Budge, S, Parker, A, Hutchings, P orcid.org/0000-0002-7758-4644 et al. (7 more authors) (2021) Multi-Sectoral Participatory Design of a BabyWASH Playspace for Rural Ethiopian Households. American Journal of Tropical Medicine and Hygiene, 104 (3). pp. 884-897. ISSN 0002-9637
Abstract
Growing evidence suggests current water, sanitation, and hygiene interventions do not improve domestic hygiene sufficiently to improve infant health, nor consider the age-specific behaviors which increase infection risk. A household playspace (HPS) is described as one critical intervention to reduce direct fecal–oral transmission within formative growth periods. This article details both the design and development (materials and methods), and testing (results) of a HPS for rural Ethiopian households. Design and testing followed a multi-sectoral, multistep participatory process. This included a focus group discussion (FGD), two user-centered and participatory design workshops in the United Kingdom and Ethiopia, discussions with local manufacturers, and a Trials by Improved Practices (TIPs) leading to a final prototype design. Testing included the FGD and TIPs study and a subsequent randomized controlled feasibility trial in Ethiopian households. This multi-sectoral, multistage development process demonstrated a HPS is an acceptable and feasible intervention in these low-income, rural subsistence Ethiopian households. A HPS may help reduce fecal–oral transmission and infection—particularly in settings where free-range domestic livestock present an increased risk. With the need to better tailor interventions to improve infant health, this article also provides a framework for future groups developing similar material inputs and highlights the value of participatory design in this field.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 by The American Society of Tropical Medicine and Hygiene. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/) |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Engineering & Physical Sciences (Leeds) > School of Civil Engineering (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 03 Dec 2020 11:47 |
Last Modified: | 25 Jun 2023 22:31 |
Status: | Published |
Publisher: | American Society of Tropical Medicine and Hygiene |
Identification Number: | 10.4269/ajtmh.20-0945 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:168654 |