NCT05946980: h4h

hands4health: A Multi-component Intervention on Hand Hygiene in Primary Health Care Facilities in Burkina Faso and Mali

Completed NA Last updated 29 May 2025

What this trial tests

NA trial testing Multi-component hand hygiene intervention in primary health care facilities in Hand Hygiene Behavior in 309 participants. Completed in 31 December 2024.

Timeline

30 January 2023

Primary endpoint
30 March 2024

31 December 2024

Quick facts

Lead sponsor	Swiss Tropical & Public Health Institute
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	none
Primary purpose	prevention
Enrollment	309
Start date	30 January 2023
Primary completion	30 March 2024
Estimated completion	31 December 2024
Sites	2 locations across Mali, Burkina Faso

Drugs / interventions tested

• Multi-component hand hygiene intervention in primary health care facilities

Conditions studied

• Hand Hygiene Behavior — all drugs for Hand Hygiene Behavior →
• Hand Hygiene Effectiveness — all drugs for Hand Hygiene Effectiveness →

Sponsor

Swiss Tropical & Public Health Institute

Who can join

18 and older, any sex, with Hand Hygiene Behavior or Hand Hygiene Effectiveness. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The goal of this cluster randomized controlled trial is to assess the effectiveness of the hands4health multi-component hand hygiene intervention in patients and health care providers in primary health care facilities in Burkina Faso and Mali. The main question it aims to answer is:

\* Can the hands4health multi-component hand hygiene intervention have a positive effect on the health determinants of our study population? Participants will be structurally observed for assessing their handwashing behavior, answer to a self-reported RANAS survey and provide a hand-rinse sample at base line, follow-up and end line. In addition specific pre-defined health outcomes and absenteeism will be tracked with a journal approach in the facilities. Intervention facilities will receive a Gravit'eau handwashing system, a RANAS behaviour change intervention, WASH FIT support, and chlorination support. Control facilities will receive nothing at the beginning, but once all of the data is collected, they will receive the same intervention as the intervention facilities have received. Researchers will compare the intervention and control groups to see if the hands4health intervention has any positive effects on the populations health determinants (e.g. handwashing behavior, perceptions towards hand hygiene, perceived risks, etc.).

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. Assessing the Effectiveness of a Multicomponent Intervention on Hand Hygiene and Well-Being in Primary Health Care Centers and Schools Lacking Functional Water Supply in Protracted Conflict Settings: Protocol for a Cluster Randomized Controlled Trial.
   Galli A, Ma'ani Abuzahra Y, Bänziger C, Ballo A, et al · · 2024 · cited 2× · PMID 38569182 · DOI 10.2196/52959
2. Baseline Characteristics of a Cluster Randomized Controlled Trial Targeting Hand Hygiene in Primary Healthcare in Burkina Faso and Mali.
   Galli A, Winkler MS, Hattendorf J, Friedrich MND, et al · · 2025 · PMID 40470067 · DOI 10.3389/ijph.2025.1608406