There are four main ways of measuring hygiene behaviour change outcomes:

  1. Structured observation at households,

  2. Household spot-checks,

  3. Structured observation or spot checks at public facilities,

  4. Self-reported behaviour.

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?

Editor's Note

Authors: Fiona Majorin and Julie Watson
Review: Deepak Saxena, Katie Greenland, Hans Mosler, Dr Robina Shaheen
Last update: 11.06.2020

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