Effectiveness of Hand Washing Education on Knowledge, Attitude and Practice among Orang Asli Kids in Gua Musang, Kelantan

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Ling Huey Khong
Anis Kausar Ghazali
Nik Zuraina Nik Mohd Noor
Nur Rina Alissa Razian
Nur Rina Alissa Razian
Anis Amiera Muhamad Alojid
Wan Alif Syazwani Wan Alias
Fauziah Ismail
Nor Reah Mustafa
Cik Siti Nuraini Abdullah
Sharizan Awang
Wan Noor Faradila Aini Mat Latif
Tuan Noorkorina Tuan Kub

Abstract

Background: Handwashing is a crucial preventive measure against illnesses such as diarrhoea and respiratory infections, particularly in rural communities with limited access to clean water and sanitation. Orang Asli kids often experience high rates of preventable diseases due to poor handwashing practices. This study aimed to determine the knowledge, attitudes, and practices (KAP) of handwashing among Orang Asli kids in Gua Musang, Kelantan, and to assess the impact of a targeted handwashing education intervention.


Methods: An interventional study was conducted among 61 Orang Asli students from Sekolah Kebangsaan Pasir Linggi, Gua Musang, Kelantan. The intervention consisted of a structured handwashing education programme, and KAP scores were measured before and after the intervention. A paired sample t-test was used to analyse the impact of the intervention on the participants’ KAP scores.


Results: The post-intervention scores for all KAP related questions were significantly higher than the pre-intervention scores (P < 0.05). Following the educational programme, there was a significant improvement in handwashing with soap, which had been poorly practised before the intervention. Year 1 students had lower baseline knowledge and attitude scores compared to older students, highlighting the need for greater focus on younger children in future programmes.


Conclusion: The handwashing education programme effectively improved the KAP of handwashing among Orang Asli kids. However, the lower baseline KAP scores among younger students suggested that future interventions should focus more on early education to foster better hygiene practices and prevent the spread of infectious diseases in this vulnerable community.

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How to Cite
1.
Khong LH, Ghazali AK, Nik Mohd Noor NZ, Razian NRA, Razian NRA, Muhamad Alojid AA, et al. Effectiveness of Hand Washing Education on Knowledge, Attitude and Practice among Orang Asli Kids in Gua Musang, Kelantan. Malays J Med Sci [Internet]. 2025 Oct. 31 [cited 2025 Nov. 6];32(5):115–130. Available from: https://ejournal.usm.my/mjms/article/view/mjms_vol32-no5-2025_10
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Original Articles