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Association of home hygienic practice and diarrhoeal presence in low-cost housing in Cape Town, South Africa

Thesis (MSc)--Stellenbosch University, 2017.

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Bibliographic Details
Main Author: Brand, Amanda
Other Authors: Esterhuizen, Tonya
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2017
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access_status_str Open Access
author Brand, Amanda
author2 Esterhuizen, Tonya
author_browse Brand, Amanda
Esterhuizen, Tonya
author_facet Esterhuizen, Tonya
Brand, Amanda
author_sort Brand, Amanda
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MSc)--Stellenbosch University, 2017.
format Thesis
id oai:scholar.sun.ac.za:10019.1/102563
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:43:46.817Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2017
publishDateRange 2017
publishDateSort 2017
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/102563 Association of home hygienic practice and diarrhoeal presence in low-cost housing in Cape Town, South Africa Brand, Amanda Esterhuizen, Tonya Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Global Health. Epidemiology and Biostatistics. Health education -- Cape Town (South Africa) Public health -- Cape Town (South Africa) Home-based family services -- Cape Town (South Africa) UCTD Thesis (MSc)--Stellenbosch University, 2017. ENGLISH SUMMARY: Background: Good home hygiene in key high-risk areas shows potential to be a simple and cost-effective intervention for preventing infectious disease transmission in low income homes. Knowledge of good home hygiene does not, however, always translate to practice due to complex factors which hinder translation. The objective of the study was to investigate whether an association between cleanliness and diarrhoeal disease exists, and to understand the factors which impede knowledge translation. Method: This cross-sectional study in low-income areas in Cape Town, South Africa took the format of an administered questionnaire focusing on health, and hygienic behaviour. Interviewer-assessed cleanliness was also recorded for each home. Results: Gastrointestinal symptoms were significantly associated with unclean kitchens and toilets (odds ratio (OR)=5.93 (1.98 – 19.78) and OR=17.67 (5.20 – 63.90), respectively). The presence of diarrhoea was significantly associated with dirty toilet areas (OR=8.94 (2.34 – 40.96)), despite its relatively low prevalence (17% (11 – 25%)). While knowledge of home hygiene and health was high, a lack of association between knowledge and observed cleanliness indicated a gap in the translation of knowledge to practice. Proposed emotional drivers of this process could not be substantiated, but evidence suggested that lack of understanding of underlying reasons plays an important role, but it may be effectively overcome by education. Conclusions: Good home hygiene shows potential for preventing infectious disease risk in low-income areas, but knowledge does not translate to effective practice. This is likely attributable to a lack of understanding of underlying principles, specifically among persons with low levels of formal schooling. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2017-11-24T09:33:19Z 2017-12-11T10:25:36Z 2017-11-24T09:33:19Z 2017-12-11T10:25:36Z 2017-12 Thesis http://hdl.handle.net/10019.1/102563 en_ZA Stellenbosch University 24 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle Health education -- Cape Town (South Africa)
Public health -- Cape Town (South Africa)
Home-based family services -- Cape Town (South Africa)
UCTD
Brand, Amanda
Association of home hygienic practice and diarrhoeal presence in low-cost housing in Cape Town, South Africa
title Association of home hygienic practice and diarrhoeal presence in low-cost housing in Cape Town, South Africa
title_full Association of home hygienic practice and diarrhoeal presence in low-cost housing in Cape Town, South Africa
title_fullStr Association of home hygienic practice and diarrhoeal presence in low-cost housing in Cape Town, South Africa
title_full_unstemmed Association of home hygienic practice and diarrhoeal presence in low-cost housing in Cape Town, South Africa
title_short Association of home hygienic practice and diarrhoeal presence in low-cost housing in Cape Town, South Africa
title_sort association of home hygienic practice and diarrhoeal presence in low cost housing in cape town south africa
topic Health education -- Cape Town (South Africa)
Public health -- Cape Town (South Africa)
Home-based family services -- Cape Town (South Africa)
UCTD
url http://hdl.handle.net/10019.1/102563
work_keys_str_mv AT brandamanda associationofhomehygienicpracticeanddiarrhoealpresenceinlowcosthousingincapetownsouthafrica