Provision of private, piped water and sewerage connections and directly observed handwashing of mothers in a peri-urban community of Lima, Peru.
Trop Med Int Health
; 19(4): 388-97, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-24438038
OBJECTIVES: To estimate the association between improved water and sanitation access and handwashing of mothers living in a peri-urban community of Lima, Peru. METHODS: We observed 27 mothers directly, before and after installation of private, piped water and sewerage connections in the street just outside their housing plots, and measured changes in the proportion of faecal-hand contamination and hand-to-mouth transmission events with handwashing. RESULTS: After provision of water and sewerage connections, mothers were approximately two times more likely to be observed washing their hands within a minute of defecation, compared with when they relied on shared, external water sources and non-piped excreta disposal (RR = 2.14, 95% CI = 0.99-4.62). With piped water and sewerage available at housing plots, handwashing with or without soap occurred within a minute after 48% (10/21) of defecation events and within 15 min prior to 8% (11/136) of handling food events. CONCLUSIONS: Handwashing increased following installation of private, piped water and sewerage connections, but its practice remained infrequent, particularly before food-related events. Infrastructural interventions should be coupled with efforts to promote hygiene and ensure access to water and soap at multiple on-plot locations convenient to mothers.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Abastecimento de Água
/
Contaminação de Alimentos
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Saneamento
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Desinfecção das Mãos
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Mães
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
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Female
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Humans
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Middle aged
País/Região como assunto:
America do sul
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Peru
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article