Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program)
Abstract Background During the time a diarrhea patient presents at a health facility, the household members of the patient are at higher risk of developing diarrheal diseases (> 100 times for cholera) than the general population. The Cholera-Hospital-based-Intervention-for-7-Days (CHoBI7) is a he...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08727-0 |
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| author | Elizabeth D. Thomas Fatema Zohura M. Tasdik Hasan Md. Sohel Rana Alana Teman Tahmina Parvin Jahed Masud Md. Sazzadul Islam Bhuyian Md. Khobair Hossain Maynul Hasan Sanya Tahmina Farzana Munmun Md. Abul Hashem Khan Shirajum Monira David A. Sack Elli Leontsini Peter J. Winch Munirul Alam Christine Marie George |
| author_facet | Elizabeth D. Thomas Fatema Zohura M. Tasdik Hasan Md. Sohel Rana Alana Teman Tahmina Parvin Jahed Masud Md. Sazzadul Islam Bhuyian Md. Khobair Hossain Maynul Hasan Sanya Tahmina Farzana Munmun Md. Abul Hashem Khan Shirajum Monira David A. Sack Elli Leontsini Peter J. Winch Munirul Alam Christine Marie George |
| author_sort | Elizabeth D. Thomas |
| collection | DOAJ |
| description | Abstract Background During the time a diarrhea patient presents at a health facility, the household members of the patient are at higher risk of developing diarrheal diseases (> 100 times for cholera) than the general population. The Cholera-Hospital-based-Intervention-for-7-Days (CHoBI7) is a health facility-initiated water treatment and handwashing with soap intervention designed to reduce transmission of diarrheal diseases between patients and their household members. The present research aimed to (1) develop a scalable approach to integrate the CHoBI7 intervention program into services provided at government and private health facilities in Bangladesh; and (2) tailor the intervention program for the household members of all diarrhea patients, irrespective of the etiology of disease. Methods We conducted 8 months of formative research, including 60 semi-structured interviews, 2 group discussions, and a pilot study. Thirty-two interviews were conducted with diarrhea patients and their family caregivers, government stakeholders, and health care providers both to explore existing WASH and diarrhea patient care practices in health facilities and to identify considerations for scaling the CHoBI7 program. Fifty-two diarrhea patient households participated in a pilot study of a modified version of the CHoBI7 intervention program for tailoring. Twenty-eight interviews and 2 group discussions were conducted with pilot households to explore experiences with and recommendations for intervention delivery. Results The intervention program was modified based on formative research findings. Pilot study participants recognized the benefits of the CHoBI7 intervention program and made suggestions to improve the acceptability and feasibility of the intervention. Modifications included 1) providing additional pictorial modules, cues to action, enabling technologies, and supplies for safe drinking water and handwashing with soap behaviors in the health facility; 2) switching out technology prone to breaks and leaks as well as sourcing plastic technologies from a high-quality, local manufacturer; and 3) including instructions discouraging the non-use or misuse of technologies and supplies. Considerations for scalability include the local availability and marketing of enabling technologies and supplies, staff for program delivery in health facilities, and potential integration into existing government or health promotion programs. Conclusions Formative research identified important considerations for the content, delivery, and scalability of the CHoBI7 health facility-initiated WASH intervention program. |
| first_indexed | 2024-12-11T00:43:10Z |
| format | Article |
| id | doaj.art-6652973fd71a4f3fb7c0df1ece494923 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-11T00:43:10Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj.art-6652973fd71a4f3fb7c0df1ece4949232022-12-22T01:26:51ZengBMCBMC Public Health1471-24582020-06-0120111910.1186/s12889-020-08727-0Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program)Elizabeth D. Thomas0Fatema Zohura1M. Tasdik Hasan2Md. Sohel Rana3Alana Teman4Tahmina Parvin5Jahed Masud6Md. Sazzadul Islam Bhuyian7Md. Khobair Hossain8Maynul Hasan9Sanya Tahmina10Farzana Munmun11Md. Abul Hashem Khan12Shirajum Monira13David A. Sack14Elli Leontsini15Peter J. Winch16Munirul Alam17Christine Marie George18Department of International Health, Johns Hopkins Bloomberg School of Public HealthInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, BangladeshJohns Hopkins Bloomberg School of Public HealthDepartment of International Health, Johns Hopkins Bloomberg School of Public HealthInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, BangladeshInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, BangladeshDepartment of Communicable Diseases, Ministry of Health and Family WelfareCommunity Based Health Care, Directorate General of Health ServicesCommunity Based Health Care, Directorate General of Health ServicesInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, BangladeshDepartment of International Health, Johns Hopkins Bloomberg School of Public HealthDepartment of International Health, Johns Hopkins Bloomberg School of Public HealthDepartment of International Health, Johns Hopkins Bloomberg School of Public HealthInfectious Diseases Division, International Centre for Diarrhoeal Disease Research, BangladeshAssociate Professor, Department of International Health, Program in Global Disease Epidemiology and Control, Johns Hopkins Bloomberg School of Public HealthAbstract Background During the time a diarrhea patient presents at a health facility, the household members of the patient are at higher risk of developing diarrheal diseases (> 100 times for cholera) than the general population. The Cholera-Hospital-based-Intervention-for-7-Days (CHoBI7) is a health facility-initiated water treatment and handwashing with soap intervention designed to reduce transmission of diarrheal diseases between patients and their household members. The present research aimed to (1) develop a scalable approach to integrate the CHoBI7 intervention program into services provided at government and private health facilities in Bangladesh; and (2) tailor the intervention program for the household members of all diarrhea patients, irrespective of the etiology of disease. Methods We conducted 8 months of formative research, including 60 semi-structured interviews, 2 group discussions, and a pilot study. Thirty-two interviews were conducted with diarrhea patients and their family caregivers, government stakeholders, and health care providers both to explore existing WASH and diarrhea patient care practices in health facilities and to identify considerations for scaling the CHoBI7 program. Fifty-two diarrhea patient households participated in a pilot study of a modified version of the CHoBI7 intervention program for tailoring. Twenty-eight interviews and 2 group discussions were conducted with pilot households to explore experiences with and recommendations for intervention delivery. Results The intervention program was modified based on formative research findings. Pilot study participants recognized the benefits of the CHoBI7 intervention program and made suggestions to improve the acceptability and feasibility of the intervention. Modifications included 1) providing additional pictorial modules, cues to action, enabling technologies, and supplies for safe drinking water and handwashing with soap behaviors in the health facility; 2) switching out technology prone to breaks and leaks as well as sourcing plastic technologies from a high-quality, local manufacturer; and 3) including instructions discouraging the non-use or misuse of technologies and supplies. Considerations for scalability include the local availability and marketing of enabling technologies and supplies, staff for program delivery in health facilities, and potential integration into existing government or health promotion programs. Conclusions Formative research identified important considerations for the content, delivery, and scalability of the CHoBI7 health facility-initiated WASH intervention program.http://link.springer.com/article/10.1186/s12889-020-08727-0DiarrheaHandwashingWater treatmentBehavior changeHealth facilitiesQualitative research |
| spellingShingle | Elizabeth D. Thomas Fatema Zohura M. Tasdik Hasan Md. Sohel Rana Alana Teman Tahmina Parvin Jahed Masud Md. Sazzadul Islam Bhuyian Md. Khobair Hossain Maynul Hasan Sanya Tahmina Farzana Munmun Md. Abul Hashem Khan Shirajum Monira David A. Sack Elli Leontsini Peter J. Winch Munirul Alam Christine Marie George Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program) BMC Public Health Diarrhea Handwashing Water treatment Behavior change Health facilities Qualitative research |
| title | Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program) |
| title_full | Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program) |
| title_fullStr | Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program) |
| title_full_unstemmed | Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program) |
| title_short | Formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in Dhaka, Bangladesh (CHoBI7 program) |
| title_sort | formative research to scale up a handwashing with soap and water treatment intervention for household members of diarrhea patients in health facilities in dhaka bangladesh chobi7 program |
| topic | Diarrhea Handwashing Water treatment Behavior change Health facilities Qualitative research |
| url | http://link.springer.com/article/10.1186/s12889-020-08727-0 |
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