITY MOTHER NATIONAL GOVERNMENTS NEGATIVE EFFECTS NUMBER OF CHILDREN NUTRITION OBESITY PARASITES PARASITIC INFECTIONS PARASITOLOGICAL ANALYSIS PATHOGENS PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HYGIENE POSTERS PRACTITIONERS PREVALENCE PRIMARY SCHOOL PRIMARY SCHOOLS PROGRESS PUBLIC AFFAIRS PUBLIC HEALTH RADIO REPRODUCTIVE AGE RESPECT RESPIRATORY DISEASES RESPIRATORY TRACT INFECTIONS RISK OF CONTAMINATION ROTAVIRUS SAFE WATER SANITATION SANITATION FACILITIES SANITATION SERVICES SCHISTOSOMIASIS SCHOOL CURRICULA SECONDARY EDUCATION SOAP SOCIAL MARKETING SUSTAINABLE ACCESS SUSTAINABLE DEVELOPMENT SYMPTOMS SYMPTOMS OF ILLNESS SYNDROME TECHNICAL ASSISTANCE TEENAGERS TRACHOMA TRAINING SESSION TREATMENT TROPICAL MEDICINE TV URBAN AREAS VACCINATION VACCINATION CAMPAIGNS VACCINES VIRUS VIRUSES WASH HANDS WITH SOAP WASHING HANDS WATER SOURCE WATER SUPPLY WORLD HEALTH ORGANIZATION YOUNG CHILDREN Galiani, Sebastian Gertler, Paul Orsola-Vidal, Alexandra Promoting Handwashing Behavior in Peru : The Effect of Large-Scale Mass-Media and Community Level Interventions |
| geographic_facet |
Latin America & Caribbean Peru |
| relation |
Policy Research Working Paper;No. 6257 |
| description |
This paper analyzes a randomized
experiment that uses novel strategies to promote handwashing
with soap at critical times in Peru. It evaluates a
large-scale intervention that includes a mass media
provincial campaign and a district-level community
component. The analysis finds that the mass media
intervention alone had no significant effect on exposure to
the handwashing promotion campaign messages, and therefore
no effect on handwashing knowledge or handwashing behavior.
In contrast, the community-level intervention, a more
comprehensive intervention that included several community
and school activities in addition to the communications
campaign, was successful in reaching the target audience
with handwashing promotion messages and in improving the
knowledge of the treated population on appropriate
handwashing behavior. Those improvements translated into
higher self-reported and observed handwashing with soap at
critical junctures. However, no significant improvements in
the health of children under the age of five were observed.
The results are consistent with earlier literature, which
indicates that substantively changing behavior to improve
health is a complex task requiring intensive and more
personalized interventions. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Galiani, Sebastian Gertler, Paul Orsola-Vidal, Alexandra |
| author_facet |
Galiani, Sebastian Gertler, Paul Orsola-Vidal, Alexandra |
| author_sort |
Galiani, Sebastian |
| title |
Promoting Handwashing Behavior in Peru : The Effect of Large-Scale Mass-Media and Community Level Interventions |
| title_short |
Promoting Handwashing Behavior in Peru : The Effect of Large-Scale Mass-Media and Community Level Interventions |
| title_full |
Promoting Handwashing Behavior in Peru : The Effect of Large-Scale Mass-Media and Community Level Interventions |
| title_fullStr |
Promoting Handwashing Behavior in Peru : The Effect of Large-Scale Mass-Media and Community Level Interventions |
| title_full_unstemmed |
Promoting Handwashing Behavior in Peru : The Effect of Large-Scale Mass-Media and Community Level Interventions |
| title_sort |
promoting handwashing behavior in peru : the effect of large-scale mass-media and community level interventions |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2012/11/16956626/promoting-handwashing-behavior-peru-effect-large-scale-mass-media-community-level-interventions http://hdl.handle.net/10986/19928 |
| _version_ |
1764443923594346496 |
| spelling |
okr-10986-199282021-04-23T14:03:52Z Promoting Handwashing Behavior in Peru : The Effect of Large-Scale Mass-Media and Community Level Interventions Galiani, Sebastian Gertler, Paul Orsola-Vidal, Alexandra ACUTE RESPIRATORY INFECTIONS ANEMIA ASCARIASIS ASCARIS LUMBRICOIDES BABY BEHAVIOR CHANGE BETTER HYGIENE BULLETIN CAPACITY BUILDING CAREGIVERS CHILD DEVELOPMENT CHILD HEALTH CHILD MORTALITY CHILD STOOLS CLEAN HANDS CLEAN WATER CLEANLINESS COLDS COMMUNICATION CAMPAIGN COMMUNITIES COMMUNITY ACTIVITIES DEATHS OF CHILDREN DEFECATION DEPRESSION DESCRIPTION DEVELOPING COUNTRIES DEVELOPMENT POLICY DIARRHEA DIET DIRTY HANDS DISEASE TRANSMISSION DISEASE VECTORS DISSEMINATION DISTRICTS DRACUNCULIASIS DRINKING WATER DWELLING DWELLINGS E. COLI EARTHQUAKE EQUALITY ESCHERICHIA COLI EXPOSURE TO INFORMATION FAMILIES FEVER FOOD PREPARATION GENDER GLOBAL HEALTH GLOBAL POVERTY GROUNDWATER HAND WASHING HANDWASHING HEADACHES HEALTH EXPERTS HEALTH INDICATORS HEALTH OUTCOMES HEALTH PROBLEMS HEALTH PROMOTERS HEALTH PROMOTION HEALTHY LIFE HELMINTHES HOOKWORM HOOKWORM INFECTION HOUSEHOLD ASSETS HOUSEHOLD INCOME HOUSEHOLDS HOUSES HOUSING HUMAN DEVELOPMENT HYGIENE HYGIENE HABITS HYGIENE PROMOTION HYGIENE PROMOTION PROGRAM ILL HEALTH ILLNESSES IMMUNIZATION INFANT INFANT HEALTH INFECTION INFECTIOUS DISEASE INFECTIOUS DISEASES INFORMATION CAMPAIGNS INHABITANTS INTERVENTION INTERVENTIONS IRON JOURNAL OF MEDICINE LEADING CAUSES LEVELS OF KNOWLEDGE LIVER LIVING STANDARDS LOCAL GOVERNMENTS LOW-INCOME SETTINGS MALNUTRITION MASS MEDIA MEDICAL PROFESSIONALS MORTALITY MOTHER NATIONAL GOVERNMENTS NEGATIVE EFFECTS NUMBER OF CHILDREN NUTRITION OBESITY PARASITES PARASITIC INFECTIONS PARASITOLOGICAL ANALYSIS PATHOGENS PNEUMONIA POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HYGIENE POSTERS PRACTITIONERS PREVALENCE PRIMARY SCHOOL PRIMARY SCHOOLS PROGRESS PUBLIC AFFAIRS PUBLIC HEALTH RADIO REPRODUCTIVE AGE RESPECT RESPIRATORY DISEASES RESPIRATORY TRACT INFECTIONS RISK OF CONTAMINATION ROTAVIRUS SAFE WATER SANITATION SANITATION FACILITIES SANITATION SERVICES SCHISTOSOMIASIS SCHOOL CURRICULA SECONDARY EDUCATION SOAP SOCIAL MARKETING SUSTAINABLE ACCESS SUSTAINABLE DEVELOPMENT SYMPTOMS SYMPTOMS OF ILLNESS SYNDROME TECHNICAL ASSISTANCE TEENAGERS TRACHOMA TRAINING SESSION TREATMENT TROPICAL MEDICINE TV URBAN AREAS VACCINATION VACCINATION CAMPAIGNS VACCINES VIRUS VIRUSES WASH HANDS WITH SOAP WASHING HANDS WATER SOURCE WATER SUPPLY WORLD HEALTH ORGANIZATION YOUNG CHILDREN This paper analyzes a randomized experiment that uses novel strategies to promote handwashing with soap at critical times in Peru. It evaluates a large-scale intervention that includes a mass media provincial campaign and a district-level community component. The analysis finds that the mass media intervention alone had no significant effect on exposure to the handwashing promotion campaign messages, and therefore no effect on handwashing knowledge or handwashing behavior. In contrast, the community-level intervention, a more comprehensive intervention that included several community and school activities in addition to the communications campaign, was successful in reaching the target audience with handwashing promotion messages and in improving the knowledge of the treated population on appropriate handwashing behavior. Those improvements translated into higher self-reported and observed handwashing with soap at critical junctures. However, no significant improvements in the health of children under the age of five were observed. The results are consistent with earlier literature, which indicates that substantively changing behavior to improve health is a complex task requiring intensive and more personalized interventions. 2014-09-02T18:51:11Z 2014-09-02T18:51:11Z 2012-11 http://documents.worldbank.org/curated/en/2012/11/16956626/promoting-handwashing-behavior-peru-effect-large-scale-mass-media-community-level-interventions http://hdl.handle.net/10986/19928 English en_US Policy Research Working Paper;No. 6257 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Latin America & Caribbean Peru |