Using a Health Promotion based street drama intervention to increase maternal knowledge about household handwashing with soap at selected areas of rural Nepal

Name: Shalik Ram Dhital

Supervisors: Prof. Deborah Loxton and Dr. Catherine Chojenta


Communicable diseases are significant public health challenges and create endemic problems in developing countries. About 99% of infectious diseases occur in developing countries. Poor handwashing contributes to about 10% of the global burden of communicable diseases. Lack of maternal knowledge is the significant determinant for household handwashing. Proper hand washing with soap at household level reduces the risk of diarrhoea and pneumonia by 50% and skin infection by more than 30%. Nepal demographic health survey 2016 showed that only 47% of people wash their hand effectively. Poor maternal handwashing knowledge, improper utilization of available resources like soap, water, tippy taps and so on, as well as psychological, cultural, and other contextual factors play significant roles for handwashing with soap at household levels. Therefore, having knowledge about handwashing with soap during critical moments is highly significant. The primary aim of this study is to assess the impacts of a street drama health promotion intervention on handwashing at household levels to improve maternal knowledge of hand washing in rural Nepal.

The University of Newcastle acknowledges the traditional custodians of the lands within our footprint areas: Awabakal, Darkinjung, Biripai, Worimi, Wonnarua, and Eora Nations. We also pay respect to the wisdom of our Elders past and present.