Wolf?Peter Schmidt|Robert Aunger|Yolande Coombes|Peninnah Mukiri Maina|Carol Nkatha Matiko|Adam Biran|Val Curtis
Determinants of handwashing practices in Kenya: the role of media exposure, poverty and infrastructure
London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine
explore structural constraints lack reliable water supply sanitation educational socioeconomic factors limit adoption better hygienein preparation kenya national handwashing campaign conducted nationwide cross sectional survey 800 households two components direct structured observation hygiene practices key junctures food handling cleaning child defaecation toilet use followed ii structured interview addressing potential socioeconomic water access behavioural determinants handwashingwe observed total 5182 critical opportunities handwashing handwashing soap 25 handwashing soap often practised faecal contact 32 connection food handling 15 univariate multivariate analysis water access level education media exposure media ownership associated handwashing soap households poor access water sanitation lowest levels education media exposure washed hands markedly less majority householdsthe results underscore structural constraints limit hygiene practices disadvantaged sections population thus jeopardizing potential success hygiene promotion campaigns risk disease nevertheless strong association handwashing media ownership exposure supports view mass media play role hygiene promotion