Global Handwashing Day Dr Valerie Curtis LSHTM Why HWWS? Some - - PowerPoint PPT Presentation

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Nov 03, 2022 50 likes •210 views

Global Handwashing Day Dr Valerie Curtis LSHTM Why HWWS? Some 23-40% reduction in diarrhoea risk (Freeman et al 2014) Global disease burden 300 000-600 000 lives p.a. China: not HWWS costs $10bn, 10x ROI India: not HWWS costs

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Global Handwashing Day

Dr Valerie Curtis LSHTM

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Why HWWS?

Some 23-40% reduction in diarrhoea risk

(Freeman et al 2014)

Global disease burden 300 000-600 000

lives p.a.

China: not HWWS costs $10bn, 10x ROI
India: not HWWS costs $30bn, 20x ROI
Prevention of pandemics and AMR

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The Parable

No messaging – no words!
No knowledge – about emotion, reward
Universal
No death, disease or doctors
Strong levers to unlock a routine
Surprise, Revaluation, Performance

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1 3 5 5 24 3 1 43 55 67 67 88 86 77 10 20 30 40 50 60 70 80 90 100 % of mother practicing targeted behaviour Before (n=120) After (119)

Source: Om Gautam, 2014

Change in safe food behaviour

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Behaviour Setting Intervention Environment

Behaviour Centred Design

Behaviour Brain Health

Assess + Build Create Deliver Evaluate

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A

Assess

B

Build

Behaviour

C

Create

Centred

D

Deliver

Design

E

Evaluate

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www.superamma.org

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2% 4% 6% 29% 1% 19% 37% 29% 0% 5% 10% 15% 20% 25% 30% 35% 40% baseline 1st follow up 2nd follow up 3rd follow up

handwashing at target events

intervention in first half of villages intervention in control villages

SuperAmma Results

Source: Biran et al Lancet GH 2013

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View Intervention Control HWWs is good manners 84% 21% HWWS protects children 63% 2% HWWS leads to success in life 30% 0% Everybody around here WHWS 35% 8%

Source: Greenland et al 2015

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2% 4% 6% 29% 1% 19% 37% 29% 0% 5% 10% 15% 20% 25% 30% 35% 40% baseline 1st follow up 2nd follow up 3rd follow up

handwashing at target events

intervention in first half of villages intervention in control villages

(6 weeks) (6 months) (12 months)

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Behaviour Setting Intervention Environment

Behaviour Centred Design

Behaviour Brain Health

Assess + Build Create Deliver Evaluate Surprise Revaluation Performance

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Takeaways

Surprise, revaluation performance
10% of effort and investment on design
f intervention
Private sector lessons: scale, cost, refresh
Use professionals
Long term policy and capacity

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Thanks

Hygiene Centre @ LSHTM: Bob Aunger,

Adam Biran, Val Curtis, Katie Greenland, Jessie deWitt Huberts, Wolf Schmidt, Sian White, Om Gautam, Gaby Judah

Funders: Wellcome, ESRC, DFID, SHARE,

World Bank, Unicef, Gates, GAIN, WaterAid, WSSCC, Unilever, KCC, GoJo

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BCD Materials

1. WWW.EHG/BehaviourCentredDesign for manual and papers : Aunger and Curtis, Kinds of

Behavior, Aunger and Curtis The Anatomy of Motivation

2. Ghana handwashing ad (1990s)

https://www.youtube.com/watch?v=w2qRcMTstzc

3. Rural Indian handwashing campaign (2013)

http://www.superamma.org

4. Zambian multiple behaviour change campaign (2014)

EBF: https://www.youtube.com/watch?v=zHTwlhQdjiw ORS: https://www.youtube.com/watch?v=w45PtrHUEdg Handwashing: https://www.youtube.com/watch?v=l3jcDuU_5sc