Knowledge, Attitude, and Practice of Preschool Children in Rural Areas on Handwashing and Toothbrushing
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Abstract
Establishing lifelong hygienic practices begins in early childhood, particularly in rural areas where access to health education and resources may be limited. However, the level of pre-schoolers’ knowledge, attitudes, and practices (KAP) about basic hygiene practices in rural areas needs to be better understood. This study investigates the KAP of preschool children in Sik, Kedah, regarding handwashing and toothbrushing. Using a case study design with a qualitative approach, the study involved 16 children, focusing on six for detailed data collection through observations, video recordings, and interviews. The results show that while some children forget to use soap on occasion, these children understand the importance of handwashing as a way to get rid of germs and avoid getting sick. Since they express satisfaction and enjoyment from feeling clean, they have positive attitudes regarding handwashing. Although handwashing is typically performed before meals and after using the restroom, soap use varies. Similar to toothbrushing, children show that brushing is essential for maintaining oral health, which includes avoiding tooth decay and foul breath. The majority of them also understand the significance of brushing twice a day. After brushing, children show enjoyment and a feeling of freshness, and their attitudes are generally positive. Although the frequency varies from person to person, practices are consistent and frequently supervised by the teacher. While pre-schoolers generally show good knowledge and attitudes regarding hygiene practices, inconsistent application emphasises the need for ongoing health education and better resources to improve hygiene practices and health outcomes in rural areas. The implication of this study is that there is a need for enhanced education and resources in rural areas to reinforce consistent hygiene practices and improve overall health outcomes.
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