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Table 1 Details of the three-part handwashing behavior change intervention, the Povu Poa Handwashing Stations School Pilot Study

From: Effect of an equipment-behavior change intervention on handwashing behavior among primary school children in Kenya: the Povu Poa school pilot study

Part Aim Details
Part 1: The “Toilet and Shake” Skit To induce and use disgust as an emotional driver for handwashing • The resource person pretended to go to the toilet and came back to the assembly without washing hands - simply wiping hands with toilet papers
• The resource person attempted to shake hands with the students
• The resource person asked questions about having dirty hands
Part 2: The Handwashing Song To remind the students to wash their hands every time after using the latrine and before eating • The resource person taught the students a song about handwashing with soap after using the latrine and before eating
Part 3: The Pledge To promote a social norm of handwashing • The resource person asked students to raise hands and say an oral pledge to always wash their hands every time after using the toilet
• The purpose of the pledging process was to create a social norm (specifically, injunctive norm) for handwashing - to make the students expect others to wash their hands and be aware that others also expect them to wash their hands, creating mutual expectation for handwashing after toilet use
• The pledge was meant to change the students’ social norms which could then drive their handwashing behaviors