Effectiveness of hand hygiene education among a random sample of women from the community.


Objective: The effectiveness of the hand hygiene education was investigated by studying the hand hygiene awareness and bacterial hand contamination among a random sample of 170 women in the community. Methods: Questionnaire was used to assess the hand hygiene awareness score, followed by swabbing of the dominant hand. Bacterial identification was done by conventional biochemical tests. Result: Better hand hygiene awareness score was significantly associated with age, scarce bacterial growth and absence of potential pathogen (p<0.05). Out of the 170 hand samples, bacterial growth was noted in 155 (91.2%), which included 91 (52.9%) heavy growth, 53 (31.2%) moderate growth and 11 (6.47%) scanty growth. The presence of enteric bacteria was associated with long nails (49.4% vs 29.2%; p=0.007; OR=2.3; 95% CI 1.25-4.44) while finger rings were associated with higher bacterial load (p=0.003). Coliforms was significantly higher among women who had a lower hand hygiene awareness score, washed their hands at lower frequency (59.0% vs 32.8%; p=0.003; OR=2.9; 95% CI 1.41-6.13) and used common soap as compared to antiseptic soaps (69.7% vs 30.3%, p=0.000; OR= 4.11; 95% CI 1.67-10.12). Conclusions: Level of hand hygiene awareness among the participants was satisfactory but not the compliance of hand washing practice, especially among the elders.



Lanata CF, Huttly SR, Yeager BA. Diarrhea: whose feces matter? Reflections from studies in a Peruvian shanty town. Ped Inf Dis J 1998; 17(1): 7-9.

Bloomfield SF, Aiello AE, Cookson B, et al. The effectiveness of hand hygiene procedures in reducing the risks of infections in home and community settings including handwashing and alcohol-based hand sanitizers. Am J Inf Control 2007; 35: S1.

Garner JS and Favero MS. CDC guideline for hand washing and hospital environmental control. Inf control 1986; 7: 231-43.

Aiello AE, Coulborn RM, Perez V, et al. Effect of hand hygiene on infectious disease risk in the community setting: a meta-analysis. Am J Public Health 2008; 98: 1372–8.

Pang J, Chua SW, Hsu L. Current knowledge, attitude and behaviour of hand and food hygiene in a developed residential community of Singapore: a cross-sectional survey. BMC Public Health 2015; 15: 577.

Curtis V, Biran A, Deverell K, et al. Hygiene in the home: relating bugs and behavior. Social Science and Med 2003; 57: 657–72.

Padaruth SK, Biranjia-Hurdoyal SD. Hygiene practices and faecal contamination of the hands of children attending primary school in Mauritius. Int Health 2015; 7(4): 280-4.

Nel S, Lues JF, Buys EM, et al. The personal and general hygiene practices in the de-boning room of a high throughput red meat abattoir. Food Control 2004; 15: 571–578.

Hoffman PN, Cooke EM, McCarville MR, et al. Micro-organisms isolated from skin under wedding rings worn by hospital staff. Brit Med J (Clin Res Ed) 1985; 290 (6463): 206-7.

Trick WE, Vernon MO, Hayes RA, et al. Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Clin Inf Dis 2003; 36(11):1383-90.

Ifeadike CO, Ironkwe OC, Adogu PO, et al. Prevalence and pattern of bacteria and intestinal parasites among food handlers in the Federal Capital Territory of Nigeria. Nig Med J 2012; 53(3): 166-71.

Wills WJ, Meah A, Dickinson AM, et al. ‘I don’t think I ever had food poisoning. ’A practice-based approach to understanding foodborne disease that originates in the home Appetite 2014; 85: 118-125.