Development and Evaluation of Perinatal Handwashing Promotion for Improved Maternal Handwashing Behavior
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 400
- Locations
- 1
- Primary Endpoint
- Proportion of critical events where neonatal caregivers wash their hands with soap as a measure of behavior change.
Study Overview
Brief Summary
The purpose of this study is to determine if an intensive handwashing intervention administered to primiparous women during their pregnancy can increase maternal handwashing with soap at critical times.
Detailed Description
In high neonatal mortality settings, about half of neonatal deaths are estimated to occur because of infectious syndromes such as sepsis, acute respiratory infection, neonatal tetanus, and diarrhea. Promoting handwashing to mothers in the post-neonatal period has been shown to reduce the risk of pneumonia and diarrhea among infants > 28 days old but there is little information on the protective effect of handwashing for neonatal health outcomes. The proposed study will assess motivators and barriers to handwashing with soap among new mothers, and develop and test a hand cleansing promotion intervention in rural Bangladesh. The handwashing behavior change intervention will include approaches to enhance maternal expectations of being a good nurturer, as well as enhancing maternal self-efficacy to carry out handwashing behavior.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Primiparous women who plan to remain in the study area up to 1 months after birth
Exclusion Criteria
- •Prior live birth
Arms & Interventions
Perinatal Handwashing Intervention Arm
Intervention: Perinatal Handwashing Promotion (Behavioral)
Neonatal Health Promotion
Intervention: Neonatal Health Promotion (Behavioral)
Outcomes
Primary Outcomes
Proportion of critical events where neonatal caregivers wash their hands with soap as a measure of behavior change.
Time Frame: 3 months post-natal
Daily reduction in household soap weight.
Time Frame: 1 month post-natal
Daily reduction in household soap weight.
Time Frame: 2 weeks post-natal.
Proportion of critical events where neonatal caregivers wash their hands with soap as a measure of behavior change.
Time Frame: 1 month post-natal
Secondary Outcomes
- Incidence density of suspected sepsis in neonates(1 month post natal)
- Incidence density of suspected omphalitis in neonates(1 month post-natal)
- All cause neonatal mortality rate.(1 month post-natal.)