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 jestevesmills@gmail.com.; Ministry of Health, Government of Ethiopia, Addis Ababa, Ethiopia.; UNICEF Sri Lanka Country Office, Colombo, Sri Lanka.; University of Oxford, Oxford, UK.; Department of Public Health, Ministry of Health, Funafuti, Tuvalu.; World Vision International, Washington, District of Columbia, USA.; Ministry of Health & Social Protection, Government of Tajikistan, Dushanbe, Tajikistan.; WHO Ethiopia Country Office, Addis Ababa, Ethiopia.; WHO Country Office, Sana'a, Yemen.; Foreign Commonwealth & Development Office, Government of the United Kingdom, London, UK.; UNICEF Regional Office for East and Southern Africa, Nairobi, Kenya.; UNICEF Bangladesh Country Office, Dhaka, Bangladesh.; UNICEF Pakistan Country Office, Lahore, Pakistan.; IRC India, New Delhi, India.; Global Consultant, London, UK.; UNICEF Regional Office for South Asia, Kathmandu, Nepal.; WHO Bangladesh Country Office, Dhaka, Bangladesh.; WHO Iraq Country Office, Baghdad, Iraq.; Ministry of Health, Government of South Africa, Pretoria, South Africa.; UNICEF Nepal Country Office, Lalitpur, Nepal.; London School of Hygiene and Tropical Medicine, London, UK.; Global Handwashing Partnership, Washington, District of Columbia, USA.; Water, Sanitation, Hygiene and Health Unit, Department of Environment, Climate Change and Health, World Health Organization (WHO), Geneva, Switzerland.; World Bank, Washington, District of Columbia, USA.; Health Emergency Interventions, WHO, Geneva, Switzerland.; United Nations Children's Fund (UNICEF), New York, New York, USA.; Environmental Health, World Health Organization, Kathmandu, Nepal.; European Centre for Environment & Health, WHO Regional Office for Europe, Bonn, Germany.; Centre for Infectious Disease Research, Zambia (CIDRZ), Lusaka, Zambia.; WHO Regional Office for the Eastern Mediterranean, Amman, Jordan.; WaterAid, London, UK.; WHO Country Office, Conakry, Guinea.; Department of Public Health Engineering, Government of Bangladesh, Dhaka, Bangladesh.; National Center for Public Health, Government of Hungary, Budapest, Hungary.; WHO Tajikistan Country Office, Dushanbe, Tajikistan.; WHO Ghana Country Office, Accra, Ghana.; UNICEF Tajikistan Country Office, Dushanbe, Tajikistan.; UNICEF Ethiopia Country Office, Addis Ababa, Ethiopia.; National Agency for Public Health, Government of the Republic of Moldova, Chisinau, Moldova (the Republic of).; Centers for Disease Control and Prevention, Atlanta, Georgia, USA.; German Agency for International Cooperation, Bonn, Germany.; Department of Health, Government of the Philippines, Manila, Philippines.; Department of Quality Assurance, Ghana Health Service, Accra, Ghana.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; Department of Disease Control, London School of Hygiene and Tropical Medicine Faculty of Infectious and Tropical Diseases, London, UK.; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.; Water, Sanitation, Hygiene and Health Unit, WHO, Geneva, Switzerland.; Water and Sanitation Program, World Bank Group, Washington, District of Columbia, USA.; Social and Behavioural Science Department, Center for Infectious Disease Research in Zambia, Lusaka, Zambia.; Department of Public Health, College of Medical Sciences, University of Calabar, Calabar, Nigeria.; Department of Environmental Health and WASHTED, Malawi University of Business and Applied Sciences, Blantyre, Malawi.; Department of Disease Control, London School of Hygiene and Tropical Medicine Faculty of Infectious and Tropical Diseases, London, UK clara.macleod@lshtm.ac.uk.; 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.