Main Article Content
Abstract
Hygiene and sanitation problems still pose a threat to communicable diseases such as diarrhoea, cholera, and typhoid in several third-world countries like Uganda. Nurse trainees are vital in community health education in terms of sensitising households on better hygiene and sanitation practices. This study examined the impact of placement of nurses on household hygiene and sanitation practices in Masaka District, Uganda. The study adopted a mixed-method research design on a purposively selected sample: 44 nurse trainees, 92 households, and 6 key informants. Data was collected using a structured questionnaire, an observation checklist and key informant interviews. Analysis was done using descriptive statistics and and thematic analysis. The findings showed that there were improvements in household hygiene and sanitation after the placement of nursing students in the households. Access to sites where hand washing could be done was increased from 38.0% to 72.8%, whereas the frequency of hand washing was increased from 28.3% to 65.2%. Access to latrines was increased from 54.3% to 82.6%, and the percentage of open defecation was reduced from 52.2% to 85.9%. The nursing students went to houses, demonstrated hand washing, advocated for safe handling of water, recommended latrine use, and worked with community groups. In conclusion, household hygiene and sanitation in the Masaka district improved due to the placement of nursing students. Community placement of nursing students is a useful strategy for preventing health care. This study recommends that training institutions and policy makers should adopt nurse trainee placements as a way of improving community hygiene and sanitation.
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References
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References
Baker, R. E., Mahmud, A. S., Miller, I. F., Rajeev, M., Rasambainarivo, F., Rice, B. L., Takahashi, S., Tatem, A. J., Wagner, C. E., Wang, L.-F., Wesolowski, A., & Metcalf, C. J. E. (2022). Infectious disease in an era of global change. *Nature Reviews Microbiology, 20*(4), 193–205. https://doi.org/10.1038/s41579-021-00639-z
Blomgren, P.-O., Leo Swenne, C., Lytsy, B., & Hjelm, K. (2024). Hand hygiene knowledge among nurses and nursing students–a descriptive cross-sectional comparative survey using the WHO’s “Hand Hygiene Knowledge Questionnaire.” *Infection Prevention in Practice, 6*(2), 100358. https://doi.org/10.1016/j.infpip.2024.100358
Bose, D., Bhattacharya, R., Kaur, T., Banerjee, R., Bhatia, T., Ray, A., Batra, B., Mondal, A., Ghosh, P., & Mondal, S. (2024). Overcoming water, sanitation, and hygiene challenges in critical regions of the global community. *Water-Energy Nexus, 7*, 277–296. https://doi.org/10.1016/j.wen.2024.11.003
Ceccarelli, D., Diverio, S., Lappo, P. G., Ruspantini, C., Losike, S. P., Pareschi, A. R., & Marenzoni, M. L. (2026). Epidemiological Survey on Water, Sanitation, and Hygiene (WaSH) in Uganda’s Karamoja Sub-Region, Using a KAP Questionnaire Within a One Health Framework. *Epidemiologia, 7*(2), 52. https://doi.org/10.3390/epidemiologia7020052
Deepak, Faujdar, S. S., Kumar, S., Mehrishi, P., Solanki, S., Sharma, A., & Verma, S. (2020). Hand hygiene knowledge, attitude, practice and hand microflora analysis of staff nurses in a rural tertiary care hospital. *Journal of Family Medicine and Primary Care, 9*(9), 4969–4973. https://doi.org/10.4103/jfmpc.jfmpc_773_20
Dickin, S., & Gabrielsson, S. (2023). Inequalities in water, sanitation and hygiene: Challenges and opportunities for measurement and monitoring. *Water Security, 20*, 100143. https://doi.org/10.1016/j.wasec.2023.100143
Makita, A., & Calanzani, N. (2026). Community-based interventions addressing open defecation in Sub-Saharan Africa: a scoping review. *Global Health Action, 19*(1). https://doi.org/10.1080/16549716.2026.2655033
Musoke, D., Ndejjo, R., Halage, A. A., Kasasa, S., Ssempebwa, J. C., & Carpenter, D. O. (2018). Drinking Water Supply, Sanitation, and Hygiene Promotion Interventions in Two Slum Communities in Central Uganda. *Journal of Environmental and Public Health, 2018*, 1–9. https://doi.org/10.1155/2018/3710120
Nsimbe, P., Mendoza, H., Wafula, S. T., & Ndejjo, R. (2018). Factors Associated with Composting of Solid Waste at Household Level in Masaka Municipality, Central Uganda. *Journal of Environmental and Public Health, 2018*(1), 1–7. https://doi.org/10.1155/2018/1284234
Ntaro, M., Isunju, J., Grovogui, F. M., Izudi, J., Benova, L., Mulogo, E., & Ssempebwa, J. C. (2025). Effect of Health Profession Students’ Community Engagement on Open Defecation-Free Status: A Quantitative Assessment of a Community-Led Total Sanitation and Hygiene Program in Southwestern Uganda. *Cureus*. https://doi.org/10.7759/cureus.85858
Nyonjo, J., & Nakibuule, S. (2024). Uganda’s health policy landscape: An Economic and Theoretical Analysis. *International Journal of Economics and Business Management, 1*(1), 316–322. https://doi.org/10.59568/IJEBM-2024-1-1-25
Omari, P. K., Karanja, S. M., & Mambo, S. N. (2026). Impact of school-led total sanitation intervention on hygiene and sanitation knowledge and practices among caregivers in Kenya: A quasi-experimental study. *Clinical Epidemiology and Global Health, 39*. https://doi.org/10.1016/j.cegh.2026.102358
Omohwovo, E. J. (2024). Wastewater Management in Africa: Challenges and Recommendations. *Environmental Health Insights, 18*. https://doi.org/10.1177/11786302241289681
Owiredu, D., Chidwick, H., Kwagala, B., Mensah, D., Osei, L., & Kapiriri, L. (2025). Water, sanitation, and hygiene challenges in last-mile artisanal mining communities in Ghana and Uganda. *Dialogues in Health, 7*, 100233. https://doi.org/10.1016/j.dialog.2025.100233
Sharma, N., Harris, E., Lloyd, J., Mistry, S. K., & Harris, M. (2019). Community health workers involvement in preventative care in primary healthcare: a systematic scoping review. *BMJ Open, 9*(12), e031666. https://doi.org/10.1136/bmjopen-2019-031666
Taweesan, A., Koottatep, T., Kanabkaew, T., Sukthanapirat, R., & Polprasert, C. (2026). A data-driven approach for mitigation of fecal pathogen infections from unsafe WASH practices. *One Health, 22*, 101317. https://doi.org/10.1016/j.onehlt.2026.101317
World Health Organization. (2024, March). *Sanitation*. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/sanitation
Zeydani, A., Atashzadeh-Shoorideh, F., Hosseini, M., & Zohari-Anboohi, S. (2023). Community-based nursing: a concept analysis with Walker and Avant’s approach. *BMC Medical Education, 23*(1), 762. https://doi.org/10.1186/s12909-023-04749-5
