
WATER, SANITATION, HYGIENE (WASH)
"Why don't people wash their hands? Underestimating the challenges to motivating a 'simple behavior.'"
~ Dr. Ram

THE IMPORTANCE OF WATER, SANITATION, & HYGINE
Global access to safe water, adequate sanitation, and proper hygiene education can reduce illness and death from disease, leading to improved health, poverty reduction, and socio-economic development, according to the Centers for Disease Control and Prevention (CDC). Today, many countries around the world face challenge's to provide basic necessities to their growing populations, neonates in these poor or low-income areas around the globe face the greatest risk. Dr. Pavani Kalluri Ram is working to discover why mothers choose to wash or not wash their hands during times of pathogen transmission with the hope of improving hand-washing behavior enough to have a lasting effect on health outcomes in medically underserved areas around the world.
WATERLESS HAND SANITIZER
Dr. Ram took waterless hand sanitizers to the next level, creating a novel approach to preventing neonatal deaths by using chlorhexidine. Her innovation was selected as a finalist in the Saving Lives at Birth competition in 2015. The event highlighted over one-hundred innovations created to decrease maternal and newborn mortality.
Dr. Ram speaking at the Saving Lives at Birth Competition.
SAVING LIVES AT BIRTH PITCH
"The youngest of babies are the ones most likely to die, often from preventable infections...The usual ways to promote handwashing with soap and water are failing - they do not change individuals' behaviors sufficient to impact health. An innovative but low-cost and low-technology solution, chlorhexidine for waterless hand cleansing, could yield dramatic improvements in hand cleansing among mothers and birth attendants...Chlorhexidine is portable and can be placed easily in child care areas for use by mothers and other family members, and in birth attendant kits...Chlorhexidine cleansing can be performed safely and efficiently, lowering neonates' exposure to infection from family members and visitors, including young children who are least likely to wash hands but most likely to carry infections...An evidence-based chlorhexidine hand cleansing intervention represents a robust low-technology solution to address the unconscionably high rates of preventable neonatal mortality worldwide.”
Dr. Ram is leading studies to evaluate the impact of promoting waterless hand cleansing with chlorhexidine. One of her studies analyzed rather or not access to waterless hand sanitizer improved student hand hygiene behaviors in primary schools in Nairobi, Kenya. Since, handwashing is difficult in locations with limited resources and water access. The students access to sanitizer resulted in significantly higher hand cleaning rates during times of potential contamination.

Students attending school in Kenya.