THREE more days to go before Global Handwashing Day! Here's a bit on the reasons for the day and on chidlren particiapting in the day.
From the Global Handwashing Day website
Handwashing with soap is the most effective and inexpensive way to prevent diarrheal and acute respiratory infections, which take the lives of millions of children in developing countries every year. Together, they are responsible for the majority of all child deaths. Yet, despite its lifesaving potential, handwashing with soap is seldom practiced and difficult to promote.
Turning handwashing with soap before eating and after using the toilet into an ingrained habit could save more lives than any single vaccine or medical intervention, cutting deaths from diarrhea by almost half and deaths from acute respiratory infections by one-quarter. A vast change in handwashing behavior is critical to meeting the Millennium Development Goal of reducing deaths among children under the age of five by two-thirds by 2015.
Global Handwashing Day focuses on children because not only do they suffer disproportionately from diarrheal and respiratory diseases and deaths, but research shows that children – the segment of society so often the most energetic, enthusiastic, and open to new ideas – can also be powerful agents for changing behaviors like handwashing with soap in their communities.
Handwashing and Children's Particiapation
Many people and many children are taught about hand washing. I have visited many schools in numerous developing countries and listened to many renditions of the song,
This is the way we wash our hands!
Wash our hands! Wash our hands!
However when you start to talk to the children about putting this 'message' into practice you unearth lots of complexities to do with their environment, the habits of their families the cultural norms, the availability of soap and water, the confusion over the effectiveness of hand washing after toilet and before eating etc. etc. It is a simple message and a complex issue.
My work is all about working with children using a participatory process, which addresses this complexity. As part of that process, we get the children to research the issue as it is for them in their own lives, we identify what is working (if anything is!) And then WITH THE CHILDREN, we work out a strategy to grow what works or address the barriers to the behaviour change that we want and need. In my experience it is only when we do this that we can start to get close to transforming behaviour. The children can be a powerful part of that transformative process (just imagine if you do this right each classroom represents an army of health activists in their family and community!) but it doesn’t work simply by telling them to do x or y. You have to do it in the right way and mobilise the children.
A useful diagnostic tool I apply to looking at complex health education issues like hand washing is to look at 4 aspects of the intervention:
1. Does the target group have the KNOWLEDGE?
2. Does the target groups have the SKILLS to act on the knowledge?
3. Does that target group have the MOTIVATION to apply the knowledge and skills? and
4. Does the ENVIRONMENT in which the target group lives, enable or hinder the application of the knowledge and skills even when motivated to do so.
When something like the message about hand washing is not working then the reasons can usually be traced back to one of these four aspects or a combination.
I am busy preparing a series of ‘lessons’ to help teachers use a participatory process and I hope these will be ready for the 15th October to celebrate the day. I would LOVE to embed more case studies than I have into his series so please send me your experiences and I am especially interested to hear from people who are conducting handwashing with children successfully.
Recent Comments