Nazliansyah Nazliansyah


Acute respiratory infection and diarrhea are the two leading causes of mortality especially among children. Furthermore, nearly 22 million schools days are lost annually due to the respiratory infection and diarrhea and on average the students are absent from school 4.5 days per years. Hands hygiene is a key factor of reducing transmission of diseases in the community setting such as school environment. Washing hands with soap and running water could significantly reduce the risk of diseases. Objective: The objective of this study was to identify relationships between knowledge, socio-demographic factors, and perception of diseases with hand washing behavior among elementary school children in Belitung district, Indonesia. Methods and Setting: A cross-sectional research study design was employed for describing the relationship between perception of diseases and hand hygiene behavior among school children in Belitung, Indonesia. A total of 309 sixth grade students from 11 sub-districts that have been implemented of hand washing campaign were participated in this study. Results: The results showed that socio-demographic factors and knowledge were not related with hand hygiene behavior. However, perception of diseases were significant related with hand hygiene behavior. Based on these findings, health care providers in Indonesia should be strengthening health promotion of hand washing behavior.


Relationships, Hand Hygiene, Elementary schools

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