Table 3:
Interventions, monitoring, and evaluation
| Setting | Intervention | Countries (Reach) | Monitoring and Evaluation |
|---|---|---|---|
| Healthcare | - Increase access to hand hygiene at points of care, entrances/exits, and toilets via handwashing stations or ABHR | 10 (177 HCF) | - Monitor ABHR use, alcohol content, functionality of hand hygiene materials (handwashing stations, ABHR stations) - Observe hand hygiene practices of staff - Conduct KIIs/FGDs and intercept interviews with staff and patients - Conduct onsite HWS water quality testing (free chlorine and E. coli) |
| - Distribute information, education, and communication (IEC) materials focusing on hygiene education | |||
| - Supplement existing or establish new local ABHR production units and distribution plans | 7 (100 HCF) | ||
| - Increase capacity for water storage onsite | 3 (48 HCF) | ||
| - Improve access to environmental cleaning supplies | 2 (35 HCF) | ||
| - Provide hygiene kits for expectant mothers at prenatal clinics | 1 (13 HCF) | ||
| - Promote chlorination of water supplies | 1 (10 HCF) | ||
| - Provide refresher training on appropriate hand hygiene practices, addressing knowledge gaps | 1 (11 HCF) | ||
| Households | - Increase household access to handwashing stations and/or hygiene materials | 6 (4,830 households) | - Observe functionality of HWS - Conduct interviews with users/household heads |
| Community (general) | - Expansion of water supply - Where households are connected to municipal water supplies, minimize service disruptions to ensure adequate water supply for handwashing and cleaning |
1 (2 districts) | - Monitor functionality of HWS - Conduct KIIs/FGDs and intercept interviews with vendors/managers and visitors |
| - Hand hygiene stations at transit hubs, key community congregation points | 1 (25 locations) | ||
| Schools | - Expansion of water supply | 1 (27 schools) | - Monitor functionality of HWS - Conduct KIIs/FGDs and intercept interviews with teachers and students - Conduct onsite HWS water quality testing (free chlorine and E. coli) |
| - Increased access to hand hygiene stations for staff and students, including at entrances, exits, within classrooms, and within 5 meters of toilets/latrines - Hand hygiene promotion/education - Increased frequency of hand hygiene, particularly for small children and at key moments (at school arrival, before snacks and lunch, and before school exit) |
6 (64 schools) | ||
| - Staggering bathroom breaks - Frequent cleaning of school toilets |
2 (13 schools) | ||
| Markets | - Increased access to functional hand washing stations for staff - Increased access to ABHR for staff and patrons - Improved hand hygiene education materials |
2 (13 markets) | - Monitor ABHR use, alcohol content, functionality of hand hygiene materials - Observe hand hygiene practices among visitors and vendors - Conduct KIIs/FGDs and intercept interviews with vendors/managers and visitors - Conduct onsite HWS water quality testing (free chlorine and E. coli) - Conduct assessments of hand dirtiness before ABHR use to evaluate appropriateness of ABHR in community settings |
| Points of entry | - Increased access to functional hand washing stations for staff - Increased access to ABHR for staff and travelers, which may require modifying the flow of travelers through the POE - Improved hand hygiene education materials |
1 (15 POE) | - Monitor ABHR use, alcohol content, functionality of hand hygiene materials - Observe hand hygiene practices among visitors and vendors - Conduct KIIs/FGDs and intercept interviews with vendors/managers and visitors - Conduct onsite HWS water quality testing (free chlorine and E. coli) - Conduct assessments of hand dirtiness before ABHR use to evaluate appropriateness of ABHR in community settings |