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Handwashing in the Sustainable Development Era PRAGMATISM IN MEASUREMENT PAVANI K. RAM, MD
Handwashing in the Sustainable Development EraPRAGMATISM IN MEASUREMENT
PAVANI K. RAM, MD
Handwashing matters here.
Observed handwashing behavior in the places where it matters
19% 5% 5%
Availability of soap for handwashing in the home, by wealth quintile, Africa Region, 2009-2013
Availability of soap and water at a handwashing place, 2009-2013
Availability of soap and water at a handwashing place, Africa region, 2009-2013
Sustainable Development Goals 2015-2030
Goal 6: Ensure availability and sustainable management of water and sanitation for all
Relevant targets in goal 6:
6.1 By 2030, achieve universal and equitable access to safe and affordable drinking water for all
6.2 By 2030, achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to the needs of women and girls and those in vulnerable situations
...
Measuring “access to adequate and equitable hygiene for all”?
Measuring handwashing… a dull business
AskLook for
cluesObserve
Measuring handwashing to evaluate progress toward the SDG target… a difficult but doable business
AskLook for
cluesObserve
Looking for clues to handwashing
Soap in the home
Volume of soap
consumption
Soap and water at a
handwashing place
Hand contamination
Sensor detection of soap use
Soap use during demonstration
A pragmatic indicator for the SDG era
Soap and water at a
handwashing place
Valid Measurable
‘Valid’ here refers to the documented association between the indicator and behavior / risk of infectious syndromes
‘Measurable’ here refers to the feasibility of inclusion in large, nationally representative surveys
Soap and water at a
handwashing place
Soap and water at a handwashing place: An indicator for all
An expanded definition of ‘soap’ in the SDG era
Measuring handwashing to evaluate progress toward the SDG target… imperfect but doable
