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Table 3 Intervention package to improve hygiene literacy and practices among primary grade school children & their mothers

From: School-based interventions to promote personal and environmental hygiene practices among children in Pakistan: protocol for a mixed methods study

Serial NumberInterventionsFrequencyUse of strategies
1.Capacity building of school community (master trainers)
1.1 Teachers’ training/refresher sessions will be arranged to enhance hands on skills for educating children about improving personal and environmental hygieneOnce during the intervention phase and refresher sessions will be arranged as per needTraining sessions per school by using audio and visual aids
1.2 Pool of children with good leadership skills will be selected from the schools and will be trained in educating others on personal and environmental hygiene conceptsOne time activity of selection of childrenClassroom observations to identify children with good leadership skills
2.Implementing behavior change communication strategies
2.1 Children will be educated about the need for hygiene (personal and environmental hygiene). The sessions will be organized by teachersThrice in the entire durationUse of posters and graphics in the local language
2.2 Awareness raising sessions for mothers will be conducted by teachers and health workers to enhance mothers’ practices for personal and environmental hygieneOnce every 2 weeks for 4 weeksPictorial presentations in the local language
3.Reinforcing behavior change communication strategies
3.1 Reinforcement of hygiene concepts to children through multiple strategiesOnce every 2 weeksHygiene diary, hygiene games, and hygiene quiz
3.2 Role plays and awareness raising sessions by the children (senior students) to promote hygiene among school childrenOnce every 2 weeksRole plays and theatre
4.Improving physical environment at schools
4.1 Environment will be made conducive through audio visual aids to foster adaption of hygiene habits among childrenTo be displayed at schools during the entire intervention phaseCartoon characters demonstrating hygiene habits, and display of posters with hygiene messages
4.2 Improvement in school physical environment through ensuring the availability of garbage disposal bins, soap and water, functionality of handwashing facility, and engaging children to maintain cleanliness in school environment
Note: Improvement in the physical environment of the selected schools will be undertaken in close collaboration with the district/ taluka education authorities and a local NGO
To be carried out and ensured in the entire intervention periodDissemination of the findings from the pre-intervention phase to schools’ administration
5Enhancing the capacity of mothers
5.1. Mothers of school children will be sensitized on hygiene aspects through group discussionsThrice in the entire periodHealth education flyers and posters to be used during the group discussion sessions at home/ school settings