%0 Journal Article
%T Combining interventions: improved chimney stoves, kitchen sinks and solar disinfection of drinking water and kitchen clothes to improve home hygiene in rural Peru L¡¯association d¡¯interventions - am¨¦liorer les cuisini¨¨res ¨¤ bois, mettre en place des ¨¦viers, d¨¦sinfecter l¡¯eau domestique et le linge de cuisine par le solaire ¨C permet d¡¯am¨¦liorer l¡¯hygi¨¨ne dans les foyers ruraux du P¨¦rou Intervencione
%A Stella M. Hartinger
%A Claudio F. Lanata
%A Ana I. Gil
%A Jan Hattendorf
%J Field Actions Science Reports
%D 2012
%I Institut Veolia Environnement
%X Home based interventions are advocated in rural areas against a variety of diseases. The combination of different interventions might have synergistic effects in terms of health improvement and cost effectiveness. However, it is crucial to ensure cultural acceptance. The aim of the study was to develop an effective and culturally accepted home-based intervention package to reduce diarrhoea and lower respiratory illnesses in children. In two rural Peruvian communities we evaluated the performance and acceptance of cooking devices, household water treatments (HWT) and home- hygiene interventions, with qualitative and quantitative methods. New ventilated stove designs reduced wood consumption by 16%. The majority of participants selected solar water disinfection as HWT in a blind tasting. In-depth interviews on hygiene improvement further revealed a high demand for kitchen sinks. After one year of installation the improved chimney stoves and kitchen sinks were all in use.  The intervention package was successfully adapted to local customs, kitchen-, home- and hygiene management. High user satisfaction was primarily driven by convenience gains due to the technical improvements and only secondarily by perceived health benefits. Les interventions ¨¤ domicile sont recommand¨¦es dans les zones rurales pour ¨¦viter diverses maladies. L¡¯association de diff¨¦rentes interventions entra ne une synergie en termes d¡¯am¨¦lioration de la sant¨¦ et de rapport co t-efficacit¨¦. Il est cependant crucial d¡¯obtenir l¡¯adh¨¦sion de la population. Le but de l¡¯¨¦tude ¨¦tait d'¨¦laborer un programme d¡¯interventions ¨¤ domicile, efficaces et accept¨¦es par la population, visant ¨¤ r¨¦duire la diarrh¨¦e et les affections des voies respiratoires basses chez l¡¯enfant. Nous avons ¨¦valu¨¦, dans deux communaut¨¦s rurales du P¨¦rou, l¡¯efficacit¨¦ et l¡¯acceptation d¡¯appareils de cuisson, des traitements de l¡¯eau domestique (HWT) et d¡¯interventions d¡¯hygi¨¨ne ¨¤ domicile ¨¤ l¡¯aide de m¨¦thodes qualitatives et quantitatives. De nouvelles cuisini¨¨res avec ventilation ont permis de r¨¦duire la consommation de bois de 16 %. La majorit¨¦ des participants ont choisi la d¨¦sinfection solaire de l¡¯eau comme moyen de HWT lors d¡¯un essai ¨¤ l¡¯aveugle. Des entretiens approfondis sur l¡¯am¨¦lioration de l¡¯hygi¨¨ne ont en outre r¨¦v¨¦l¨¦ une forte demande d¡¯¨¦viers. Un an apr¨¨s leur installation, les nouvelles cuisini¨¨res et les ¨¦viers sont tous utilis¨¦s. Le programme d¡¯interventions a ¨¦t¨¦ adapt¨¦ avec succ¨¨s aux coutumes locales, ¨¤ la gestion de la cuisine, du foyer et de l¡¯hygi¨¨ne. Le haut degr¨¦ de satisfaction des utilisateurs r¨¦sulte
%K solar water disinfection
%K improved chimney stoves
%K home-hygiene interventions
%K household water treatment
%K Peru
%K d¨¦sinfection solaire de l¡¯eau
%K cuisini¨¨res ¨¤ bois am¨¦lior¨¦es
%K actions d¡¯hygi¨¨ne ¨¤ domicile
%K traitement des d¨¦chets m¨¦nagers
%K P¨¦rou
%K Desinfecci¨®n solar del agua
%K cocinas a le a mejoradas
%K intervenciones de higiene del hogar
%K tratamiento de agua dom¨¦stica
%K Per¨²
%U http://factsreports.revues.org/1627