The context and practice of handwashing among new mothers in Serang, Indonesia: a formative research study.
The context and practice of handwashing among new mothers in Serang, Indonesia: a formative research study.
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DOI：
10.1186/1471-2458-13-830
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发表时间：
2013-09-11
影响因子：
4.5
通讯作者：
Aunger R
中科院分区：
文献类型：
--
作者：
Greenland K;Iradati E;Ati A;Maskoen YY;Aunger R
本文报告了对新妈妈用肥皂洗手的背景和做法的形成性研究，这可能会对儿童发病率和死亡率产生重大影响。新妈妈是洗手干预措施的一个重要目标群体：她们被认为特别容易受到行为改变的影响，她们的行为可能直接影响儿童的健康。从西兰的城市和农村分区招募了27名婴儿（包括新生儿）的母亲，并在8小时内进行了拍摄。录像片段被用来确定洗手的场合，并了解行为发生的背景。随后对每名妇女进行了面谈。用肥皂洗手的情况很少，通常是在吃饭、做饭和做家务后，或者在清洁儿童的屁股后。在准备食物或吃饭前洗手是罕见的。据报告，怀孕前的例行程序已被打乱。关于儿童保育的建议来自许多方面，特别是助产士和新生儿的祖母。制定干预措施，改变洗手的观念和做法，将成为一种重要的行为，可以挽救生命。新妈妈是这种干预的理想目标群体。我们建议干预措施的目标是增加与自己和婴儿的粪便接触后用肥皂洗手，作为排便后卫生常规的一部分。由于儿童的祖母是有关养育子女的权威信息来源，以改善新生儿护理为重点的干预措施可以针对祖母和助产士。
This article reports on formative research into the context and practice of handwashing with soap by new mothers, which can substantially impact child morbidity and mortality. New mothers are an important target group for handwashing interventions: they are considered particularly susceptible to behaviour change and their actions can directly affect a child’s health. Twenty-seven mothers of infants (including neonates) from urban and rural sub-districts of Serang were recruited and filmed over a period of eight hours. Video footage was used to identify handwashing occasions and to understand the context in which behaviour took place. Each woman was subsequently interviewed. Handwashing with soap was found to be infrequent, typically occurring after eating, cooking and household chores or after cleaning a child’s bottom. Handwashing before preparing food or eating was rare. Pre-pregnancy routines were reported to have been disrupted. Advice on child care comes from many sources, particularly the midwife and new child’s grandmother. Developing interventions to change perceptions and practice of handwashing would seed an important behaviour and could save lives. New mothers represent an ideal target group for such an intervention. We suggest that interventions target an increase in handwashing with soap after contact with own and a baby’s faecal matter as part of the post-defecation hygiene routines. As the child’s grandmother is an authoritative source of information about parenting, interventions focussed on improving newborn care could target grandmothers as well as midwives.
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DOI：
10.1016/s1473-3099(10)70224-3
发表时间：
2011-04
期刊：
The Lancet. Infectious diseases
影响因子：
--
作者：
Curtis V;Schmidt W;Luby S;Florez R;Touré O;Biran A
通讯作者：
Biran A
影响因子：
15.8
作者：
Luby, Stephen P.;Halder, Amal K.;Johnston, Richard B.
通讯作者：
Johnston, Richard B.
影响因子：
3.2
作者：
Curtis, V;Kanki, B;Mertens, T
通讯作者：
Mertens, T
影响因子：
5.1
作者：
Klesges, LM;Baranowski, T;Pratt, C
通讯作者：
Pratt, C
影响因子：
7.2
作者：
ANDREASEN, AR
通讯作者：
ANDREASEN, AR