Multi-sectoral participatory design of a babyWASH playspace for rural Ethiopian households
Autor: | Sophie Budge, Alison Parker, Paul Hutchings, Camila Garbutt, Julia Rosenbaum, Tizita Tulu, Fitsume Woldemedhin, Mohammedyasin Jemal, Bhavin Engineer, Leon Williams |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Male
Rural Population Sanitation Adolescent media_common.quotation_subject 030231 tropical medicine Psychological intervention Guidelines as Topic Formative assessment 03 medical and health sciences 0302 clinical medicine Hygiene Virology Participatory design Humans Infant Health Socioeconomics Child media_common Family Characteristics Infant Newborn Subsistence agriculture Infant Articles Equipment Design Focus Groups Focus group United Kingdom Primary Prevention Intervention (law) Infectious Diseases Child Preschool Parasitology Female Business Ethiopia |
Zdroj: | The American Journal of Tropical Medicine and Hygiene |
ISSN: | 0002-9637 |
Popis: | Growing evidence suggests current water, sanitation, and hygiene interventions do not improve domestic hygiene sufficiently to improve infant health, nor consider the age-specific behaviors which increase infection risk. A household playspace (HPS) is described as one critical intervention to reduce direct fecal–oral transmission within formative growth periods. This article details both the design and development (materials and methods), and testing (results) of a HPS for rural Ethiopian households. Design and testing followed a multi-sectoral, multistep participatory process. This included a focus group discussion (FGD), two user-centered and participatory design workshops in the United Kingdom and Ethiopia, discussions with local manufacturers, and a Trials by Improved Practices (TIPs) leading to a final prototype design. Testing included the FGD and TIPs study and a subsequent randomized controlled feasibility trial in Ethiopian households. This multi-sectoral, multistage development process demonstrated a HPS is an acceptable and feasible intervention in these low-income, rural subsistence Ethiopian households. A HPS may help reduce fecal–oral transmission and infection—particularly in settings where free-range domestic livestock present an increased risk. With the need to better tailor interventions to improve infant health, this article also provides a framework for future groups developing similar material inputs and highlights the value of participatory design in this field. |
Databáze: | OpenAIRE |
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