A Germ’s Journey: co-creation of resources for addressing UN Sustainable Development Goals in education & health in low-and-middle-income countries

Following a Participatory Action Research (PAR) model, this study evaluates whether specifically developed resources (‘A Germ’s Journey’) aid children in India’s understanding of hand-hygiene principles. Furthermore, it discusses how the findings can inform the future development of culturally relevant resources for developing countries.

Educational health-hygiene workshops were conducted with schools and community centres in collaboration with organisations in Ahmedabad, India in areas of considerable socio-economic disadvantage. Children’s and teacher-trainer workshops were delivered to ten Case Studies. Mixed-method data was collected from children using quasi-experimental methods, using pre-workshop questions, follow-up questions, observations and baseline and post-workshop assessments. Data was collected from teachers using questionnaires.

Following teacher-trainer workshops during Phase 1 of the study, 100% of teachers stated that they would use the resources with their pupils in the future. Two months after participating in the workshops, 60-73% of children knew how germs can cause illness, and 76-80% knew how to remove germs from hands. When assessed during Phase 2 of the study, 54% of children scored higher after the intervention, showing an increased understanding of microbiology after using the resources.

The results indicate that children have an improved understanding of the cause of bacterial disease and the health implications of not using adequate health-hygiene practices. Recommendations for the future development of resources include adopting a PAR model of research, co-creation with end users and working alongside local organisations and participants in order to access the ‘hard-to-reach’ areas.