title: The effects of informational interventions on household water management, hygiene behaviors, stored drinking water quality, and hand contamination in peri-urban Tanzania.
abstract: Safe water storage and hand hygiene have been shown to reduce fecal contamination and improve health in experimental settings; however, triggering and sustaining such behaviors is challenging. This study investigates the extent to which personalized information about Escherichia coli contamination of stored water and hands influenced knowledge, reported behaviors, and subsequent contamination levels among 334 households with less than 5-year-old children in peri-urban Dar es Salaam, Tanzania. One-quarter of the study participants received information about strategies to reduce risk of water- and sanitation-related illness. Respondents in another three study cohorts received this same information, along with their household's water and/or hand-rinse test results. Findings from this study suggest that additional work is needed to elucidate the conditions under which such testing represents a cost-effective strategy to motivate improved household water management and hand hygiene.
authors.affiliation: Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA. jennadavis@stanford.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Davis
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Pickering
authors.forename: Kirsten
authors.initials: K
authors.lastname: Rogers
authors.forename: Simon
authors.initials: S
authors.lastname: Mamuya
authors.forename: Alexandria B
authors.initials: AB
authors.lastname: Boehm
mesh_terms: D002675:Child, Preschool; D003141:Communicable Diseases; D004927:Escherichia coli Infections / Q000517:prevention & control; D005260:Female; D006235:Hand Disinfection; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006920:Hygiene; D013636:Tanzania; D014871:Water Microbiology; D018508:Water Purification; D014881:Water Supply / Q000592:standards*