Effect of handwashing on child health: a randomised controlled trial

  title={Effect of handwashing on child health: a randomised controlled trial},
  author={Stephen P. Luby and Mubina Agboatwalla and Daniel R. Feikin and John A. Painter and W. L. Billhimer and Arshad Altaf and Robert M. Hoekstra},
  journal={The Lancet},

Figures and Tables from this paper

Impact of a Large-Scale Handwashing Intervention on Reported Respiratory Illness: Findings from a Cluster-Randomized Controlled Trial

Irrespective of intervention assignment, respiratory illness was lower among people who had soap and water present in the handwashing station than among those who did not, suggesting improving the effectiveness of handwashing promotion in achieving sustained behavior change could result in health benefits.

Impact of Intensive Handwashing Promotion on Secondary Household Influenza-Like Illness in Rural Bangladesh: Findings from a Randomized Controlled Trial

Handwashing promotion initiated after illness onset in a household member did not protect against influenza-like illness or influenza and a reactive approach to reduce household influenza transmission through handwashing promotion may be ineffective in the context of rural Bangladesh.

Hand‐washing promotion for preventing diarrhoea

There was increased hand washing at major prompts and increased compliance with hand‐hygiene procedure (behavioural outcome) in the intervention groups compared with the control in community trials, and the methods of data collection were susceptible to bias.

Cochrane review: Hand washing for preventing diarrhoea

Interventions that promote hand washing can reduce diarrhoea episodes by about one-third, comparable to the effect of providing clean water in low-income areas, but trials with longer follow up and that test different methods of promoting hand washing are needed.

Hand sanitisers for reducing illness absences in primary school children in New Zealand: a cluster randomised controlled trial study protocol

This trial is to establish if the provision of hand sanitisers in primary schools in the South Island of New Zealand, in addition to an education session on hand hygiene, reduces the incidence rate of absence episodes due to illness in children.

Hand Hygiene Intervention Strategies to Reduce Diarrhoea and Respiratory Infections among Schoolchildren in Developing Countries: A Systematic Review

The review found that hand hygiene can reduce the incidence of diarrhoea and respiratory conditions, and three hand hygiene intervention strategies utilized were training, funding and policy, with training and funding implemented more commonly than policy.

Washing with hope: evidence of improved handwashing among children in South Africa from a pilot study of a novel soap technology

HOPE SOAP© children, in general, had better health outcomes, and those who used the soap as intended, and did not cheat to remove the toy from the soap, were less likely to have been ill.

Perception and practice of hand washing in Kuramo Community, Lagos, Nigeria

A cross-sectional baseline assessment was carried out in Kuramo beach community, an urban slum on the coastline of Lagos state, Nigeria to assess the perception and practice of hand washing, as well as perceptions of the prevalence and aetiology of diarrhoea and upper respiratory infections in the community.

Hand washing for preventing diarrhoea.

BACKGROUND Diarrhoea is a common cause of morbidity and a leading cause of death among children aged less than five years, particularly in low- and middle-income countries. It is transmitted by

Household characteristics associated with handwashing with soap in rural Bangladesh.

Interventions that improve the presence of water and soap at the designated place to wash hands would be expected to improve handwashing behavior and health.



Prevention of diarrhoea and dysentery by hand washing.

The study indicates that hand washing is effective in reducing the morbidity from diarrhoea and dysentery in children in Rangoon.

Effect of intensive handwashing promotion on childhood diarrhea in high-risk communities in Pakistan: a randomized controlled trial.

In a setting in which diarrhea is a leading cause of child death, improvement in handwashing in the household reduced the incidence of diarrhea among children at high risk of death from diarrhea.

Hand washing with soap reduces diarrhoea and spread of bacterial pathogens in a Bangladesh village.

There was a large (2.6 fold) reduction in diarrhoeal episodes in the intervention area during the observation period, and significant reduction in diarrhea incidences was observed in all age groups for all pathogens except for rotavirus.

Effect of Infection Control Measures on the Frequency of Upper Respiratory Infection in Child Care: A Randomized, Controlled Trial

This trial supports the role of direct transmission of colds in young children in child care, and the ability of infection control techniques to reduce episodes ofcolds in children inChild care was limited to children 24 months of age and under.

Delayed effectiveness of home-based interventions in reducing childhood diarrhea, Karachi, Pakistan.

Home drinking water disinfection and handwashing with soap in Karachi squatter settlements were ultimately effective in preventing diarrhea, but only households of slightly higher socioeconomic status changed their behavior quickly enough to benefit during the first summer.

The effect of antibacterial soap on impetigo incidence, Karachi, Pakistan.

The routine use of triclocarban-containing soap by children living in a community with a high incidence of impetigo was associated with a reduced incidence of Impetigo.

Effectiveness of a training program in reducing infections in toddlers attending day care centers.

The results indicate that both an intervention program and monitoring alone play a role in reducing infections in children attending day care centers.

Scheduled hand washing in an elementary school population.

A scheduled hand-washing program will reduce acute communicable (gastrointestinal) illnesses in elementary school-age children and reduce absence due to respiratory symptoms.

Proper handwashing promotes wellness in child care.

  • J. P. Niffenegger
  • Medicine
    Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
  • 1997

Handwashing and respiratory illness among young adults in military training.