Handwashing behaviour of Caregivers and reported Diarrhoea among under Five Children in the Bongo District of the Upper East Region of Ghana.

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November, 2019
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Background: The crucial role of HWWS, sanitation in diarrheal disease causation is reported all over the world. For decades, diarrheal disease has contributed significantly to morbidity and mortality in both developing and developed countries, its implication is usually evident in developing countries than the developed ones. The study seeks to make the necessary recommendations to policy makers to develop and implement strategies necessary for curbing canker of diarrhoea especially among the rural poor. Methods: Data was collected from 6 sub districts in the Bongo District involving 422 participants out of which 16 were non respondents using convenient sampling. Methods of data analyses included, simple logistic regression, Chi square test, and multivariate logistic regression. Results: Results from the study showed a good knowledge of caregivers on HWWS 89.3% with a rather 52.1% of the respondents knowing the true definition of diarrhea. there was no statistically significant relationship between the care givers knowledge on hand washing and the occurrence of diarrhea (OR: 1.11; 95% CI 0.52, 2.37, p=0.78). Also, the attitude of the respondents was high at 92.6%. Furthermore, the factors inhibiting HWWS among those which were statistically significant include, Water Scarcity(p=0.004), HWWS affect appetite (p=0.001), Hands not visibly dirty(p=0.002) and Feeling of low risk(p=0.001). Conclusions: In conclusion, even though there is a high knowledge level of caregivers to handwashing with soap under running water, there is no positive relation of the high knowledge to reported cases of diarrhea and this study therefore urges policy makers and the general populace to translate the knowledge into practice of HWWS as well as an enabling environment for good sanitation practices for the prevention of diarrhea.
A thesis submitted To the Department of Health Education, Promotion And Disability, College Of Health Sciences, School Of Public Health, in partial fulfillment of the requirements for The Degree Of Master of Public Health in Health Promotion And Education.
Handwashing,, visibly dirty, Water, Soap, Running water.