There are four main ways of measuring hygiene behaviour change outcomes:
Structured observation at households,
Structured observation or spot checks at public facilities,
Below we describe how these can be applied to measuring handwashing behaviour and highlight strengths and limitations of each method in general, as well as during the COVID-19 outbreak. These methods can be adapted to measure other preventative behaviours too.
Want to learn more about adapting hygiene project outcome measures for COVID-19 response?