Determinant | Facilitators | Barriers | |
Capability | Psychological | Knowledge about the relationship between HWWS and STH Knowledge of key moments for hand hygiene | |
Physical | Skills developed through HWWS demonstration and rehearsal | ||
Opportunity | Social | Teachers support and encourage HWWS Peers who support HWWS | |
Physical | Improved quality, quantity and location of HW stations | Inconsistent availability of water Inconsistent availability of soap at HW stations | |
Motivation | Automatic | Emotional response (disgust/fear) triggered through messages and content Relatable characters inspiring feelings of nurture among older students Reminders (nudges) that reinforced handwashing habits | |
Reflective | Proactive student engagement in water collection and soap provision |
HW, handwashing; HWWS, handwashing with soap; STH, Soil-transmitted helminth.