Nizame Fosiul A, Nasreen Sharifa, Halder Amal K, Arman Shaila, Winch Peter J, Unicomb Leanne, Luby Stephen P
icddr,b, Dhaka, Bangladesh; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Stanford University, Stanford, California
icddr,b, Dhaka, Bangladesh; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Stanford University, Stanford, California.
Am J Trop Med Hyg. 2015 Jun;92(6):1111-6. doi: 10.4269/ajtmh.14-0378. Epub 2015 Apr 13.
Bangladeshi communities have historically used ash and soil as handwashing agents. A structured observation study and qualitative interviews on the use of ash/soil and soap as handwashing agents were conducted in rural Bangladesh to help develop a handwashing promotion intervention. The observations were conducted among 1,000 randomly selected households from 36 districts. Fieldworkers observed people using ash/soil to wash their hand(s) on 13% of occasions after defecation and on 10% after cleaning a child's anus. This compares with 19% of people who used soap after defecation and 27% after cleaning a child who defecated. Using ash/soil or soap was rarely (< 1%) observed at other times recommended for handwashing. The qualitative study enrolled 24 households from three observation villages, where high usage of ash/soil for handwashing was detected. Most informants reported that ash/soil was used only for handwashing after fecal contact, and that ash/soil could clean hands as effectively as soap.
孟加拉社区历来将灰烬和泥土用作洗手剂。在孟加拉农村地区开展了一项关于使用灰烬/泥土和肥皂作为洗手剂的结构化观察研究和定性访谈，以帮助制定一项洗手促进干预措施。观察在来自36个地区的1000户随机选择的家庭中进行。实地工作人员观察到，13%的人在排便后使用灰烬/泥土洗手，10%的人在清洁儿童肛门后使用。相比之下，19%的人在排便后使用肥皂，27%的人在清洁排便儿童后使用肥皂。在其他推荐洗手的时间里，很少（<1%）观察到使用灰烬/泥土或肥皂的情况。定性研究招募了来自三个观察村庄的24户家庭，在这些村庄中检测到灰烬/泥土用于洗手的使用率很高。大多数受访者报告说，灰烬/泥土仅在接触粪便后用于洗手，并且灰烬/泥土洗手的效果与肥皂一样好。
