Abstract:
Background: Hand washing with soap and water is one of the most effective and inexpensive means of preventing infections. Rates of hand washing are low worldwide even amongst health care workers who should
know about its importance. The aim of the study was to evaluate the knowledge, attitudes and hand washing
practices both in and outside the hospital amongst medical students in Moi University.
Method: This was a descriptive cross sectional survey carried out amongst randomly selected fourth to sixth
year medical students of the of Moi University. A simple questionnaire exploring perceptions, attitudes and self
reported behavior was used. Information obtained included biodata, awareness information and practice. Data
were analyzed using descriptive statistics.
Results: Two hundred and sixty one students participated in the study with an M: F of 1.5:1. Diarrhea diseases
were most commonly recognized as being associated with contaminated hands. 37.6% washed their hands
regularly after interacting with their patients while 33.9% did so only after the days work. 58.3% and 58.9%
washed hands before meals and after defecating respectively. Use of soap was generally low. The greatest
motivation for hand washing was fear of contracting disease, whilst constraints included lack of soap,
forgetfulness and inconveniently located sinks.
Conclusion: Hand washing rates are low amongst medical students in Moi University.
Recommendation: There is need for regular education and re-education of students on hand washing practices
