Table 3

Capability, opportunity and motivational determinants of HWWS as reported by the participants

DeterminantFacilitatorsBarriers
CapabilityPsychologicalKnowledge about the relationship between HWWS and STH
Knowledge of key moments for hand hygiene
PhysicalSkills developed through HWWS demonstration and rehearsal
OpportunitySocialTeachers support and encourage HWWS
Peers who support HWWS
PhysicalImproved quality, quantity and location of HW stationsInconsistent availability of water
Inconsistent availability of soap at HW stations
MotivationAutomaticEmotional response (disgust/fear) triggered through messages and content
Relatable characters inspiring feelings of nurture among older students
Reminders (nudges) that reinforced handwashing habits
ReflectiveProactive student engagement in water collection and soap provision
  • HW, handwashing; HWWS, handwashing with soap; STH, Soil-transmitted helminth.