Developing a Contextually Appropriate Integrated Hygiene Intervention to Achieve Sustained Reductions in Diarrheal Diseases

Morse et al. (2019) published this paper in the Sustainability journal. The article discusses formative research carried out to inform the development of an integrated intervention for WASH and food hygiene that aimed to reduce childhood diarrhea in rural Malawi. The researchers explored the personal, social, environmental and psychosocial factors that should be considered in the intervention. A mixed methods approach was used and data was collected from 1079 children between the ages of four to 90 weeks. Four key thematic areas were identified: hand washing with soap; food hygiene; feces management (human and animal); and, water management. The paper also describes the intervention to be delivered and evaluated.