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Health Policy and Planning 2005 20(4):213-221; doi:10.1093/heapol/czi024
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© The Author 2005. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved.

Original article

Formative research for hygiene promotion in Kyrgyzstan

Adam Biran1, Anara Tabyshalieva2,3 and Zumrat Salmorbekova2

1 Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK, 2 Institute for Regional Studies, Bishkek, Kyrgyzstan and 3 The Central Asia–Caucasus Institute, Johns Hopkins University, Washington DC, USA

Correspondence: Adam Biran, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. Tel: +44 (0)20 7612 7862. E-mail: Adam.Biran{at}lshtm.ac.uk

Formative research for hygiene promotion was used to gather data relating to hygiene practices in rural Kyrgyzstan. Some of the hand-washing and faeces disposal practices observed were sub-optimal from a public health perspective. In combination with the poverty, limited medical services and poor water supply infrastructure characteristic of the study area, it is likely that these factors increase the risk of diarrhoeal infections among Kyrgyz children. An association was found between increased rates of hand-washing following latrine use and ownership of a washstand. This offers some empirical support for the idea that promotion of hand-washing technologies can form a useful part of a hygiene promotion intervention. The process followed in conducting the formative research is outlined in some detail along with a discussion of some of its achievements and limitations.

Key Words: formative research, hygiene promotion, Kyrgyzstan, sanitation

1 Administrative districts.

2 Washstands vary in construction but are essentially a small tank with a tap, positioned over a basin that drains into a bucket below.

3 The beshik is a widely used infant's cradle that incorporates a pot for the collection of urine and faeces.

4 A felcher is a village-level health worker.


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