Repeat formative research to inform design of behavior change interventions for ‘F’ and ‘E’ of the SAFE strategy during the rainy season in Oromia, Ethiopia Supervisor: Mrs. Katie Greenland MSc Candidate: Katina Sommers Repeat Formative Research to Inform Design of Behavior Change Interventions for ‘F’ and ‘E’ of the SAFE Strategy During the Rainy Season in Oromia, Ethiopia Supervisor: Mrs. Katie Greenland MSc Student: Katina Sommers
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Repeat formative research to inform
design of behavior change interventions
for ‘F’ and ‘E’ of the SAFE strategy during
the rainy season in Oromia, Ethiopia
Supervisor: Mrs. Katie Greenland
MSc Candidate: Katina Sommers
Repeat Formative Research to Inform
Design of Behavior Change
Interventions for ‘F’ and ‘E’ of the
SAFE Strategy During the Rainy
Season in Oromia, EthiopiaSupervisor: Mrs. Katie Greenland
MSc Student: Katina Sommers
Overview
Project Description
Rationale
Aims & objectives
Methodology
Study site
Key Findings/Results
Comparison of dry and rainy seasons
Potential Intervention Approaches
Questions & Discussion
Rationale
Trachoma in Ethiopia: ~80% of blindness preventable
74,995,468 people at risk
SAFE strategy, ‘F’ and ‘E’: High quality data lacking
Formative research, dry season (DS), January 2016: Identified key sub-optimal hygiene and sanitation behaviors
Suggested opportunities for change
Repeat formative research, rainy season (RS), July 2016:
Do hygiene and sanitation behaviors vary by season? Explore suggested opportunities for change
Aims
This formative research study aimed to:
Document rainy season hygiene and sanitation-
related practices which may lead to an increased
risk of trachoma
Explore potential behavioral interventions to
improve these practices in Oromia, Ethiopia
Objectives
1. Document where and when behaviors of interest* occur and who carries them out through direct observations at key times
2. Investigate possible drivers of key behaviors and factors inhibiting these practices
3. Explore community perceptions of potential intervention strategies to influence current practices
4. Compare findings from this study, conducted in July 2016 during the rainy season, with findings from the original formative research, conducted in January 2016 during the dry season, to determine how behaviors of interest vary by season * Behaviors of interest: defecation/stool disposal practices: type of latrines used, location of defecation and disposal of child stools; general water use; personal hygiene behaviors: face/handwashing, wiping of face or ocular or nasal secretions and
Methodology
Mixed methods
In-home observations (n=10)
Socio-demographic surveys (n=10)
Post-observation interviews (n=10)
Focus group discussions (n=6)
Key informant interviews (n=6)
Analysis
Field notes
Transcriptions
Thematic analysis
Thematic Analysis
Study Site: Wera Jarso, Oromia
Rural, pastoralist, low literacy
60.26% rural pop. using unimproved water
source
96.83% rural pop. no bathing facility
Study Site: Trachoma
Prevalence
Trachoma Atlas: Ethiopia Country Profile
Characteristics of Observed
Households
7/10 households repeated
Discrepancies in HH size, water/person/day,
human feces in compound
*Blacked out columns are HHs from dry season which were not re-visited. Yellow columns represent dry season. Blue