SCHOOL HYGIENE PROMOTION APPROACHES AND THEIR INFLUENCE ON PUPIL'S HYGIENE PRACTICES IN PUBLIC PRIMARY SCHOOLS IN DAGORETTI, NAIROBI CITY COUNTY, KENYA
DOI:
https://doi.org/10.47604/gjhs.1325Keywords:
Hygiene practices, Hygiene promotion approaches, Hand washing at critical timesAbstract
Purpose: The purpose of this study was to examine hygiene promotion approaches that were being employed by public primary schools in Dagoretti North and South Sub Counties in Nairobi City County and whether the approaches influenced hygiene behaviors that were practiced by pupils.
Methodology: The study applied a descriptive cross-sectional design. Questionnaires were administered to 384 pupils with the aim of collecting data on hygiene knowledge and practices. A questionnaire was also used to collect data on hygiene promotion approaches from 32 school health teachers. Pupils' demographic data was collected from school head teachers. Five key informant interviews were conducted with Nairobi City County public health and education officers and a staff from a non-governmental organization that was implementing school hygiene activities in Dagoretti South and North Sub Counties. Observation checklists were used to triangulate information on hygiene practices by pupils. Analysis was done using SPSS software.
Findings: Results indicate that 95.6% of the pupils practiced hand washing at critical times, 98.7% used the toilet while 85.4% safely disposed solid waste. The study reveals that water, sanitation and hygiene in schools approach is implemented by 31.3% of the school health teachers. There was a significant relationship between school health clubs approach and hand washing at critical times (p=0.04) and proper solid waste disposal (p=0.02). One way analysis of variance established that there is a significant difference among hygiene promotion approaches and pupils hygiene knowledge, F(5, 162) = 6.41, p <.05 Æž²p = 0.076.
Unique contribution to theory, practice and policy: The study establishes that different hygiene promotion approaches have the potential to influence hygiene practices and in particular, hand washing at critical times and proper solid waste disposal amongst pupils. The study recommends the use of school health clubs approach for hygiene promotion at public primary schools
Downloads
References
Annemarieke, M., Harold, E., & Vincent, T. (2013). School health clubs in Ghana. Accra: Ghana Education Service.
Antwi-Agyei, P., Mwakitalima, A., Seleman, A., Tenu, F., Kuiwite, T., Kiberiti, S. & Roma, E. (2017). Water, sanitation and hygiene in schools: Results from a process evaluation of the National Sanitation Campaign in Tanzania. Journal of Water, Sanitation and Hygiene for Development, 7(1): 140-150.
Bartram, J. (2003). New water forum will repeat old message. Bulletin of the World Health Organization, 83(3): 158.
Bartram, J., & Cairncross, S. (2010). Hygiene, Sanitation, and Water: Forgotten Foundations of Health. PLOS Medicine, 7(11): e1000367.
Bockhorn-Vonderbank, M. (2004). Children's Hygiene and Sanitation Training - A practical guide. Luxembourg and Switzerland: Caritas Luxembourg and Caritas Switzerland.
Brug, J., van Assema, P., & Lechner, L. (2007). Gezondheidsvoorlichting en Gedragsverandering. Assen: van Gorcum.
Care International. (2012). Understanding safe water system and hygiene. Nairobi: CARE International.
Christian, J., Thanh-Tam, L., & Jamie, B. (2012). Water and sanitation in schools: A systematic review of the health and educational outcomes. International Journal of Environmental Research and Public Health, 9, 2772-2787.
De Vreed, E. (2004). CHAST "Children's Hygiene and Sanitation Training" in Somalia. Netherlands: School Sanitation and Hygiene Education Symposium.
Ejemot, R. I., Ehiri, J. E., Meremikwu, M. M. & Critchley, J. A. (2009). Cochrane review: Hand washing for preventing diarrhea. Cochrane Review Journal, 4, 893-939.
Farah, B. (2007). Child-to-Child: A review of the literature (1995 - 2007). London: The Child-to-Child Trust.
Fisher, A.A., Laing J. E., Stoeckel, J.E., & Townsend, J.W. (1991). Handbook for family planning operations research design (2nd ed.). New York: Population Council.
George, D., Ram. R., Joy, S., Simon, S., & Thomas, S. (2018). Effectiveness of child to child approach and knowledge on personal hygiene among peer group students of selected upper primary school, Kollam. International Journal of Nursing Education and Research 6(2), 208-209.
Gyorkos T.W., Maheu-Giroux M., Blouin B., & Casapia M. (2013). Impact of health education on soil-transmitted helminth infections in schoolchildren of the Peruvian Amazon: a cluster-randomized controlled trial. PLoS Neglected Tropical Diseases, 7(9), e2397.
Halliday, K., Okello, G., Turner, E., Njagi, K., McHaro, C., Kengo, J., Allen, E., Dubeck, M., Jukes, M., & Brooker, S. (2014). Impact of intermittent screening and treatment for malaria among school children in Kenya: A cluster randomized trial. PLOS Medicine, 11(1), e1001594.
Jewitt, S., & Ryley, H. (2014). It's a girl thing: Menstruation, school attendance, spatial mobility and wider gender inequalities in Kenya. Geoforum, 56, 137-147.
Joshua, V., Bethany, A., Carolyn, D., Michael, R., Babette, A., Richard, D., & Matthew, C. (2014). International Journal of Environmental Research and Public Health, 11, 9694-9711.
Kelly, T. A., Clifford, O., Elizabeth, N., Kayla, F., Nyaguara, A., Alie, E., Linda, M., Richard, R., Caryl, B., Aisha, M., Maurice, O., David, O., Frank, O., Robert, Q., & Penelope, A. (2014). Water, Sanitation and Hygiene conditions in Kenyan rural schools: Are schools meeting the needs of menstruating girls? Water, 6(5), 1453-1466.
Kola-Olusanya, A., & Ahove, M. (2015). Effect of environmental education on African school children's waste disposal practices. Retrieved from http://citation.allacademic.com/meta/p_mla_apa_research_citation/1/2/4/8/2/p124823_index.html
Mathew, K., Zachariah, S., Shordt, K., Snel, M., Cairncross, S., Biran, A. & Schmidt, W. (2009). The sustainability and impact of school sanitation, water and hygiene education in southern India. Waterlines, 28, 275-292.
MOE. (2008). National School Water, Sanitation, and Hygiene Promotion Strategy: 2008 - 2015. Nairobi: Government Printer.
MoE, & Care International. (2010). Induction training pack on WASH module for primary school teachers. Nairobi: CARE International.
MoH. (2016a). Kenya environmental sanitation and hygiene policy (2016 -2030). Nairobi: Government Printer.
Mohsen, N., Amanuel, A., Cristiana, A., Kaja, M., Foad, A., Semaw, F., "¦ Christopher, J. (2017). Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet, 390, 1151-1210.
MoPHS, & MoE. (2009a). National school health policy. Nairobi: Government Printer.
MoPHS, & MoE. (2009b). National school health guidelines. Nairobi: Government Printer.
MoPHS, & MoE. (2009c). Kenya comprehensive school health implementation handbook. Nairobi: Government Printer.
Njuguna, V., Beth, K., Mishek, T., Kathleen, S., Marielle, S., Sandy, C., Adam, B., Wolf-Peter, S., (2008). The sustainability and impact of school sanitation, water and hygiene education in Kenya. New York and Delft: UNICEF and IRC.
Peal, A., Evans, B., & Voorden V. C. (2010). Hygiene and sanitation software: An overview of approaches. Geneva, Switzerland: Water Supply & Sanitation Collaborative Council.
Population Services International. (2009). Learning about safer water in Neno District, Malawi. Washington D.C.: PSI.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102-1114.
RoK (2001). Children Act, 2001. Nairobi: Government Printer.
Stephen, C., & Bjarne, B. (2005). The health promoting school: International advances in theory, evaluation and practice. Copenhagen, Danish University of Education Press.
Stewart-Brown, S. (2006). What is the evidence on school health promotion in improving health or preventing disease and, specifically, what is the effectiveness of the health promoting schools approach? Copenhagen, WHO.
Talaat, M., Afifi, S., Dueger, E., El-Ashry, N., Marfin, A., Kandeel, A., Mohareb, E., & El-Sayed, N. (2011). Effects of hand hygiene campaigns on incidence of laboratory-confirmed influenza and absenteeism in school children, Cairo, Egypt. Emerging infectious disease journal, 17, 619-625.
Trinies, V., Garn, J. V., Chang, H. H., & Freeman, M. C. (2016). The Impact of a School-Based Water, Sanitation, and Hygiene Program on Absenteeism, Diarrhea, and Respiratory Infection: A Matched-Control Trial in Mali. The American journal of tropical medicine and hygiene, 94(6), 1418-25.
UN. (1989). Convention on the rights of the child. Geneva: United Nations.
UNICEF. (2010). Raising Clean Hands: Advanced Learning, Health and Participation through WASH in schools. New York: UNICEF.
UNICEF. (2012). Water, Sanitation and Hygiene in schools: A companion to the child friendly schools manual. New York: UNICEF.
UNICEF. (2015). Advancing WASH in schools monitoring. New York: UNICEF.
Vincent, O. (2013). School-Led Total Sanitation: Enquiring child participation in School-Led Total Sanitation (SLTS) programs in Ghana (Master's thesis, Wageningen University). Retrieved from https://www.ircwash.org/resources.
WaterAid. (2013). Technical brief: Sanitation and hygiene approaches. Retrieved from www.wateraid.org/technologies.
WHO. (2014). UN-water global analysis and assessment of sanitation and drinking-water report: Investing in water and sanitation: increasing access, reducing inequalities. Geneva: WHO.
WHO. (2017). Fact sheet: Drinking water. [online] [accessed August 10, 2017] http://www.who.int/mediacentre/factsheets/fs391/en/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Styvers K. Kathuni, Dr. Daniel Akunga, Dr. Esther Kitur, Dr. Sammy Letema
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.