A hygiene experiment in rural Bangladesh
Khanom, K.; Leonard, R.C.
Sociological Perspectives Sp Official Publication of the Pacific Sociological Association 32(2): 245-255
1989
ISSN/ISBN: 0731-1214 PMID: 12343313 DOI: 10.2307/1389100Document Number: 375784
In February 1987, 10 students from the health education department at the National Institute of Preventive and Social Medicine of Bangladesh conducted a before after only health education experiment concerning intestinal worm infestation and sanitation by interviewing at least 160 individuals in a village outside of Dhaka. 74.5% initially believed that the only action to take for intestinal worm infestation was to visit a physician and take medicines. After 30 days of intense health education efforts, a 38% increase in those who gave preventive answers occurred among the lower class and a 52% increase among the middle class. Nevertheless 50% of the poor and 37% of the middle class still believed in curative care. In the pretest, 85% did not know how the worms entered the intestine and, in the posttest, this percent fell to 25%. The pretest showed that the typical village member only had 1 correct answer concerning adverse effects of the worms. After intense health education, the number of correct answers of the typical respondent climbed to 2. Moreover, before the intervention, only 20% reported washing their hands correctly after defecation using either rash or soap. After intervention, 96% did so. On the other hand, no change occurred in water sources (2 public tube wells or dirt storage ponds) or the latrine situation. Financial restraints and/or social class may have been responsible for the lack of changes. For example, a tube well is a status symbol of the rich and it would offend the rich if lesser families used them. Further, even the middle class could not afford a sanitary latrine. Therefore the health education intervention had little effect on 2 major sources of the worm infestation problem.