Summary of Emergent Themes From Participant Interviews on Perceived Challenges to Handwashing With Soap Interventions Targeting Older Children
| Program Cycle Stage | Theme |
|---|---|
| Funding acquisition | Lack of prioritization |
| Funding inconsistency | |
| Design | Insufficient formative research |
| Demand on resources | |
| Unengaging intervention content | |
| Non-enabling physical environments | |
| Delivery | Availability of skilled implementers |
| Reaching out-of-school children | |
| Community mistrust | |
| Lack of coordination | |
| Evaluation | Lack of evaluation rigor |
| Failure to assign older children’s handwashing as a primary outcome in evaluations of hygiene interventions |