Professional Documents
Culture Documents
FINAL MANUSCRIPT Knowledge Attitude and Practices of Handwashing Protocol Among The Grades 8 and 12 Students Group 2 Freedomfinal 3
FINAL MANUSCRIPT Knowledge Attitude and Practices of Handwashing Protocol Among The Grades 8 and 12 Students Group 2 Freedomfinal 3
FINAL MANUSCRIPT Knowledge Attitude and Practices of Handwashing Protocol Among The Grades 8 and 12 Students Group 2 Freedomfinal 3
May 2021
RESEARCH ADVISER’S CERTIFICATION
Rhea Lynne Udtohan, Althea Nicole Lorete, Genie Rose Alcano, Isher Klint Peralta.
And Kay Amparo has approved by the undersigned and is ready for Title defense.
Research Adviser
1
Brokenshire College
BASIC EDUCATION DEPARTMENT
Madapo, 8000 Davao City, Philippines
Tel. No. 224-64-14 loc 130/133/142/178
APPROVAL SHEET
ERIC A. TOMIMBANG
Research Adviser
Principal
2
ACKNOWLEDGEMENT
The researchers would like to express their gratitude to the people who helped
First and foremost, praises and thanks to God, the Almighty for the blessings
and most especially for the strength, wisdom, and knowledge He gave to the re-
Second, to the Research Adviser, Mr. Eric Tomimbang and of course to the
Research Teachers, Ms. Christine Faith Gamas and Ms. Prescilla Ruth Bicaldo for
helping and guiding the researchers in every step of the way to be able to write the pa-
Third, to the panel members, Ms. Dulce Marie Martinez and Mrs. Jevelyn Per-
alta for their comments and suggestions during the research defense and for using
Fourth, to the respondents who willingly participated in the study and an-
swered the questionnaire with honesty and provided data that are needed in the study.
Also, to the statistician, Ms. Lady Love Boniel who computed the data gathered with
an accurate result.
The last but not the least, to the parents who supported their children, physi-
cally, mentally, and of course, financially. Without their help, conducting a research
The Researchers
3
ABSTRACT
Hand washing plays a vital role to one’s health and well-being especially dur-
ing the pandemic. Hand washing has been implemented for decades, but the proper
handwashing is not commonly practiced. Furthermore, this study has expanded the
knowledge, attitude and practices of handwashing protocol with respect to the partici-
pation of junior high and senior high school students in doing the modality of knowl-
edge, attitude and practices of handwashing protocols. The participants of this inquiry
were fifty students from grade 8 junior high department and fifty students from the
department in one of the most reputable schools in Davao City. Furthermore, infor-
mants underwent in-depth survey through answering in google form. After a thorough
analysis of the data, majority of the students are well aware of the importance of
hand-washing and has positive attitude and practices towards the hand-washing pro-
tocol. Finally, this study has provided several important implications on how to ad-
dress the said phenomenon, suggested relevant insights for health and safety, and con-
4
TABLE OF CONTENTS
Page
Title Page i
Approval Sheet ii
Acknowledgement iii
Abstract iv
Table of Contents v
List of Figures ix
INTRODUCTION
Rationale ` 1
Research Objectives 3
Research Hypothesis 4
Theoretical Framework 13
Conceptual Framework 13
Definition of Terms 15
METHOD
Research Design
Research locale
Research Instrument
5
Data Collection
Ethical Consideration
Statistical Tool
Discussion
Conclusion
Recommendation
REFERENCES
APPENDICES
CURRICULUM VITAE
6
LIST OF TABLES Page
7
Figure 1. Conceptual Framework of the Study
8
INTRODUCTION
Rationale
Hand washing is one of the simplest and effective ways to prevent the spread
of flu and other infectious diseases (Rhode Island, 2020). During this time of pan-
demic, hand washing plays an important role to all individuals for it is the easiest way
for them to keep themselves safe from the sores of Covid-19 as well as from other
contagious lethal disease such as tuberculosis, pneumonia and dehydration due to di-
arrheal disease. Hand washing is one of the simplest and effective ways to prevent the
spread of flu and other infectious diseases (Rhode Island, 2020). During this time of
pandemic, hand washing plays an important role to all individuals for it is the easiest
way for them to keep themselves safe from the sores of Covid-19 as well as from
other contagious lethal disease such as tuberculosis, pneumonia and dehydration due
to diarrheal disease.
Also, Industrial Safety and Hygiene News (2018) presented some of the in-
fections and diseases that we able to get or transmit if we don’t wash our hands thor-
oughly, these are noroviruses, respiratory illness such as influenza and common cold,
Staphylococcus aureus or commonly know as MRSA, and lastly was called Hepatitis
A in which it able to spread through contaminated food that we eat. Also, there are a
lot of other diseases cause by infectious diseases such as pink eye, salmonellosis,
proper handwashing in which they also recommended to give enough time at least 20
seconds or sing a “Happy Birthday” song twice as the time duration of handwashing.
The first step of proper handwashing it to wet hands with water between 35°C and
45°C of water temperature and apply hand soap afterwards. Then, rub palm together
circularly in clockwise and counterclockwise and also rub the back of hands which
the fingers were linked to other hands. Next, interlinked the fingers while hands fac-
ing each other than cup or interlock the fingers together. Next, clean the thumbs as
well as the fingernails. Then, rub the palms with the fingers in circular motion. Lastly,
rinsed your hands with warm running water thoroughly and dry it with clean towel or
frequently with soap and water wherever you are because it prevents illnesses and in-
fections to others, it removes germs from multiple sources and it helps the rise in an-
tibiotic resistance. Since during healthcare, hands are considered as the main pathway
of germs transmission (WHO, 2009). Davis (2015), stated that in year 1846, Dr. Sem-
melweis proves his hypothesis was correct that one of the factors on the rate from
childbed fever is due to the lack of proper hygiene and sanitation. Then he highly ad-
vised the other medical staff to start washing their hands and instruments with soap
and chlorine solution to prevent the pale particle enters inside the body of a women.
The study of 305 children in United States particularly in Detroit, children who wash
their hands four times a day they found out that 24 percent fewer sick days due to res-
piratory illness and 51 percent fewer days lost of stomach upset (Education World,
2016).
3
known, but at some point, some lack the knowledge about it. Even professional
healthcare workers who have enough knowledge about the importance of proper
handwashing, their practices and behavior do not correlate on what they have learned.
Burton (2019) stated that 61% as estimated number of healthcare professionals glob-
ally didn’t clean their hands correctly. Erasmus et. Al (2009) after they conducted a
they found out that the reasons having poor hand hygiene among hospital workers be-
cause based on the result of their survey medical students stated that they copy the be-
havior showed by their superior which often shows noncompliance on proper hand
hygiene and physicians also mentioned that the reason of their noncompliance arise
because hand hygiene as prevention from infectious disease is too weak to convince
them.
Currently this year, Baker, Barton, Tan and Winegar of Ask the Scientist presented
the study in the Journal of Environmental Health who conduct study about the hand
washing techniques of 3,749 number of people using public restroom. They found out
that only 67 percent of the given respondent washed their hands with soap and water
and in 67 percent there were only five percent of people who follow the proper hand
washing. Also, 23 rinsed their hand but they did not use soap. And 10 percent for who
Research Objectives
hand washing protocol among the Grades 8 and 12 students of Brokenshire College. It
a. Grade Level
b. Gender
cols
cols
to:
a. Grade Level
b. Gender
to:
a. Grade Level
b. Gender
a. Grade Level
b. Gender
Research Hypotheses
This study tested the following null hypotheses at 0.05 level of significance.
5
Handwashing Protocol
stay healthy and away from the virus that’s spreading worldwide that can be transmit-
ted through the traces of virus such as droplets that are left on different surfaces, and
when touched, a person is now infected. According to Boshell (2016), hands are liable
for the spread of 80% of regular infections and hand washing stays one of the simplest
and least expensive approaches to forestall the spread of microscopic organisms and
nonetheless, 1 out of every 5 individuals do not wash their hands and those who wash
their hands, only 30% of them uses cleaner. A recent study by the Society for Health-
care Epidemiology of America found that the World Health Organization’s (WHO) 6-
step hand washing technique was more effective at removing bacteria than the simple
“Wash Your Hands for 20 Seconds” method and be able to wash hands properly can
Hand washing is the rubbing of all surfaces of the hands together with the use
of soap and water. It should be done after arrival at work, before coming home from
work, between customer interactions, after removal of gloves, when hands are clearly
6
soiled, before eating, after excretion of body waste (urination and defecation), after
contact with body fluids, before and after intrusive procedures have been conducted,
and after handling polluted equipment. Depending on the situation, the exact amount
of time needed for hand washing varies. To extract transient flora from the palms, a
nurseries, need around 2 minutes of hand washing. Generally, soiled hands need more
time (Jemal, 2018). According to Better Health Channel (2020), one of the most es-
sential aspects of infection prevention is hand hygiene. The purpose of hand washing
is to eliminate bacteria from the hands, acquired through daily activities. It is recom-
mended that nothing be worn below the elbows (except for a simple band) to ensure
optimal hand hygiene, and that the fingernails be clean and trimmed.
A study of Centers for Disease Control and Prevention in 2020 also states that
washing hands to help prevent the spread of bacteria should be upon using the re-
stroom or changing nappies, before, during and after meal preparation, prior to eating,
before and after attending to those who are ill or other members of the family, after
garbage management or garden work, and after treating animals. Washing hands is
necessary, thus all must practice it properly. The first thing to do is wet your hands.
For 20 seconds, apply soap and lather well. Rub your hands together quickly over
your hands and wrists on all surfaces. In washing hands, the important parts needed to
be washed are the backs of elbows, between fingertips, and under the nails. If neces-
sary, before hand washing remove rings and watches or make sure to move the rings
under them to wash, as microorganisms may live under them. Rinsing thoroughly un-
der running water is the best way to remove the soap traces. Use a clean towel or an
air drier to dry hands. Using paper towels (or single-use disposable towels) is safest.
Utilize running water. Instead of a tub of standing water that may become polluted by
7
use. Washing hands with soap and water can kill considerably more disease producing
species than washing hands with water alone. In general, particularly at work, it is
easier to use liquid soap than bar soap. Just one aspect of hand hygiene is handwash-
ing. It is normally necessary to look after your skin, as your skin is your most effec -
infection control operations, according to Mathur (2011). He also stated that through
simple measures such as proper hand hygiene, people are coming back to the basics of
infection prevention. This is because enough scientific evidence supports the finding
that hand hygiene alone can minimize the risk of cross-transmission of infection in
healthcare facilities if implemented properly. There is now undisputed proof that strict
compliance with hand hygiene decreases the risk of infections being cross-transmit-
ted. With "Clean Care is Safer Care" as the key agenda of the World Health Organiza-
tion's global initiative on public health services, it is time for advanced countries to
find a foundation.
hand washing, character and training of middle school students and provide important
data of hand washing by students and help them develop a good practice. Data were
Korea Centers for Disease Control and Prevention, research on hand washing and
schools in urban cities 490 students from four schools organized in a city area, 220
out of 2 in each rural region. Investigated information using SPSS WIN 12.0 pro-
gram, which uses multiple measurable techniques. The effects of the analysis are as
follows. To begin with, the total number of middle hand washing times of middle
8
school students is daily. 66.1% of students use a cleaner and most students wash their
hands for a few seconds (44.7%). In the experience of teaching hand washing, “Yes”
is 24.3% which is huge in hand washing knowledge, mentality and practice. In the re-
able importance between mental and hand washing knowledge and has shown a posi-
tive connection to knowledge. Hand washing gestures are significantly different from
information and thought and the constant connection reflects a positive connection
with knowledge and behavior (Choi et al., 2014). Looking at the outcome for the re-
evaluation with hand washing information, behavior and skills as reliable factors,
hand washing information presented realistic importance to gender, school type and
private place. There are also realistic values between mental and hand washing
knowledge and between hand washing skills and religion, knowledge and level of
money, habits. (Han, 2003) In the conclusion of the gathered data there are predicted
outcomes in hand washing, gesture and skill information. With no chance of advising
them on information, their habit is more certain and on the off chance that they be-
come proficient in information and more inspiring gestures, their training is dynamic.
To upgrade the trend of hand washing for middle school students, the hand washing
must be maintained. Preparation plans should also be made by gender, type of school,
financial level, local location, and a thorough investigation into the preparation of
hand washing.
According to Lee (n.d.), the study was investigated to know what is the impact
Gyeonggi-do. The data were collected from Sep. 1 to Dec. 21, 2009. The results were
1) The handwashing training bunch has shown high score than E bunch scored 29.15
9
and the C bunch scored 27.52. The E bunch has high score in mentality in handwash-
ing than the C bunch because the E bunch scored 39.60 and the C bunch scored 36.96.
The E bunch shows high score than the C bunch shows low score. The E bunch
scored 45.90 and the C bunch Scored 44.67. Overall, the trial bunch indicate high
that the handwashing was practicable. It is necessary to use order and different hand-
tional concern and a pandemic as an epidemic disease, beginning with the declaration
of the World Health Organization (WHO). The goal of this study is to evaluate the
COVID-19 pandemic. An online cross-sectional study was carried out on popular so-
cial media such as Facebook, Telegram, and email among a sample of Ethiopian resi-
dents through social platforms of the author’s network. To recruit participants, snow-
ball sampling was hired. In doing so, we successfully obtained the responses of 341
participants. The majority of respondents were 80.5% male. Approximately 91.2 per-
cent of participants heard about the COVID-19 pandemic. 93.8 percent of the 341 par-
ticipants understood that keeping a social distance and regular hand washing respec-
tively had stopped the COVID-19 pandemic. This shows that there was a high level of
and frequent handwashing. Of the 341 participants, however, only 61%, 84% prac-
Most of the participants knew how to protect themselves from the novel coronavirus
(COVID-19), but there was a great deal. The problem of transforming this knowledge
of prevention into reality. This shows that the difference in prevention and implemen-
10
Currently, the COVID-19 pandemic affects almost every nation and area in the
world. Washing hands, along with other preventive measures, is one of the most sig-
nificant prevention measures. The objective of the study was to classify recorded
Vietnamese handwashing practices during COVID-19 and associated factors. The on-
line survey was created using the Kobo Toolbox framework. This survey was at-
tended by 837 people.The estimation of frequencies and percentages was used for all
independent variables. A relevant amount of 0.05 was used for univariate linear re-
gression. The theoretical model has been equipped with multiple linear regression.
Predictors gathered. According to Huong et al.,2020, soap was the prime option for
79% of respondents to wash their hands. However, only 26.3 percent practiced prop-
erly laundering their hands, and only 28.4 percent washed their hands for at least 20
seconds at all necessary times. Even though 92.1 percent of their hands were washed
after contacting public areas (e.g., lifts, doors), after removal of masks, only 66.3 per-
cent were used for hand washing. Handwashing activities have been reported better
by women than by men (OR=1.88; CI: 95 percent: 1.15-3.09). Improved hand wash-
ing information has been instrumental in improving the recorded hand washing (OR =
1,30; 95% CI: 1,20-1,41). The COVID-19 pandemic information on Internet, social
media, newspapers, and television was possibly responsible for worse hand washing
practice at least in part. Although the number of people who reported washing their
hands was very high, only a quarter had corrected the hand washing practices re-
11
ported. Hand washing communication strategy should stress both the minimum hand
far from widely done after potential interaction with excreta. The world average hand
washing prevalence was estimated at 19%. Although only 43 studies from 19 different
countries were based on this result, the studies show significant variability in areas of
the same levels of revenue. Countries of high income with hand-washing frequency
data show rates ranging from 48% to 72% and countries of low incomes ranging from
5% to 25%.
To our knowledge, this is the first systematic analysis of the prevalence of re-
ported handwashing. We used data from studies that used direct observation of hand-
substantially overestimate real handwashing rates (Biran et al. 2008). However, due to
shown to result in skewed outcomes (Ram et al. 2010; Pedersen et al., 1986; Munger
& Harris 1989). We would expect such bias to inflate our estimate, which means that
soap usage and used an objective measure of disease (rectal swabs) showed substan-
washing control group (Khan 1982). This comparatively high-quality research (in
terms of both exposure and outcome evaluation) offers compelling evidence that
12
when there is appropriate incentive for individuals to comply, hand hygiene has the
Agbana et al., (2020) stated that proper hand hygiene has been described as an
efficient means of infection prevention and control in the hospital and also outside the
hospital setting, and is used to stop the spread of corona virus (COVID-19). Health
workers are the ones who commonly acquired virus due to their close contact with pa-
tients who have the virus. Ignaz Semmelweis, an Australian- Hungarian physician
also known as the Father of Hand Hygiene discovered the importance of hand wash-
ing in 1858. It is said that good hand hygiene helps to reduce the transmissions of in-
fection in and out a setting. Even though hand hygiene is described as an effective and
acceptably low (Braimoh & Udeabor, 2013). On 2018, Majeed et al. stated that some
factors that affect the practice of hand washing, includes lack of knowledge and
awareness of the guidelines or protocols, not having enough time, lack of soap and
some causes skin irritation, non-availability of tap water, and the common reason is
forgetfulness. The use of alcohol-based hand rubs is a good alternative as running wa-
ter is not available everywhere. With the use of alcohol as an alternative, people are
infections associated with health care. According to Pratinidhi et al., hand washing
and other basic personal hygiene are not frequently practiced even though it’s the
control the spread of viruses and diseases. The fact that hand washing is not fre-
quently practiced due to some of the reasons mentioned above, hand rubbing with the
use of alcohol is an alternative in the practice of hand washing. A simple way of hand
washing can keep everyone safe and has a less chance to be infected by various dis-
eases. Schools are the best setting of health promotion and let the students to imple-
ment the proper hand washing behavior and positive hand washing intentions at home
(2020).
Theoretical Framework
main) and practices (behavioral domain). Many researchers' goals, according to Zim-
merman & Noar (2005), are to understand both the factors of health behaviors and the
process of health behavior change. With the help of the Theory of Planned Behavior
(TPB), which predicts a person's goal to participate in a particular time and space, it
makes the individual behavior be driven by behavior intentions, where behavior inten-
subjective norms, and perceived behavioral control (Ajzen, 1991). According to this
theory the prompt reason of a planned behavior in the case of hand hygiene is an
perceived behavioral control, and subjective norms (a person’s perception of the so-
cial pressure to perform or not perform the behavior). This theory connected us re-
searchers to our existing knowledge about the assessments of hand hygiene among
Senior High school students and Junior High school students. After the researchers ar-
ticulated this theory’s assumption, the researchers have been forced to address ques-
Conceptual Framework
Profile of
Independent the
Variable Knowledge,
Dependent Variable
respondents: Attitude, and
Grade level Practices of Grades
Gender 8 and 12 Students
Figure 1 shows the variables of the study from which the independent variable is the
knowledge, attitudes, and practices of grades 8 and 12 students, and the dependent
variable is the hand washing protocol. This study aimed to assess the student’s knowl-
edge, attitude, and practices towards the hand washing protocol.
This study will focus on the knowledge, attitude and practices of grades 8
and 12 students of Brokenshire College regarding the hand washing protocol. It will
not include the elementary and college students of Brokenshire College. Thus, this
study is only limited on the participation of the two mentioned grade levels. Outside
the scope of the study is its limitation which will not be included in the study con-
ducted.
Students. This study will help students to be able to know the appropriate attitude and
Parents. Parents are concerned for their child's health and by conducting this study,
this research will provide awareness on what would be the proper way of do-
ing hand washing protocol. This will inform the parents if their child is doing
Future Researchers. This study will guide them to know what are the knowledge, atti-
Definition of Terms
The following terms are defined according to the use of the study:
Attitude. Determines the manners of the participants the way they think and feel about
Handwashing. Determines the act of washing one's hands in relation to the hand
washing protocol
Practice. Determines how often the grade 12 STEM students wash their hands
Protocol. A system of rules on the proper way to act in terms of hand washing
Students. The JHS and SHS students who will participate in the study, specifically
This section presents the Research Design, Research Locale, Population and
Research Design
to assess the knowledge, attitude, and practices among the grade 8 and grade 12 stu-
finding approach that studies the nature and status of a group of persons, a class or
events, conditions and others. This is a design where the researchers considers two
variables and establishes a formal procedure to compare and include that one is better
than the other if significant difference exist. It examines describe records, analyzes
and interprets gathered data (McCombes, 2019). The study used descriptive-compara-
tive research design in a way that the data will be collected through survey that will
not be controlled by the study and also, the data will be based on the respondents’ re-
Research Locale
Madapo Hills, Davao City, Davao Del Sur, Philippines, for the S. Y.2020-2021. Bro-
Christ in the Philippines in Davao District, Philippines (UCCP). It was founded as the
Brokenshire School of Nursing in 1954 and now offers health sciences, theology,
business, teacher training, medicine, as well as vocational and K-12 education pro-
grams. Under the K-12 program is the Senior High School in which the Brokenshire
College offers two tracks; Academic and Technical Vocational Tracks. Under the
Academic Track are the Science, Technology, Engineering and Mathematics Strand
and Social Sciences Strand (HUMSS). While under the Technical Vocational Track
are the Home Economics (HE) and Information and Communication Technology
(ICT). This study focuses on Assessing Knowledge, Attitude and Practices of Hand
washing protocol among the Grade 12 STEM students of Brokenshire College specifi-
cally the sections Freedom, Excellence, and the STEM students in section Fellowship.
Figure 2. Map of Davao City and Location of Brokenshire College
The population of the study is comprised of the grade 8 and grade 12 students
of Brokenshire College, Madapo Hills, Davao City S.Y. 2020-2021. The sample size
of 100 was selected for the study using the Cluster sampling technique. The popula-
tion of 100 sample will come from two grade levels which is the grades 8 and 12 stu-
dents in Brokenshire College; 50 students from grade 8 and 50 students from grade
12. The results that will be gathered from the sampling will be used as the Re-
searcher’s Data.
Research Instrument
The study will utilize three self-reported questionnaires adapted from a previ-
ous study of Mbroh, Linda Afia, which is entitled “Assessing Knowledge, Attitude
ments for data gathering to determine the knowledge, attitude, and practices towards
ported practice regarding handwashing. To be able to know the profile of the respon-
dents, the first part of the questionnaire requires the name, grade level as well as the
The first scale is the hand hygiene knowledge which will be assessed through
knowledge towards handwashing. For ever correct answer, 1 point is given and 0 for
ever incorrect answer. KSCORE will be used to calculate the knowledge. The higher
the value of the variable KSCORE the more knowledgeable a student is when it
comes to handwashing. A score of more than 75% was considered good, 50-74%
moderate and less Than 50% poor. The cut off values to determine good, moderate
and poor levels will be adapted from previously published study (Mbroh, 2019).
8.00 – 10.00 Very High This indicates that the respondents are
handwashing.
washing.
handwashing.
2.00 – 3.99 Low This indicates that the respondents are
washing.
0.00 – 1.99 Very Low This indicates that the respondents are
washing.
using a seven-point semantic differential scale with the use of various descriptors to
explain how they felt about performing handwashing. Individual items assessed the
ing proper hand hygiene at the required times, as well as whether hand hygiene is
viewed as beneficial or optional. The sum of the things was used to measure attitude:
the higher the score, the better the attitudes toward hand hygiene. More than 75% was
considered good, 50-74% was considered moderate, and less than 50% was consid-
ered poor. The cutoff values for evaluating good, moderate, and poor levels will be
washing.
This indicates that the respondents have
1.60 – 1.79 Positive
a positive attitude towards handwashing.
washing.
never, and not applicable when answering 29 questions about their handwashing prac-
tices. For all questions, the answer "always" earns 4 points, "sometimes" 3 points,
"never" 2 points, and "not applicable" 1 point in the assessment of self-reported hand
hygiene practices.
ing.
This indicates that the respon-
washing.
The researchers gathered data by letting the informants answer the questions by sending or
posting google document forms where the questions are already provided by the
researchers. The data were collected by the researchers and be seen through google
document form.
Ethical Considerations
stick to the goal of presenting reliable data, facts and error prevention (Chetty, 2016).
According to Kaewkungwal & Adams (2019), the values and principles of ethical be-
The process of data collection started when the grades 8 and 12 students of
Brokenshire College were asked for their willingness to voluntarily participate in the
study. The respondents were informed that they can make a withdrawal of their partic-
ipation anytime and the researchers assured that there will be no harm or negative im-
pacts to their involvement in any projects both in the present and in the future. The re-
spondents were also informed that their identifying information will not be accessed
by anyone but the research team. The researchers made an assurance that the re-
sponses will be treated with confidentiality and will be used solely for the study.
Statistical Tool
spondents towards Hand washing Protocol descriptive statistics was being used.
Bhandari (2020) stated that descriptive statistics was used to summarize, organize and
simplify data set or the collected responses from a sample or entire population. With
the help of providing graphical or analytical data using central tendency by getting its
mean and t-test for comparative analysis. In addition, CFI (2015) defines statistical
mean as the average or the most common value that we found in a particular set or
collection of numbers. Also, t-test were being used to determine if there are signifi-
cant difference between the means of our two variables or groups in which it also use-
ful for testing assumption that will be applicable to test a population (Kenton & West-
fall, 2020).
This chapter presents, analyzes, and interprets the data gathered from the
study. The first part describes the profile of the respondents based on the grade level
and gender. The second part describes the level of knowledge of the respondents
about handwashing protocol. The third part describes the level of attitude of the re-
spondents towards hand washing protocol. The fourth part describes the level of prac-
tices of the respondents on hand washing protocol. The fifth part describes the signifi-
cant difference in the level of knowledge about hand washing protocols among the re-
spondents when grouped according to grade level and gender. The sixth part describes
the significant difference in the level of attitude towards hand washing protocols
among the respondents when grouped according to grade level and gender. The sev-
enth part describes the significant difference in the level of practices of hand washing
protocols among the respondents when grouped according to grade level and gender.
Table 1.a describes the profile of respondents in terms of grade level. The tar-
get respondents would be all in 100 students with a total of 50 respondents in grade 8
and 50 respondents with the in grade 12 both get the same percentage for a total of
100.
Table 1.a
Grade 8 50 50
Grade 12 50 50
level of practices on handwashing protocol the male gender respondents total is 37 re-
spondents while on the other side the female's gender we got 63 respondents with a
Table 1.b
Male 37 37
Female 63 63
understand the connection between information on hand washing, character and train-
ing of middle school students and provide important data of hand washing by students
Level of Knowledge
Based on the data collected and as shown on the table, the respondent's level of
knowledge has the mean of 7.72 and the standard deviation of 1.03. As interpreted in
the range of means criteria, it resulted to high level of knowledge. This explains that
washing.
washing.
washing.
washing.
Table 2
of handwashing.
The high level of knowledge of the respondents indicated that the students
know the basic of hand-washing and its purpose and effects. Hand hygiene is now re-
garded as one of the most important aspects of infection control procedures, Accord-
ing to Mathur (2011). Hand washing gestures differ significantly from information
and thought, and the constant connection reflects a positive relationship with knowl-
edge and behavior (Choi et al., 2014). There are also realistic values between mental
and hand washing knowledge, as well as between hand washing skills and religion,
Level of Attitude
Presented in Table 3 are the data on the level of attitude of the respondents to-
wards hand-washing protocol. Based on the table shown, that in the level of practice
that the respondents hand wash, the mean is 1.93 and the standard deviation is 0.04,
which is interpreted as having a very positive attitude towards hand-washing. The ta-
ble implies that the respondents are always practiced having positive attitude towards
1.40 – 1.59 tive nor Nega- ther a positive nor a negative attitude to-
Table 3
This agrees with the Safety and Health Magazine Website (2020) on the sur-
vey research the conducted that the results show 9 out of 10 respondents are washing
their hands more frequently, more thoroughly or longer. Additionally, 78% are wash-
ing their hands at least six times a day – up from 37% before the pandemic began –
while 20% are washing their hands 16 or more times a day. Seventy-seven percent
said they’re washing their hands multiple times a day for at least 20 seconds, per Cen-
ters for Disease Control and Prevention recommendations. Results of the previous
survey showed that 57% of respondents washed their hands for only five to 15 sec-
onds. If soap and water aren’t available, CDC recommends the use of a hand sanitizer
Level of Practices
protocol. Based on the table shown, that in the level of practice that the respondents
hand wash, the mean is 3.56 and the standard deviation is 0.29, which is interpreted as
the always practicing the hand washing protocol. The table implies that the respon-
dents are always practicing the hand washing protocol based on their level of practice.
ing.
washing.
ing.
Table 4
This agrees with the Occupational Health & Safety (2020) website that, the
Bradley Corporation performed its Healthy Hand Washing survey during the coron-
avirus outbreak to assess the virus's effects on Americans' hygiene practices. The ma-
jority of Americans, according to the survey, follow the Centers for Disease Control
and Prevention's (CDC) hand washing guidelines. Ninety percent have responded that
they wash their hands more frequently and 78 percent say they wash their hands six
times or more every day. Prior to the outbreak, only 37% of people washed their
Gender
Table 5 depicts the significant difference in the level of knowledge about hand
washing protocols among the respondents when grouped according to Grade level and
Gender. The results for the Grade level shows that the T-value (54.04) is greater than
the P-value (0.000) which means that there was a significant difference between the
two (2) grade levels (grades 8 and 12). The results for the Gender shows that there
was a significant difference between the Male and Female respondents because the T-
value is 53.25 while the P-value is 0.000. It is shown that the level of knowledge of
Grade 8 and Grade 12 students is different when it comes to hand washing protocol.
Also, the knowledge of both male and female students about the hand washing proto-
Table 5
Difference in the level of knowledge about hand washing protocols among the respon-
edge and has shown a positive connection to knowledge. According to Choi et al.
(2014), the hand washing information presented realistic importance to gender. Also,
student (Buda et al., 2017). The results of the mentioned studies and our study showed
that there is indeed a significant difference in the level of knowledge when respon-
dents were grouped according to their grade level and gender. The results of the level
of knowledge of grade 8 and grade 12 students have shown to have a difference from
each other. Also, the results of the level of knowledge based on the gender of the re-
spondents have shown to have a significant difference. The reason why the studies are
similar from each other could be because as a student go to higher grade level, his or
her knowledge about such protocol also increases, and for the gender, it could be be-
cause females more likely to describe themselves as very clean and considered
hygiene habits very important (IPSOS Public Affairs 2018). Significance of the
Table 6 presents the level of attitude towards hand washing protocol. Based on
the table shown, for grade level, the t-stat is 91.2 and the p-value is 0.00, which is in-
terpreted as having significant difference. It is also shown that for gender, the t-stat is
90.66 and the p-values is 0.00, which is interpreted as having significant difference.
The table implies that there is a significant difference in the level of attitude towards
handwashing protocols among the respondents when grouped according to grade level
and gender.
Table 6
Difference in the level of attitude towards handwashing protocols among the respon-
This agrees with Agbana et al., (2020) that hand washing attitude affects the
proper hand hygiene that is efficient to prevent the spread against the corona virus
(COVID-19). The importance of attitude towards hand washing protocol has been
discovered since the year 1858. Our group has provided data about how significant
the attitude of the respondents towards hand washing protocol regardless their grade
Difference in the level of practices when grouped according to Grade level and Gen-
der
Table 7 describe the level of practices on hand washing protocol among the re-
spondents grouped according to Grade level and Gender. Based on the table 7 shown
for grade level, it states that the t-stat is 119.74 and its p-value is 0.000, which is inter-
preted as having significant difference between the two (2) grade level (grades 8 and
12). It also shown the result for the gender, in which the t-stat is 119.60 and its p-
value is 0.000 which it also signifies that there are significant differences between
Male and Female respondents. In other words, the table indicates that both grouped of
respondents the Grade level and Gender have significant differences when it comes
Table 7
Difference in the level of practices towards handwashing protocols among the respon-
In consonance with this, Buda et. al (2018) discussed that area of residence,
maternal educational status, age, sex of the students, grade level and availability of
handwashing materials were considered as the factors that can affect the knowledge,
attitude and practices of school children towards handwashing protocol. The result of
our study was the same with the study created by Hong et. al. (2020) who stated that
handwashing was better by women than men, it was reported from their study that
women are mostly practiced proper handwashing compared to men after contacting
public areas such as lifts and doors, and also after removal of mask.
Conclusion
Handwashing is the simplest and effective ways to prevent the spread of viruses and
infectious diseases. This study revealed that with regards of the level of knowledge,
attitude, and practices towards handwashing. It was reported that majority of the re-
spondents have sufficient knowledge about handwashing . And they always having
However, it was reported that there are significant difference with level of knowledge,
attitude and practices when it comes to Grade level and Gender of the respondents.
On the other hand, Grade level and Gender were considered as factors that can affect
the level of knowledge, attitude and practices of the respondents towards handwash-
ing protocol.
Recommendations
The Conclusion drawn from the findings of the study have the researchers following
reccomendations:
1. Students may apply handwashing not just in school but also in other places es-
2. Parents may use this study to teach their children the proper way of handwash-
ing.
3. Future Researchers may use this study as a guide to their future research re-
washing protocol.
References
Agbana, R.D., Ogundeji, S.P., & Owoseni, J.S. (2020). A survey of hand hygiene
knowledge, attitude and practices among health care workers in a tertiary hos-
pital, Southwestern Nigeria. Arch Community Med Public Health 6(2): 146-
151. doi.org/10.17352/2455-5479.000095 from
https://www.peertechz.com/articles/ACMPH-6-195.php
Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior and Hu-
man Decision Processes 50, 179-211 (1991). Retrieved on Mar. 1, 2021 from
http://scholar.google.com.ph/scholar_url?url=https://www.dphu.org/uploads/
attachements/books/
books_4931_0.pdf&hl=en&sa=X&ei=pfE8YJb9LsS2ywTer5qYCg&scisig=A
AGBfm3WcZB-RhXVVYw4hTorHkmcuHu9Zw&nossl=1&oi=scholarr
Baker, D., Barton, R., Tan, K., & Winegar, A. (2020). Protect Yourself with Proper
Handwashing Technique. Retrieved from https://askthescientists.com/hand-
washing/
Better Health Channel. (2020). Handwashing - why it's important. Retrieved Nov. 09,
2020 from https://www.betterhealth.vic.gov.au/health/conditionsandtreat-
ments/handwashing-why-its-important/#top
Boshell, P. (2016). What is the correct hand washing technique? Retrieved Nov. 8,
2020 from https://www.info.debgroup.com/blog/what-is-the-correct-hand-
washing-technique
Braimoh, O. B., & Udeabor, S.E. (2013). Hand hygiene practices among community
Health Officers in Rivers State, Nigeria. Aft Health Sci. doi.org/10.4314/ah-
s.v13i2.43. Retrieved Nov. 07, 2020 from https://www.ncbi.nlm.nih.gov/
pmc/articles/PMC3824470/
Buda, A.S., Mekengo, D.E., Lodebo, T. M., Sadore, A. A., & Mekonnen, B. (2017).
Knowledge, attitude and practice on hand washing and associated factors
among public primary schools children in Hosanna town, Southern Ethiopia.
Retrieved on June 04, 2021 from
https://academicjournals.org/journal/JPHE/article-full-text-pdf/C6CC5F45701
3
Centura Health (2020). Why Handwashing is Important and Effective. Retrieved from
https://www.centura.org/covid-19/story/why-handwashing-important-
and-effective
CFI (2015). What is Mean? Retrieved on Feb. 27, 2021 from https://corporatefinance-
institute.com/resources/knowledge/other/mean/.
Davis, R. (2015). The Doctor Who Championed Handwashing and Briefly Saved
Lives. Retrieved from https://www.npr.org/sections/health-shots/
2015/01/12/375663920/the- doctor-who-championed-hand-washing-and-
saved-women-s-lives
Education World (2016). School Wide Handwashing Program. Retrieved Nov. 08,
2020 from https://www.educationworld.com/a_curr/School-Wide-
Handwashing-Campaigns-Cut- GGerms-Absenteeism.shtml
Erasmus et. al. (2009) A qualitative exploration of reasons for poor hand hygiene
among hospital workers lack of positive role models and of convincing evi-
dence that hand hygiene prevents cross-infection. Infection Control & Hospital
Epidemiology 30 (5), 415-419. DOI: https://doi.org/10.1086/596773
Huong, L., Hoang, L., Tuyet-Hanh, T., Anh, N., Huong, N., Cuong, D., &Quyen, B.
(2020). Reported handwashing practices of Vietnamese people during the
COVID-19 pandemic and associated factors: a 2020 online survey. Europe
PMC. Retrieved on Feb. 24, 2021 from https://europepmc.org/article/med/
32968684
Freeman, M. C., Stocks, M. E., Cumming, O., Jeandron, A., Higgins, J. P., Wolf, J., . .
. Curtis, V. (2014, May 28). Systematic review: Hygiene and health: System-
atic review of handwashing practices worldwide and update of health effects.
Retrieved from https ://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12339
IPSOS Public Affairs (2018). Hygiene and Cleanliness in the U.S. Retrieved on June
04, 2021 from https://www.ipsos.com/en-us/news-polls/Hygiene-and-
Cleanliness
ISHN (2018). Infection you can spread by not washing your hands. Retrieved Mar.
04, 2021 from https://www.ishn.com/articles/108626-infections-you-can-
spread-by-not-washing-your-hands#:~:text=Common%20respiratory%20ill-
nesses%20caused%20by,influenza%2C%20chicken%20pox%20and
%20meningitis.&text=We%20often%20hear%20of%20infections,patients
%20not%20washing%20their%20hands.
Jang, Y., Bak-Ju, N., K. Kim, Seok-Hwan, B., Chul-Woung, K., E. Kim, & Lee, M.
(2007). A Study on the Knowledge, Attitude and Practice of Handwashing of
Middle School Students. Retrieved Nov. 08, 2020 from https://www.semantic-
scholar.org/paper/A-Study-on-the-Knowledge%2C-Attitude-and-Practice-of-
Jang-Na/8dd6ae25c83c041104972b325039e32414c64ecb
Jemal, S. (2018). "Knowledge and Practices of Hand Washing among Health Profes-
sionals in Dubti Referral Hospital, Dubti, Afar, Northeast Ethiopia", Advances
in Preventive Medicine, vol. 2018, Article ID 5290797, 7 pages, 2018. Re-
trieved Nov. 08, 2020 from https://www.hindawi.com/journals/apm/
2018/5290797/
Kenton, W.,& Westfall, P. (2020). T-Test. Retrieved on Feb. 27, 2021 from https://
www.investopedia.com/terms/t/t-test.asp#:~:text=A%20t-test%20is%20a,be
%20related%20in%20certain%20features.&text=A%20t-test%20looks
%20at,to%20determine%20the%20statistical%20significance
Lee, H. (n.d.). Hand Washing Awareness among Students in Seoul and Antibiotic Re-
sistance of Staphylococcus aureus Isolated on Their Hands. Retrieved from
https://www.koreascience.or.kr/article/JAKO200709906256473.page
Leighton, L. (2020). Ignaz Semmelweis, the doctor who discovered the disease-fight-
ing power of hand-washing in 1847. Retrieved on Jan. 29, 2021 from https://
theconversation-com.cdn.ampproject.org/v/s/theconversation.com/amp/ignaz-
semmelweis-the-doctor-who-discovered-the-disease-fighting-power-of-hand-
washing-in-1847-135528?
amp_js_v=a6&_gsa=1&usqp=mq331AQHKAFQArABIA%3D
%3D#aoh=16118982278898&referrer=https%3A%2F
%2Fwww.google.com&_tf=From%20%251%24s&share=https%3A
%2F%2Ftheconversation.com%2Fignaz-semmelweis-the-doctor-who-discov-
ered-the-disease-fighting-power-of-hand-washing-in-1847-135528
Mathur, P. (2011). Hand hygiene: Back to the basics of infection control. Indian J
Med Res. 2011 Nov; 134(5): 611–620. doi.org/10.4103/0971-5916.90985. Re-
trieved Nov. 08, 2020 from https://www.ncbi.nlm.nih.gov/pmc/articles/
PMC3249958/
Noar, S.M., & Zimmerman, R.S. (2005). Health Behavior Theory and cumulative
knowledge regarding health behaviors: are we moving in the right direction?.
Retrieved on June 04, 2020 from https://academic.oup.com/her/article/
20/3/275/854464
Occupational Health & Safety (2020). Vast Majority of Americans Increase Hand
Washing Due to Coronavirus. Retrieved on June 3, 2021 from https://ohson-
line.com/Articles/2020/04/20/Vast-Majority-of-Americans-Increase-Hand-
Washing-Due-to-Coronavirus.aspx
Pratinidhi, S.S., Haribhakta, S.V., Ambike, D.A., Bhole, O., & Kankariya, B. (2020).
Study of knowledge and practices related to handwashing in school going chil-
dren of a rural community. Int J Contemp Pediatr. 2020;7:24-9. doi.org/
10.18203/2349-3291.ijcp20195569. Retrieved Nov. 07, 2020 from https://
www.ijpediatrics.com/index.php/ijcp/article/view/3021
Rhode Island (2020). Hand washing. Retrieved Nov. 08, 2020 from https://
www.health.ri.gov/disease/prevention/about/handwashing/
Safety and Health Magazine (2020). Hand-washing frequency up during COVID-19
pandemic: survey Retrieved on June 3, 2021 from https://www.safetyand-
healthmagazine.com/articles/19788-handwashing-frequency-up-during-covid-
19-pandemic-survey
World Health Organization (2009). Hand Hygiene: Why, How and When? . Retrieved
Nov. 08, 2020 from www.who.int/gpsc/5may/
Hand_Hygiene_Why_How_and_When_Brochure.pdf&ved=2ahUKEwj_jZT
Wv-
Yanek, D. (2020). 15 Diseases You Can Prevent Just by Washing Your Hands. Re-
trieved on Mar. 04,2021 from https://www.rd.com/article/diseases-washing-
your-hands/
APPENDICES
Appendix A
Approval Sheet
Appendix B
Research Questionnaire
Name: Grade Level:
Gender: Email Address:
Dear Respondents,
We, the researchers are conducting a study entitled “Knowledge, Attitude, and
Practices Towards Handwashing protocol among the grades 8 and 12 Students.” We
would like to ask for your spare time to answer the following questions with full hon-
esty. Rest assured that all the data that we will gather will be treated with utmost con-
fidentiality.
I. Knowledge towards Hand Hygiene
Direction: Choose whether the following questions are correct or incorrect based on
your knowledge about Hand Hygiene.
Source: Mbroh, Linda Afia, "Assessing Knowledge, Attitude and Practices of Hand
Hygiene Among University Students" (2019). All Theses, Dissertations, and Other
Capstone Projects. 950. https://cornerstone.lib.mnsu.edu/etds/950
Appendix C
EDUCATIONAL BACKGROUND
Primary: Licanan Elementary School (S.Y. 2009-2015)
Secondary: A.L Navarro National High School (S.Y. 2015-2019)
Brokenshire College (S.Y. 2019-2021)
PERSONAL BACKGROUND
Name: Michelle Jane L. Quiban
Address: #76-A Purok 10 Bucana, Davao City
Email Address: michellejanequiban@gmail.com
Contact Number: 224-1528
Civil Status: Single
Gender: Female
Citizenship: Filipino
Age: 18
Date of Birth: June 25, 2002
EDUCATIONAL BACKGROUND
Primary: Lamb of God Sped Center (S.Y. 2009-2015)
Secondary: Brokenshire Science High School (S.Y. 2015-2019)
Brokenshire College (S.Y. 2019-2021)
PERSONAL BACKGROUND
Name: Rhea Lynne T. Udtohan
Address: Km. 4, Hilltop Village, Bajada, Davao City
Email Address: rhealynneudtohan@gmail.com
Contact Number: 09304604168
Civil Status: Single
Gender: Female
Citezenship: Filipino
Age: 18
Date of Birth: May 23, 2003
EDUCATIONAL BACKGROUND
Primary: Doña Pilar Elementary School (S.Y. 2009-2010)
San Roque Central Elementary School (S.Y. 2010-2012)
Bantacan Elementary School (S.Y. 2012-2015)
Secondary: Bantacan National High School (S.Y. 2015-2019)
Brokenshire College (S.Y. 2019-2021)
PERSONAL BACKGROUND
Gender: Female
Citizenship: Filipino
Age: 18
EDUCATIONAL BACKGROUND
Gender: Female
Citizenship: Filipino
Age: 19
EDUCATIONAL BACKGROUND
Gender: Male
Citizenship: Filipino
Age: 19
EDUCATIONAL BACKGROUND
EDUCATIONAL BACKGROUND
Primary: Talomo Central Elementary School (S.Y. 2009-2015)