Impact of Integration of Hygiene Kit Distribution With Routine Immunizations on Infant Vaccine Coverage and Water Treatment and Handwashing Practices of Kenyan Mothers

Integration of immunizations with hygiene interventions may improve use of both interventions. We interviewed 1361 intervention and 1139 comparison caregivers about hygiene practices and vaccination history, distributed water treatment and hygiene kits to caregivers during infant vaccination session...

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Bibliographic Details
Published in:The Journal of infectious diseases 2012-03, Vol.205 (suppl_1), p.S56-S64
Main Authors: Briere, Elizabeth C., Ryman, Tove K., Cartwright, Emily, Russo, Elizabeth T., Wannemuehler, Kathleen A., Nygren, Benjamin L., Kola, Steve, Sadumah, Ibrahim, Ochieng, Cliff, Watkins, Margaret L., Quick, Robert
Format: Article
Language:English
Subjects:
Adult
Caregivers
Chlorine
Delivery of Health Care, Integrated
Drinking water
Female
Hand Disinfection - standards
Health care facilities
Health Facilities
Humans
Hygiene
Immunization
Infant
Infants
Infectious diseases
Kenya
Male
Mothers
Vaccination
Water Quality
Water treatment
Young Adult
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Summary:Integration of immunizations with hygiene interventions may improve use of both interventions. We interviewed 1361 intervention and 1139 comparison caregivers about hygiene practices and vaccination history, distributed water treatment and hygiene kits to caregivers during infant vaccination sessions in intervention clinics for 12 months, and conducted a followup survey of 2361 intervention and 1033 comparison caregivers. We observed significant increases in reported household water treatment (30% vs 44%, P < .0001) and correct handwashing technique (25% vs 51%, P < .0001) in intervention households and no changes in comparison households. Immunization coverage improved in both intervention and comparison infants (57% vs 66%, P = .04; 37% vs 53%, P < .0001, respectively). Hygiene kit distribution during routine immunizations positively impacted household water treatment and hygiene without a negative impact on vaccination coverage. Further study is needed to assess hygiene incentives, implement alternative water quality indicators, and evaluate the impact of this intervention in other settings.
ISSN:0022-1899
1537-6613
DOI:10.1093/infdis/jir779