Table 5.
Results of the Wash’Em Process for District 1 and District 2 of handwashing promotion activities recommended through the Wash’Em process. Full description of the activities is available in the Supplementary Materials (S8 Document). “✓” means the activity was recommended and “X” means the activity was not recommended.
| Activity | District 1 | District 2 | ||
|---|---|---|---|---|
| Activity Recommended? | No. Events Activity Was Implemented in | Activity Recommended? | No. Events Activity Was Implemented in | |
| Being pulled in all directions: A participatory play about a hardworking mother designed to link handwashing to being a good parent. | ✓ | 6 | X | 4 |
| The power of soap: An interactive activity were people rub glitter on their hands and the try to remove it with water only, before successfully removing the glitter with soap. Designed to demonstrate that soap should always be used for handwashing. | ✓ | 6 | ✓ | 0 |
| Pledging: Community members and community leaders make public pledges to make handwashing a priority. Designed to make handwashing appear to be a normative and socially approved behaviour. | ✓ | 6 | X | 4 |
| Commitment card: A household-level planning tool to encourage people to take small doable actions towards improving handwashing behaviour. Designed to improve the sense of ownership around handwashing facilities. | ✓ | 6 | X | 4 |
| Dye on food: Using food dye, this activity is designed to demonstrate how germs can easily spread from hands to food. | ✓ | 6 | X | 4 |
| Child life game: A participatory play at a community event to show how the lives of two children can be dramatically changed by small moments of their lives, including the frequent practice of handwashing with soap. | ✓ | 0 | X | 4 |
| Social media tips: By creating a social media page or group where you can obtain tips from community members who have improved their handwashing facilities. Designed to help make handwashing seem normative. | X | 0 | ✓ | 0 |
| Testimonies from survivors: Document stories of disease survivors and their experiences of contracting a disease and then share this with other people in the community via video or radio. Designed to help population appreciate the full range of consequences if a family member gets sick. | X | 0 | ✓ | 0 |
| Can you smell the truth? Use a blindfold test to demonstrate how hands washed with soap smell good, while hands ‘washed’ without using soap do not. Designed to make participants realise that soap is key, and handwashing with water only is not effective. | X | 0 | ✓ | 0 |
| Don’t miss out on the experience: This activity involves creating a sign or mural in your community which highlights how great people feel after handwashing with soap. Designed to increase the association between handwashing and feeling comfortable. | X | 0 | ✓ | 0 |
| Watching eyes: Create stickers with a picture of eyes on them and place the stickers above handwashing facilities. Designed to make people feel like others are noticing whether they wash their hands with soap. | X | 0 | ✓ | 0 |