Assessment of Hand Hygiene Practices Among School Children: A Survey-Based Study

Abstract: Background: Hand hygiene is a vital preventive measure against infectious diseases, particularly in schools where children are in close contact. Aim: This study aimed to assess the knowledge, attitudes, and practices related to hand hygiene among school children aged 6–15 years and identify barriers to optimal hygiene. Methods: A cross-sectional survey using a structured questionnaire was conducted among 240 students from primary and secondary schools in Erode district, Tamil Nadu. Data were analyzed using descriptive and inferential statistics. Results: While 90% of participants recognized the importance of handwashing, only 70% reported consistent handwashing before meals and after using the restroom. Correct handwashing technique was followed by just 28% of students. Common barriers included lack of soap and water in restrooms (43%), time constraints (40%), and inadequate teacher reinforcement (60%). Conclusion: Awareness about hand hygiene was relatively high, but practice lagged due to infrastructural and behavioural challenges.