{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T04:52:39Z","timestamp":1772859159949,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T00:00:00Z","timestamp":1594684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The Cholera\u2010Hospital\u2010Based\u2010Intervention\u2010for\u20107\u2010days (CHoBI7) is a water treatment and handwashing with soap intervention for diarrhoea patients and their household members which is initially delivered in a healthcare facility setting. This study evaluated the effectiveness of CHoBI7 program delivery in increasing handwashing with soap in a healthcare facility setting among diarrhoea patients and their household members.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomised controlled trial of the CHoBI7 program was conducted among 404 diarrhoea patients and their accompanying household members in healthcare facilities in Dhaka, Bangladesh. The \u2018Standard Message\u2019 Arm received the standard message given in Bangladesh to diarrhoea patients on the use of oral rehydration solution. The \u2018Health Facility Visit\u00a0+\u00a0Soapy Water\u2019 Arm received the standard message, the CHoBI7 communication module delivered bedside to the patient; and a soapy water bottle in the healthcare facility. The \u2018Health Facility Visit\u00a0+\u00a0Handwashing Station\u2019 Arm received this same intervention plus a small plastic handwashing station. Within 24\u00a0h of intervention delivery, three\u2010hour structured observation of handwashing practices at stool\/vomit\u2010 and food\u2010related events (key events) was conducted in healthcare facilities of diarrhoea patients and their accompanying household members.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared to the Standard Message Arm, there was significantly more handwashing with soap at key events in both the Health Facility Visit + Soapy Water Arm (51% <jats:italic>vs<\/jats:italic>. 25 %) (Odds Ratio: 3.02; (95% Confidence Interval (CI): 1.41, 6.45) and the Health Facility Visit\u00a0+\u00a0Handwashing Station Arm (58% <jats:italic>vs<\/jats:italic>. 25%) OR: 4.12; (95% CI: 1.86, 9.14).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings demonstrate that delivery of the CHoBI7 communication module and provision of a soapy water bottle to diarrhoea patients and their accompanying household members presents a promising approach to increase handwashing with soap among this high risk population in a healthcare facility setting in Bangladesh.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13416","type":"journal-article","created":{"date-parts":[[2020,5,14]],"date-time":"2020-05-14T10:11:52Z","timestamp":1589451112000},"page":"1008-1015","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effect of a water, sanitation and hygiene program on handwashing with soap among household members of diarrhoea patients in healthcare facilities in Bangladesh: a cluster\u2010randomised controlled trial of the CHoBI7 mobile health program"],"prefix":"10.1111","volume":"25","author":[{"given":"Fatema","family":"Zohura","sequence":"first","affiliation":[{"name":"International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b) Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md. 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