DepEd, DOH commit to create culture of handwashing in schools and communities amid COVID-19 pandemic

Manila, 15 October 2021 – The Department of Education (DepEd) and Department of Health (DOH) renewed their commitment to promote handwashing in schools and communities, together with other health measures, to ensure safe school reopening and reduce disease transmission in public settings.

To mark this renewal, DepEd and DOH, in collaboration with UNICEF and WHO, co-convened the 2021 Global Handwashing Day Symposium: “Malinis na Kamay para sa Kinabukasan ng Bayan” to feature good practices on promoting handwashing across schools, communities and workplace settings amid the pandemic.

This year’s joint celebration of the GHD follows the issuance of the first Joint Memorandum Circular between the DepED and DOH on the “Operational Guidelines on the Implementation of Limited face-to-Face Learning Modality” in support of the piloting of school reopening in 120 schools.

“Even before the pandemic, DepEd has already encouraged handwashing habits for our learners through our Water, Sanitation and Hygiene in Schools (WinS) program. As we embark on piloting face-to-face classes, DepED recognizes that safe return to school requires in particular, among other measures, observance of handwashing practice. Amid the challenges of this pandemic, our commitment to create a culture of handwashing in schools remains strong. We call on our partners in the local government and private sector to support improvement of facilities and sustainability of supplies in schools,” DepEd Secretary Leonor Briones says. 

Aside from helping prevent COVID-19 transmission, handwashing with soap also prevents other diseases. Studies have shown that handwashing can reduce diarrheal diseases by 30%^[i] and acute respiratory infections by up to 20%^[ii]. A recently released State of the World Hand Hygiene report shows that an estimated half a million people globally die each year from diarrhea or acute respiratory infections which could have been prevented with good hand hygiene^[iii]. In the context of the Philippines, handwashing supports the reduction, prevention and elimination of stunting among 30% of children under five^[iv].

“DOH recognizes the importance of handwashing, not just in the context of the pandemic but in reducing other infections. There is much to gain health-wise in doing the simple act of handwashing with soap. We at the DOH are committed to promoting proper handwashing behaviors to make it a sustained habit amongst Filipinos. We call on other government agencies, local government units, civil society and private sector partners to also encourage proper handwashing practice across different settings,” DOH Secretary Francisco Duque III says.

One of the ways that both DOH and DepEd are encouraging handwashing behavior is through the use of behavioral nudges or simple cues in the environment that can encourage healthy behaviors. In a collaborative study led by DepEd and UNICEF in Zamboanga del Norte, handwashing practice of students increased by 17.3 percentage points due to nudges that lead to handwashing stations. Nudges used include footprints leading to handwashing stations, posters, eye stickers and arrows pointing to soap^[v].

Building on the results of that study as well as global evidence on nudges, DOH, in partnership with UNICEF, launched the WASH o’clock campaign to remind people to wash their hands during critical moments and as they move about in their communities. The campaign includes installation of signages and public handwashing stations to nudge people to wash their hands in markets, malls, transport hubs, government offices, churches and health centers.

“Prompting and reminding people to wash their hands is an effective strategy to improve hygiene practice. We are happy seeing this approach applied not just in healthcare settings but in schools and communities to better integrate the habit in people’s daily lives,” says WHO Philippines Representative Dr. Rabindra Abeyasinghe.  

Among child health interventions, handwashing programmes have similar cost-effectiveness to that of immunization and oral rehydration therapy^[vi]. However, only 4% of countries reported that they have sufficient funding to reach their national hygiene targets^[vii].

“Having a costed national hygiene plan would pave the way for other sectors and partners to join efforts in accelerating our progress and creating a safer future for children in the Philippines. We commend the collaboration between DepEd and DOH for being the driving force in promoting the practice of hand hygiene and help ensure that children grow in healthy environments,” UNICEF Philippines Representative Oyunsaikhan Dendevnorov says.

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Notes to the Editor

^[i] Impact of drinking water, sanitation and handwashing with soap on childhood diarrhoeal disease: updated meta-analysis and meta-regression. Last accessed at https://pubmed.ncbi.nlm.nih.gov/29537671/

^[ii] What is the evidence for a causal link between hygiene and infections? Last accessed at https://pubmed.ncbi.nlm.nih.gov/11901641/

^[iii] State of the World’s Hand Hygiene report (Embargoed, until October 15)

^[iv] Expanded National Nutrition Survey 2018, Food and Nutrition Research Institute

^[v] A nudge toward hand hygiene: simple design features improved handwashing among Filipino students: https://medium.com/idinsight-blog/a-nudge-toward-hand-hygiene-simple-design-features-improved-handwashing-among-filipino-students-ae4fab1c94db

^[vi] Economic Evaluation Results from Disease Control Priorities, Third Edition http://dcp-3.org/sites/default/files/chapters/DCP3%20Volume%209_Ch%207.pdf

^[vii] Hygiene: UN-Water GLAAS findings on national policies, plans, targets and finance

Additional Data from Annual Poverty Indicators Survey 2019 and 2020 (Philippine Statistics Authority):

• Nine out of ten families have handwashing facilities
• Reduced proportion of households without soap for handwashing from 14.2% in 2019 to 6.7% in 2020
• In 2020, Region 12 and BARMM had the highest proportion of families without handwashing facilities (10.6% and 10.1%, respectively). There are more households without handwashing facilities on premises in rural areas (4.8%) than in urban areas (3.4%).

Additional Data from the Global Handwashing Partnership:

• It is also estimated that drinking clean water and handwashing with soap can prevent the loss of nutrients through diarrhea and reduce stunting by up to 15% in children under the age of 5, giving them a better chance of maintaining good nutrition and growing up to thrive.