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首页> 外文期刊>Global health promotion >A pilot project: handwashing educational intervention decreases incidence of respiratory and diarrheal illnesses in a rural Malawi orphanage
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A pilot project: handwashing educational intervention decreases incidence of respiratory and diarrheal illnesses in a rural Malawi orphanage

机译：一个试点项目:洗手的教育干预减少呼吸道发病率在马拉维农村和腹泻疾病孤儿院

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Children who live in orphanages represent a population particularly vulnerable to transmissible diseases. Handwashing interventions have proven efficacy for reducing the rate of transmission of common infectious diseases. Few studies have analyzed the delivery of health interventions for children in orphanages in sub-Saharan Africa. To address this gap, we conducted an ecological assessment and piloted a handwashing intervention in an orphanage in rural Malawi, focusing on caregiver knowledge and behaviors, child handwashing behaviors, and disease incidence. A secondary study aim was to demonstrate program feasibility for a future randomized controlled trial. Orphanage caregivers participated in a three-module educational intervention on handwashing based on WHO recommendations and workshops on how to teach the curriculum to children. Seventeen orphanage caregivers and 65 children were monitored for handwashing behavior and child disease incidence. Friedman’s tests were conducted to compare changes in caregiver knowledge and behaviors. Child handwashing behaviors and surveillance of child disease incidence were measured pre- and post-intervention. There were significant increases in caregiver hand hygiene knowledge. At six months post-intervention, handwashing with soap increased significantly among caregivers ( p 0.001) and was observed in children. The incidence of acute respiratory infections decreased from 30% to 6% post-intervention, resulting in an 80% decrease. The incidence of diarrhea decreased from 9.2% to 6.2% post-intervention, resulting in a 33% decrease. A brief educational intervention may improve handwashing knowledge and behaviors and help to decrease the incidence of common infectious diseases in an orphanage in rural Malawi. In addition, the caregiver uptake of the intervention demonstrated feasibility for future studies.
机译：孩子生活在孤儿院代表人口特别容易受到传染性疾病。有效减少的速度的功效吗常见传染病的传播。研究分析了健康的交付在孤儿院儿童的干预措施撒哈拉以南非洲地区。进行了一次生态评估和驾驶洗手干预在孤儿院在农村马拉维、关注和护理知识行为,孩子洗手行为,疾病的发病率。演示项目可行性的未来随机对照试验。参加了一个three-module教育基于谁干预洗手建议和车间如何教课程的孩子。护理人员和65名儿童被监控洗手行为和儿童疾病发病率。弗里德曼的测试进行了比较护理知识和行为的变化。孩子洗手行为和监测儿童发病率和计量干预。增加照顾者的手部卫生知识。六个月后干预,洗手soap医护人员之间显著增加(p& 急性呼吸道感染的发生率干预后从30%下降到6%,导致减少了80%。腹泻从9.2%下降到6.2%干预后,导致减少了33%。短暂的教育干预可以改善洗手知识和行为和帮助常见传染病的发病率降低疾病在马拉维农村在孤儿院里。照顾者吸收的干预了为未来的可行性研究。

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