Evaluating the Efficacy of Hygiene Improvement Frameworks Using Existing Cultural Beliefs Marie Grace Trinidad UROP May 2008 University of California,

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Presentation transcript:

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 Map is from globalhealthfacts.org

Source: United Nations Development Programme, Human Development Report, 2006, available at Map is from globalhealthfacts.org

Source: United Nations Development Programme, Human Development Report, 2006, available at 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% Approach Educational Interventions Provision of soap Purchase of water vessels Purchase of latrines Point of use disinfectants Challenges Social structures 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