Last week the international Journal of Water, Sanitation and Hygiene for Development emailed to tell that our paper ‘Exploring handwashing knowledge and practice among lactating mothers in Kathmandu’s slum communities’ [1] had been accepted for publication.
It is widely known that poor access to good quality water, sanitation, and hygiene (WASH) lead to high morbidity in young children. The paper reports on a cross-sectional study conducted with 127 breastfeeding mothers in two slum settlements in Nepal’s capital. It found that most had a good knowledge of WASH and appropriate washing of hands. However, the prevalence of illness among children whose mothers had only basic education was 26% higher than those whose mothers had completed secondary education. Family income and hand-washing practice were also significantly associated with child health (p < 0.01). Nearly three in four (73.2%) of children had experienced health issues, particularly diarrhoea, in the past half year.
The authors concluded that strengthening maternal hand-hygiene education programmes, particularly for lactating mothers, and improving WASH infrastructure are necessary, as well as promoting affordable hand-washing solutions in urban slums.
Prof. Edwin van Teijlingen

Reference:
- Devkota, G.P., Sharma, M.K., Sherpa, S., Khanal, T.R., Devkota, B., van Teijlingen, E. (2025) Exploring handwashing knowledge and practice among lactating mothers in Kathmandu’s slum communities, Nepal, Journal of Water, Sanitation and Hygiene for Development, 15:1-10. doi: 10.2166/washdev.2025.084