Perinatal Handwashing Intervention in Bangladesh

International Centre for Diarrhoeal Disease Research (icddr,b)

Status: Completed

Conditions: Infection; Umbilical Cord; Sepsis

Treatments: Behavioral: Perinatal Handwashing Promotion; Behavioral: Neonatal Health Promotion

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT01309321

PR-10036

Details and patient eligibility

About

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.

Full 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.

Enrollment: 400 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• Primiparous women who plan to remain in the study area up to 1 months after birth

Exclusion criteria

• Prior live birth

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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400 participants in 2 patient groups

Perinatal Handwashing Intervention Arm

Experimental group

Treatment:

Behavioral: Perinatal Handwashing Promotion

Neonatal Health Promotion

Active Comparator group

Treatment:

Behavioral: Neonatal Health Promotion