Background: Hand washing habits are the most effective is the most fundamental way to prevent the spread of infections and Diarrheal diseases. Correct hand washing habits can prevent 50 to 70% of water-infections and foodborne-infections; diarrheal diseases and pneumonia which together are responsible for the majority of child deaths. Every year more than 3.5 million children do not live to celebrate their fifth birthday because of diarrhea and pneumonia. Hand washing can also prevent skin infection, eye infections, intestinal warm, and benefits the Health of the people living with HIV/AIDS. Hand washing is effective in preventing the spread of Objective: This study aimed to assess the hand washing habits in a humanitarian setting, Nyabiheke refugee Camp/Rwanda, to help identify and overcome barriers to proper hygiene practice.
The methodology: The cross-sectional study design was used to assess the status of hand washing habits in Nyabiheke refugee camp and 1900 households have been selected in the camp using a simple random sampling method. Data were collected by the use of a questionnaire and observation checklist and presented using percentages and tables.
Results and discussions: The results showed that a significant number of refugees from the camp did not have hand washing facilities in their households. The majority of refugees knew only one critical time of hand washing. The number of breastfeeding mothers in the camp didn’t wash their hands before breastfeeding their babies. In the other hand, they know that they wash their hand while entering the health center clinic of the camp because they know it is the only way to prevent the spread of the Virus diseases like Ebola virus.
Results of our research show the practices of hand washing in Nyabiheke refugee camp are not sufficient. We recommend there by UNHCR and Stakeholders to:
Provide guidelines on the safety and proper use of hand washing facilities
Organize training of community health workers in the camp about Hand washing practices;
Carry out regular supervision to ensure the monitoring of the use of hand washing at the community of the camp.
Keywords: hand washing, refugees, Humanitarian, Sanitation, Community,

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