Systems thinking for hygiene in settings with high risk of infectious disease transmission

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cg.authorship.typesCGIAR and developing country instituteen
cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationEmory Universityen
cg.contributor.affiliationCentre for Infectious Disease Research in Zambiaen
cg.contributor.affiliationLondon School of Hygiene and Tropical Medicineen
cg.contributor.affiliationWater Research Commission, South Africaen
cg.contributor.affiliationInternational Livestock Research Instituteen
cg.contributor.affiliationDepartment of Education, Philippinesen
cg.contributor.affiliationInternational Centre for Diarrheal Disease Research, Bangladeshen
cg.contributor.affiliationWaterAiden
cg.contributor.affiliationFann Hospital, Senegalen
cg.contributor.affiliationUzima Universityen
cg.contributor.affiliationMenstrual Health Action for Impacten
cg.contributor.affiliationMinistry of Health and Social Action, Senegalen
cg.contributor.affiliationInstitut de Recherche en Santé, de Surveillance Epidemiologique et de Formations, Senegalen
cg.contributor.donorReckitt Global Hygiene Instituteen
cg.creator.identifierMichel Dione: 0000-0001-7812-5776en
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1038/s44221-025-00424-9en
cg.isijournalISI Journalen
cg.issn2731-6084en
cg.issue5
cg.reviewStatusPeer Reviewen
cg.subject.ilriHUMAN HEALTHen
cg.subject.impactAreaNutrition, health and food securityen
cg.subject.sdgSDG 3 - Good health and well-beingen
cg.volume3
dc.contributor.authorFreeman, M.C.en
dc.contributor.authorCrocker, J.en
dc.contributor.authorChipungu, J.en
dc.contributor.authorBagwan, J.en
dc.contributor.authorDione, Michel M.en
dc.contributor.authorDreibelbis, R.en
dc.contributor.authorDumlao, M.C.en
dc.contributor.authorFaruque, A.S.G.en
dc.contributor.authorFlint-O'Kane, M.en
dc.contributor.authorGautam, O.P.en
dc.contributor.authorLakhe, N.A.en
dc.contributor.authorMuga, R.en
dc.contributor.authorMuralidharan, A.en
dc.contributor.authorNdiaye, I.en
dc.contributor.authorSarr, M.en
dc.date.accessioned2025-04-29T06:37:26Zen
dc.date.available2025-04-29T06:37:26Zen
dc.identifier.urihttps://hdl.handle.net/10568/174365
dc.titleSystems thinking for hygiene in settings with high risk of infectious disease transmissionen
dcterms.abstractHygiene is critical for controlling infectious disease and delivering well-being. During the pandemic phase of COVID-19, there was widespread awareness of the importance of hygiene for disease control, and demand was high for action to improve access to hygiene materials. However, those efforts have faltered, and, in general, interventions to improve hygiene at scale have shown limited success in delivering sustained behaviour change and health impact. We convened experts in hygiene across sectors (for example, health, education and agriculture) and disciplines (for example, academia, policy and practice) in Dakar, Senegal, to discuss the critical barriers and opportunities for researching, developing and implementing systems-level hygiene interventions and promote learning across sectors, with a focus on systems approaches. We report what is needed to achieve catalytic improvements in hygiene in low-income settings and the Global South, with an emphasis on ‘hygienic systems’ that target all relevant hygiene moments—a set of associated behaviours at a given time and place with high pathogen exposure risk—and their enabling conditions and pre-conditions. This focus beyond individual behaviours will require removing silos across sectors and ministries, the generation of relevant evidence for policymakers and the localization of guidance.en
dcterms.accessRightsLimited Accessen
dcterms.audienceAcademicsen
dcterms.audienceScientistsen
dcterms.available2025-04-28en
dcterms.bibliographicCitationFreeman, M.C., Crocker, J., Chipungu, J., Bagwan, J., Dione, M., Dreibelbis, R., Dumlao, M.C., Faruque, A.S.G., Flint-O'Kane, M., Gautam, O.P., Lakhe, N.A., Muga, R., Muralidharan, A., Ndiaye, I. and Sarr, M. 2025. Systems thinking for hygiene in settings with high risk of infectious disease transmission. Nature Water 3(5): 518–524.en
dcterms.extentp. 518–524
dcterms.issued2025-05en
dcterms.languageenen
dcterms.licenseOtheren
dcterms.publisherNature Wateren
dcterms.subjecthealthen
dcterms.typeJournal Articleen

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