Dirt and diarrhoea: Formative research in hygiene promotion programmes

Dirt and diarrhoea: Formative research in hygiene promotion programmes
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DOI:
10.1093/heapol/12.2.122
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发表时间:
1997-06-01
影响因子:
3.2
通讯作者:
Mertens, T
Mertens, T
中科院分区:
医学3区
文献类型:
--
作者:
Curtis, V;Kanki, B;Mertens, T

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为促进更好的个人卫生以预防肠道疾病,并作为水和卫生方案的一个组成部分,正在增加投资。在设计能够可持续地改变大量人群的卫生行为的方案之前,必须对有关场地和预期受益人的一些基本问题获得有效的答案。这些问题包括“哪些做法有利于肠道病原体的传播?','采用安全做法的人会觉得有什么好处?以及“目标人群目前使用的沟通渠道是什么?在布基纳法索的波波-迪乌拉索进行的一项关于卫生和腹泻的研究使用了多种方法来解决这些问题。本文借鉴了这一经验,提出了一个计划的初步研究,使用各种技术,可以在几个月内实施的卫生促进计划的规划者。讨论的技术包括结构化观察,焦点小组讨论和行为试验,在这种系统的形成性研究,明确和有限的目标,适度的投资可能会得到回报,在卫生促进计划的有效性增加了许多倍。
Investment in the promotion of better hygiene for the prevention of diarrhoeal diseases and as a component of water and sanitation programmes is increasing. Before designing programmes capable of sustainably modifying hygiene behaviour in large populations, valid answers to a number of basic questions concerning the site and the intended beneficiaries have to be obtained. Such questions include 'what practices favour the transmission of enteric pathogens?', 'what advantages will be perceived by those who adopt safe practices?' and 'what channels of communication are currently employed by the target population?' A study of hygiene and diarrhoea in Bobo-Dioulasso, Burkina Faso, used a mixture of methods to address such questions. This paper draws on that experience to propose a plan of preliminary research using a variety of techniques which could be implemented over a period of a few months by planners of hygiene promotion programmes. The techniques discussed include structured observation, focus group discussions and behavioural trials, Modest investment in such systematic formative research with clear and limited goals is likely to be repaid many times over in the increased effectiveness of hygiene promotion programmes.