TY - JOUR T1 - Handwashing With a Water-Efficient Tap and Low-Cost Foaming Soap: The Povu Poa “Cool Foam” System in Kenya JF - Global Health: Science and Practice JO - GLOB HEALTH SCI PRACT SP - 336 LP - 341 DO - 10.9745/GHSP-D-16-00022 VL - 4 IS - 2 AU - Jaynie Whinnery AU - Gauthami Penakalapati AU - Rachel Steinacher AU - Noel Wilson AU - Clair Null AU - Amy J Pickering Y1 - 2016/06/20 UR - http://www.ghspjournal.org/content/4/2/336.abstract N2 - The new handwashing system, designed with end user input, features an economical foaming soap dispenser and a hygienic, water-efficient tap for use in household and institutional settings that lack reliable access to piped water. Cost of the soap and water needed for use is less than US$0.10 per 100 handwash uses, compared with US$0.20–$0.44 for conventional handwashing stations used in Kenya.Using an interactive and iterative design approach involving representative end users, we created a new handwashing system in Kisumu, Kenya, to make handwashing convenient and economical in areas without reliable piped water. The innovative and adaptable system, branded as Povu Poa (“Cool Foam” in Kiswahili), integrates a cost-effective foaming soap dispenser with a hygienic, water-frugal water tap in a secure and affordable design.Handwashing with soap and water reduces the spread of respiratory and diarrheal disease, the 2 leading causes of death in children under 5 years old.1-5 Studies estimate that handwashing with soap can reduce acute respiratory infections by 21% and the risk of diarrhea by 40%.6,7In settings without piped water, refilling water containers and securing soap for handwashing requires constant user effort and expense, creating barriers to handwashing with soap. In Kenya, for example, 78% of the population lacks access to household piped water,8 and the prevalence of handwashing with soap after contact with feces is estimated to be 15%.678% of the population in Kenya lacks access to household piped water, creating barriers to handwashing with soap.People are more likely to wash their hands at critical times if they have a dedicated place with soap and water.9 Conventional handwashing stations in Kenya, such as a jug and basin (Figure 1A) or a bucket with a tap (Figure 1B), are prone to soap theft, are cumbersome … ER -