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Temporal analysis of water, sanitation, and hygiene data from knowledge, attitudes, and practices surveys in the protracted humanitarian crisis in Myanmar
Journal of Water, Sanitation & Hygiene for Development ( IF 1.6 ) Pub Date : 2020-12-01 , DOI: 10.2166/washdev.2020.025
Marta Domini 1 , Sunny Guidotti 2 , Daniele Lantagne 1
Affiliation  

Knowledge, attitudes, and practices (KAP) surveys are commonly conducted by humanitarian actors at project baseline and endline. We hypothesized summarized KAP data could inform water, sanitation, and hygiene (WASH) programming and strategies. In conflict-affected Myanmar, the WASH Cluster collated KAP documents from 2011 to 2016. After developing a methodology for KAP temporal analysis, we reviewed provided documents against inclusion criteria; extracted and categorized data; created a WASH activities and emergency events timeline; completed temporal analysis; and triangulated and summarized results. Sixteen documents met inclusion criteria assessing WASH data at the national level (19%), in Rakhine (56%) or Kachin State (25%). Twenty-five WASH metrics were extracted and categorized. We found WASH knowledge and attitudes (e.g. handwashing knowledge) increased over time; practices (e.g. handwashing) also increased, but at a lower rate and less consistently; and increases were related to WASH programming. Using this methodology, we identified gaps (safe water storage, risk of children's feces, focus on vulnerable populations), barriers (cultural and religious beliefs), and programmatic recommendations (continue hygiene promotion, focusing on closing gaps, and improve waste collection systems) in Myanmar. Additionally, to enable temporal analysis and improve WASH programming, we recommend WASH Clusters standardize KAP data collection tools and analysis in the future.



中文翻译:

根据知识,态度和实践调查对缅甸旷日持久的人道主义危机进行水,环境卫生和个人卫生数据的时间分析

知识,态度和实践(KAP)调查通常由人道主义行为者在项目基准和最终阶段进行。我们假设汇总的KAP数据可以为水,环境卫生和个人卫生(WASH)编程和策略提供信息。在受冲突影响的缅甸,WASH群集从2011年到2016年整理了KAP文件。在制定了KAP时间分析方法之后,我们根据纳入标准审查了提供的文件;提取和分类数据;创建了WASH活动和紧急事件时间表;完成时间分析;并对结果进行三角化和汇总。在若开邦(56%)或克钦邦(25%)的国家级(19%)的WASH数据评估中,有16个文件符合纳入标准。提取并分类了25个WASH指标。我们发现了WASH的知识和态度(例如 洗手知识)随时间增加;做法(例如洗手)也有所增加,但比率较低且不一致。增长与WASH编程有关。使用这种方法,我们确定了差距(安全储水,儿童粪便的风险,关注弱势人群),障碍(文化和宗教信仰)和计划性建议(持续卫生促进,关注缩小差距并改善废物收集系统)在缅甸。此外,为了支持时间分析并改善WASH编程,我们建议WASH群集在将来标准化KAP数据收集工具和分析。我们确定了缅甸的差距(安全储水,儿童粪便的风险,关注弱势人群),障碍(文化和宗教信仰)和计划性建议(继续促进卫生,关注缩小差距并改善废物收集系统)。此外,为了支持时间分析并改善WASH编程,我们建议WASH群集在将来标准化KAP数据收集工具和分析。我们确定了缅甸的差距(安全储水,儿童粪便的风险,关注弱势人群),障碍(文化和宗教信仰)和计划性建议(继续促进卫生,关注缩小差距并改善废物收集系统)。此外,为了支持时间分析并改善WASH编程,我们建议WASH群集在将来标准化KAP数据收集工具和分析。

更新日期:2020-12-23
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