TY - JOUR
T1 - Formative research for the design of a baby water, sanitation, and hygiene mobile health program in Bangladesh (CHoBI7 mobile health program)
AU - Biswas, Shwapon Kumar
AU - Thomas, Elizabeth D.
AU - Masud, Jahed
AU - Zohura, Fatema
AU - Hasan, Tasdik
AU - Parvin, Tahmina
AU - Sazzadul Islam Bhuyian, Md
AU - Ismat Minhaj, Md
AU - Johura, Fatema
AU - Sultana, Marzia
AU - Tahmina, Sanya
AU - Monira, Shirajum
AU - Perin, Jamie
AU - Alam, Munirul
AU - George, Christine Marie
N1 - Funding Information:
Financial support: This study received financial support from the U.S. Agency for International Development.
Publisher Copyright:
© 2021 by The American Society of Tropical Medicine and Hygiene
PY - 2021/1/6
Y1 - 2021/1/6
N2 - Poor food hygiene practices, child feces not being disposed of in a latrine, child mouthing of contaminated fomites, and poor hand hygiene of caregivers have been associated with diarrheal diseases, environmental enteropathy, and impaired growth in young children. Mobile health (mHealth) programs present a low-cost approach to delivering water, sanitation, and hygiene (WASH) programs. We conducted a theory-driven and evidence-based approach to formative research and intervention development to design and pilot test a Baby WASH mHealth program targeting food hygiene, child mouthing, and child feces disposal behaviors in urban Dhaka, Bangladesh. Formative research activities included 31 semi-structured interviews, five group discussions, six mHealth workshops, and a three-phase iterative pilot study among 102 households. Findings from semi-structured interviews and group discussions indicate that caregivers of young children have relatively high awareness of the need for safer food hygiene, child mouthing, and child feces disposal practices, but are limited by existing household responsibilities and restricted access to enabling technology that would facilitate practicing recommended behaviors. The piloted Baby WASH mHealth program was well-received by households. This study presents a theory-driven and evidence-based approach for intervention development that can be implemented for the development of future WASH mHealth programs in low-resource settings.
AB - Poor food hygiene practices, child feces not being disposed of in a latrine, child mouthing of contaminated fomites, and poor hand hygiene of caregivers have been associated with diarrheal diseases, environmental enteropathy, and impaired growth in young children. Mobile health (mHealth) programs present a low-cost approach to delivering water, sanitation, and hygiene (WASH) programs. We conducted a theory-driven and evidence-based approach to formative research and intervention development to design and pilot test a Baby WASH mHealth program targeting food hygiene, child mouthing, and child feces disposal behaviors in urban Dhaka, Bangladesh. Formative research activities included 31 semi-structured interviews, five group discussions, six mHealth workshops, and a three-phase iterative pilot study among 102 households. Findings from semi-structured interviews and group discussions indicate that caregivers of young children have relatively high awareness of the need for safer food hygiene, child mouthing, and child feces disposal practices, but are limited by existing household responsibilities and restricted access to enabling technology that would facilitate practicing recommended behaviors. The piloted Baby WASH mHealth program was well-received by households. This study presents a theory-driven and evidence-based approach for intervention development that can be implemented for the development of future WASH mHealth programs in low-resource settings.
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U2 - 10.4269/AJTMH.20-0456
DO - 10.4269/AJTMH.20-0456
M3 - Article
C2 - 33025876
AN - SCOPUS:85099721340
SN - 0002-9637
VL - 104
SP - 357
EP - 371
JO - American Journal of Tropical Medicine and Hygiene
JF - American Journal of Tropical Medicine and Hygiene
IS - 1
ER -