Browsing by Author "Gordon B"
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Item How can global guidelines support sustainable hygiene systems?(2023-Oct) Esteves Mills J; Thomas A; Abdalla N; El-Alam R; Al-Shabi K; Ashinyo ME; Bangoura FO; Charles K; Chipungu J; Cole AO; Engebretson B; Goyol K; Grasham CF; Grossi V; Hickling S; Kalandarov S; Ababu AK; Kholmuhammad K; Klaesener-Metzner N; Kugedera Z; Kwakye A; Lee-Llacer A; Maani PP; Makhafola B; Mohamed A; Monirul Alam M; Monse B; Northover H; Palomares A; Patabendi N; Paynter N; Prasad-Gautam O; Panthi SR; Rudge L; Saha S; Salaru I; Saltiel G; Sax L; Shahid MA; Gafur MS; Shrestha S; Szeberényi K; Tidwell JB; Trinies V; Yiha O; Ziganshin R; Gordon B; Cumming O; Water, Sanitation, Hygiene and Health Unit, Department of Environment, Climate Change and Health, World Health Organization (WHO), Geneva, Switzerland.; United Nations Children's Fund (UNICEF), New York, New York, USA.; Foreign Commonwealth & Development Office, Government of the United Kingdom, London, UK.; WHO Ghana Country Office, Accra, Ghana.; WHO Regional Office for the Eastern Mediterranean, Amman, Jordan.; Global Handwashing Partnership, Washington, District of Columbia, USA.; National Agency for Public Health, Government of the Republic of Moldova, Chisinau, Moldova (the Republic of).; WHO Ethiopia Country Office, Addis Ababa, Ethiopia.; World Vision International, Washington, District of Columbia, USA.; UNICEF Regional Office for South Asia, Kathmandu, Nepal.; WHO Country Office, Conakry, Guinea.; Health Emergency Interventions, WHO, Geneva, Switzerland.; Department of Public Health Engineering, Government of Bangladesh, Dhaka, Bangladesh.; Global Consultant, London, UK.; Environmental Health, World Health Organization, Kathmandu, Nepal.; Centre for Infectious Disease Research, Zambia (CIDRZ), Lusaka, Zambia.; UNICEF Nepal Country Office, Lalitpur, Nepal.; London School of Hygiene and Tropical Medicine, London, UK.; Ministry of Health & Social Protection, Government of Tajikistan, Dushanbe, Tajikistan.; Department of Health, Government of the Philippines, Manila, Philippines.; UNICEF Bangladesh Country Office, Dhaka, Bangladesh.; Department of Quality Assurance, Ghana Health Service, Accra, Ghana.; National Center for Public Health, Government of Hungary, Budapest, Hungary.; WHO Tajikistan Country Office, Dushanbe, Tajikistan.; UNICEF Pakistan Country Office, Lahore, Pakistan.; WaterAid, London, UK.; WHO Country Office, Sana'a, Yemen.; UNICEF Regional Office for East and Southern Africa, Nairobi, Kenya.; Water, Sanitation, Hygiene and Health Unit, Department of Environment, Climate Change and Health, World Health Organization (WHO), Geneva, Switzerland jestevesmills@gmail.com.; Department of Public Health, Ministry of Health, Funafuti, Tuvalu.; Ministry of Health, Government of South Africa, Pretoria, South Africa.; IRC India, New Delhi, India.; UNICEF Sri Lanka Country Office, Colombo, Sri Lanka.; UNICEF Tajikistan Country Office, Dushanbe, Tajikistan.; University of Oxford, Oxford, UK.; European Centre for Environment & Health, WHO Regional Office for Europe, Bonn, Germany.; WHO Iraq Country Office, Baghdad, Iraq.; German Agency for International Cooperation, Bonn, Germany.; World Bank, Washington, District of Columbia, USA.; UNICEF Ethiopia Country Office, Addis Ababa, Ethiopia.; Ministry of Health, Government of Ethiopia, Addis Ababa, Ethiopia.; WHO Bangladesh Country Office, Dhaka, Bangladesh.; Centers for Disease Control and Prevention, Atlanta, Georgia, USA.Item Recommendations for hand hygiene in community settings: a scoping review of current international guidelines.(2023-Jun-21) MacLeod C; Braun L; Caruso BA; Chase C; Chidziwisano K; Chipungu J; Dreibelbis R; Ejemot-Nwadiaro R; Gordon B; Esteves Mills J; Cumming O; Water, Sanitation, Hygiene and Health Unit, WHO, Geneva, Switzerland.; Department of Environmental Health and WASHTED, Malawi University of Business and Applied Sciences, Blantyre, Malawi.; Social and Behavioural Science Department, Center for Infectious Disease Research in Zambia, Lusaka, Zambia.; Department of Disease Control, London School of Hygiene and Tropical Medicine Faculty of Infectious and Tropical Diseases, London, UK.; Water and Sanitation Program, World Bank Group, Washington, District of Columbia, USA.; Department of Disease Control, London School of Hygiene and Tropical Medicine Faculty of Infectious and Tropical Diseases, London, UK clara.macleod@lshtm.ac.uk.; Department of Public Health, College of Medical Sciences, University of Calabar, Calabar, Nigeria.; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.; CIDRZ; Centre for Infectious Disease Research in Zambia (CIDRZ)BACKGROUND: Hand hygiene is an important measure to prevent disease transmission. OBJECTIVE: To summarise current international guideline recommendations for hand hygiene in community settings and to assess to what extent they are consistent and evidence based. ELIGIBILITY CRITERIA: We included international guidelines with one or more recommendations on hand hygiene in community settings-categorised as domestic, public or institutional-published by international organisations, in English or French, between 1 January 1990 and 15 November 2021. DATA SOURCES: To identify relevant guidelines, we searched the WHO Institutional Repository for Information Sharing Database, Google, websites of international organisations, and contacted expert organisations and individuals. CHARTING METHODS: Recommendations were mapped to four areas related to hand hygiene: (1) effective hand hygiene; (2) minimum requirements; (3) behaviour change and (4) government measures. Recommendations were assessed for consistency, concordance and whether supported by evidence. RESULTS: We identified 51 guidelines containing 923 recommendations published between 1999 and 2021 by multilateral agencies and international non-governmental organisations. Handwashing with soap is consistently recommended as the preferred method for hand hygiene across all community settings. Most guidelines specifically recommend handwashing with plain soap and running water for at least 20 s; single-use paper towels for hand drying; and alcohol-based hand rub (ABHR) as a complement or alternative to handwashing. There are inconsistent and discordant recommendations for water quality for handwashing, affordable and effective alternatives to soap and ABHR, and the design of handwashing stations. There are gaps in recommendations on soap and water quantity, behaviour change approaches and government measures required for effective hand hygiene. Less than 10% of recommendations are supported by any cited evidence. CONCLUSION: While current international guidelines consistently recommend handwashing with soap across community settings, there remain gaps in recommendations where clear evidence-based guidance might support more effective policy and investment.