Effect of Hand Washing Education on Primary School Pupils in Nkanu West Local Government Area (Lga) of Enugu State, Nigeria

Effect of Hand Washing Education on Primary School Pupils in Nkanu West Local Government Area (Lga) of Enugu State, Nigeria

Anthony C. UGWUOKE, Ph.D1; Emenike Samuel UGWU, M.Sc2; Chiedozie Okechukwu OKAFOR, PhD3;Ngozi Rita ANI, Ph.D4, and Cathrine U. ENE, Ph.D5

1.Health Department Nkanu West LGA, Enugu state,
2. Code of Conduct Tribunal, Enugu Zonal Office, Enugu, Nigeria,
3. Department of Psychology, Federal University, Ndufu-Alike, Ikwo, Ebonyi State,
4. Department of Health and Physical Education, Enugu state University of Science and Technology,
5. Department of Science Education, University of Nigeria, Nsukka.

International Journal of social research

The study explored the effectiveness of hand washing (hw) education on primary school pupils in Nkanu West LGA of Enugu state. Comparison group pretest-posttestdesign was utilized to execute the study. The population for the study was 9746 pupils. The samplefor the study was 48 pupils made up of 23 and 25 intact primary 5 classes from two separate schools. The instrument utilized for data collection was a 10-item hw achievement multiple-choice test (HaWaT) adapted from hw testdeveloped by Massachusetts Department of Public Health Division of Epidemiology and Immunization-MDPHDEI (2000). The HaWaT had sections A and B that sought data on knowledge and skills of hw respectively. The face and content validity of the instrument was established through the judgment of three expertsin health education, psychology and measurement/evaluation. The instrument was pilot tested in a school in the LGA that was different from the schools selected for this study using a test-retest method. The resultant data were correlated using Pearson Product Moment Correlation Coefficient and it yielded a reliability coefficient of .78. Kuder-Richardson formula 20 was utilized to determine its internal consistency and it yielded a reliability index of .71. Data that were generated from the pre and posttest were analyzed using SPSS version 21. Descriptive statistics of mean (x ̅) and standard deviation (SD) were used to answer the research questions while ANOVA was used to verify the hypotheses at .05 level of significance. The majorfindingsfrom the study showed that the mean achievement gain on: knowledge of hw of the intervention group (x ̅=10.87%) was higher than the comparison group (x ̅=.08%); skills of hw of the intervention group (x ̅=12.81%) was greater than the comparison group (x ̅=4.40%). Additionally, the ANOVA test showed that null hypothesis one which stated that there was no significance difference between experimental and comparison group on knowledge of hw was rejected (p value=.001<.05 alpha level).Similarly,null hypothesis two which stated that there was no significance difference between both groups on skills of hw was rejected(p=.001< .05 alpha level). Based on these findings, it was concluded that the hw education was effective. Following from the conclusions a recommendation for the adoption of the health education in primary schools in Nkanu West LGA was made.

Keywords: hand washing, health promotion, health education, teaching

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How to cite this article:
UGWUOKE et al.,.Effect of Hand Washing Education on Primary School Pupils in Nkanu West Local Government Area (Lga) of Enugu State, Nigeria. International Journal of Social Research, 2017; 1:3. DOI:10.28933/ijsr-2017-11-1501


1 Adegbite, C.O. (2005).Health Education interventions.Nigerian Journal of Health Education, 13(1): 19-26
2 Agberemi, Z.O.,Ofem, L. &Saidu, A. (2009).Mobilizing people for improved hygiene practices through hand washing campaigns in Nigeria.www.unicef.org. Accessed July 11, 2017.
3 Agboola, H.O. &Rosiji, C.O. (2016).Environmental health officer emergency preparedness and response on ebolaoutbreak (a case of environmentalist atIjebu Ode, Ikenne, Odogbolu and SagamuL.G.A.), Ogun state . Nigerian Journal of Health Promotion; 9: 147-152.
4 Aggarwal, J.C. (2011).Theory and principles of education (13th edition). New Delhi: Vikas pub. House PVT Ltd.
5 Ani, N.R.&Ugwuoke, A.C. (2015).Provision of human waste disposal facilities in Nkanu West Local Government Area of Enugu state.Nigerian Journal of Health Promotion, 8,320-334.
6 Bassey, E. &Ikorok, M.M. (2016). Public health education: an agenda for communicable disease control in Africa. Nigerian Journal of Health Promotion; 9: 1-5.
7 Ebuoh, C.N.(2004). Educational measurement and evaluation for effective teaching and learning. Enugu: Sky printing press.
8 Ebuneoha, H. & Samuel, E.S. (2015).Childhood diarrhoeaknowledge possessed by mothers in Ezeagu Local Government Area of Enugu state.International Journal of Human Kinetics and Health Education; 1(1):83-87.
9 Efe-Aigbovo,A. &Okafor, F.U. (2016). Ebola as an emerging and re-emerging disease in Africa: its conceptual frame work and the missing link. Nigerian Journal of Health Promotion; 9: 62-66.
10 Egba, A.N. &Omaka-Amari, L.N. (2016).Health promotion initiatives for reintegrating employees with deppressive disorders into the workplace.Nigerian Journal of Health Promotion; 9: 67-75.
11 Ekenedo, G.O. (2005). Health education interventions in the workplace. Nigerian Journal of Health education; 13(1): 27-33.
12 Ekenedo, G. O. &Iwuagwu, T.E (2015).Knowledge and perception of health promotion among health educators in Nigerian higher institutions.International Journal of Human Kinetics and Health Education; 1(2): 83-89.
13 Ene, O.C. (2000). Expository and discovery methods of presenting junior secondary school education related topics. Nigerian Journal of Health Education 9(1): 169-178.
14 Eseoghene, I.D. &Ujiro, I. (2013).Availability and utilization of hand washing facilities among primary schoolnpupils in Ughelli North L.G.A. of Delta state.Academic Research International; 4(5): 347-352.
15 Grinnell, Jr. R.M., Unrau, Y.A.& Williams, M. (2005).Group-level designs.In R.M. Grinnell,Jr. & Y.A. Unrau (Eds.), Social work research and evaluation: Quantitative and qualitative approaches (7th ed.) (pp.185-210).
16 Garg, A., Taneja, D.K., Badhan, S.K. &Igle, G.K. (2013).Impact of a school-based hand washing promotion programme on knowledge and hand washing behaviour of girls students in a middle school of Delhi, India. http://www.ijph.in/text.asp? 2013/57/2/109/115009.Accessed January 23, 2017.
17 Hassan, A.I., Sanusi, A.A.& Usman, H.U. (2015).Effectiveness of teaching methods on environmental hygiene practices among almajirai in Tsangaya in Kano Municipal Local Government Area, Kano state, Nigeria. Nigerian Journal of Health Promotion; 8:45-58.
18 Idoko, C.E. (2010). Science education and instruction (a practical approach). Enugu: Cheston books.
19 Idoko, C.E. (2011). Research in education and social sciences (practitioners’ companion).Enugu: Our Saviour press.
20 Igbokwe, C.C., Dibia, S.I.C. &Igbokwe, C.B. (2015).Knowledge and practice of salmonellosis prevention among food handlers in restaurants in University of Nigeria, Nsukka.International Journal of Human Kinetics and Health Education; 1(1): 26-34.
21 Iwuagwu, T.E. (2016). The national school health policy:problem of implementation and way forward. International Journal of Human Kinetics, health and Education; 2(2): 139-146
22 Landy, F.J. & Conte, J.M. (2010).Work in the 21st century: an introduction to industrial and organizational psychology. New York: John Wiley and sons inc.
23 Madu, B &Nwangwu, E.C. (2014).Effect of multimedia video instruction on secondary schools students’ achievement in harrowing and ridging in agriculture.International Journal of Educational Research; 13(1): 282-300.
24 Massachusetts Department of Public Health Division of Epidemiology and Immunization (2000, February). Hand washing lesson plans for kindergarten – sixth grade. www.mass.gov/…/handwashing/lesson_plan_k6.pdf. Accessed January 11, 2017.
25 Nkanu West Local Education Authority (2017).Primary school pupils population for 2016/17.The author.
26 Nwokike, H.U. (2015). Childhood diarrhea management practices of mothers in Ezeagu Local Government Area of Enugu state, Nigeria. International Journal of Human Kinetics, Health and Education; 1(2): 39-46.
27 Okwo, F.A. (2001). Research methodology. In E.A.C. Okeke& G.C. Offorma (Eds.), Project/thesis writing simplified(pp.90-127). Nsukka: Institute of Education, University of Nigeria, Nsukka.
28 Omuewu,V.O., Ogboghodo, E.O., Opene, R.A., Oriarewo, P. &Onibere, O. (2013). Hand hygiene practices among doctors in a tertiary health facility in Souther Nigeria.http://www.jmedtropics.org/text.asp? 2013/15/96/123579.Accessed March 5, 2017.
29 RubanpremKum, S.A.,Aruna, S. &Sasikala, M. (2014). Effectiveness of hand hygiene teaching on knowledge, and compliance of hand washing among the students at a selected school in Mugalivakkan village, Kancheepuran District. India. IOSR Journal of Nursing and Health Science; 3(4): 56-60.
30 Shrestha, A &Angolkar, M. (2015).Improving hand washing among school children: an educational intervention in South India.Al Ameen Journal of Med Sci; 8(1): 81-85.
31 Siddiqui, M.H. & Khan, M.S. (2011).Models of teaching theory and research. New Delhi: APH publishing Corporation.
32 The Global Public-Private Partnership for Handwashing (2016).The state of handwashing in 2015.http://globalhandwashing.org/.Accessed July 11, 2017.
33 Trevithick, P. (2012). Social work skills and knowledge: a practice handbook(3rd edition). New York: Graw Hills Education.
34 UNICEF (no date).All for health: a resource book for facts for life. New York: UNICEF.
35 UNICEF/Water Aid Nigeria (2008).Sanitation fact sheets Nigeria. Abuja: The author.
36 WaterAid &The Soap Box (2015&&&????). Hand hygiene in health-care facilities. www.wateraid.org/ppa. Retrieved January 11, 2017.
37 West, R. & Turner, L.H. (2011).Understanding interpersonal communication: making choices in changing times (enhanced 2nd edition). Boston: Wadsworth Cengage learning.
38 WHO (2009). Guide to implementation multimodalhand hygiene improvement strategy.Geneva: the author.http://www.who.int/gpssc/5may/Guide-to-implementation.pdf?ua=1.
39 Xie, YH.,Chongsuvivatwong, V., Tan, Y., Tang, ZhZ., Sornsrivichai V. &McNiel, E.B. (2015). Important roles of public playgrounds on the transmission of hand, foot and mouth disease.Epidemiol Infect; 143(7): 1432-1441.
40 Xuan, L.T.T. &Hoat, L.N. (2013). Hand washing among school children in an ethnically diverse population in northern rural Vietnam. Global Health Action; 6;10.3402/gha.v6io.18869. dio:10.3402/gha.v6io.18869.

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