The Meaning and Practice of Environmental Hygiene in Preventing Skin Diseases in Toddlers in the Service Area of Sabirabad Rayon Polyclinic
Abstract
Purpose of the study: This study aimed to explore the meaning and daily practice of environmental hygiene in preventing infectious skin diseases among toddlers in the service area of Sabirabad Rayon Polyclinic.
Methodology: A qualitative descriptive–exploratory design was employed. Data were collected through in-depth interviews with 10 mothers or primary caregivers of toddlers who had experienced infectious skin conditions within the past six months. Participants were selected using purposive sampling. Data were analyzed using the interactive model of Matthew B. Miles and A. Michael Huberman, involving data reduction, data display, and conclusion drawing.
Main Findings: All participants (100%) emphasized the importance of environmental cleanliness for child health; however, cleanliness was predominantly defined in terms of visible order rather than microbial risk prevention. Daily hygiene practices such as sweeping and bathing children were routinely performed, yet recurrent skin infections were reported by most caregivers, particularly during hot seasons. Barriers included limited water access, housing density, and financial constraints.
Novelty/Originality of this study: This study shifts the analytical focus from measurable environmental risk factors to the socially constructed meanings of cleanliness and maternal responsibility, providing a culturally grounded perspective on hygiene behavior and skin disease prevention in primary care settings.
References
J. M. Ramos et al., “Skin problems in children under five years old at a rural hospital in Southern Ethiopia,” Asian Pac. J. Trop. Biomed., vol. 6, no. 7, pp. 625–629, Jul. 2016, doi: 10.1016/j.apjtb.2016.05.009.
O. Ewurum et al., “Sociodemographic determinants of dermatological diseases among paediatric patients attending clinics at the Federal Medical Centre, Umuahia, Abia State, Nigeria,” Int. J. Res. Dermatology, vol. 11, no. 6, pp. 467–476, Oct. 2025, doi: 10.18203/issn.2455-4529.IntJResDermatol20253390.
K. A. Audah et al., “Indonesian Mangrove sonneratia caseolaris leaves ethanol extract is a potential super antioxidant and anti methicillin-resistant staphylococcus aureus drug,” Molecules, vol. 27, no. 23, p. 8369, Nov. 2022, doi: 10.3390/molecules27238369.
K. K. Baker et al., “Sanitation and hygiene-specific risk factors for moderate-to-severe diarrhea in young children in the global enteric multicenter study, 2007–2011: Case-Control Study,” PLOS Med., vol. 13, no. 5, pp. 1–10, May 2016, doi: 10.1371/journal.pmed.1002010.
D. J. Momberg et al., “Water, sanitation and hygiene (WASH) in sub-Saharan Africa and associations with undernutrition, and governance in children under five years of age: a systematic review,” J. Dev. Orig. Health Dis., vol. 12, no. 1, pp. 6–33, Feb. 2021, doi: 10.1017/S2040174419000898.
M. M. Mugambi, “Inculcating values among learners in schools: An analysis of global practices and approaches,” J. Educ. Train., vol. 9, no. 2, p. 178, 2022, doi: 10.5296/jet.v9i2.20055.
R. S. Haradanhalli, R. M. Prashanth, N. Kumari, I. Siddhareddy, P. D. P., and J. Surendran, “Personal hygiene practices and related skin diseases among primary school children of urban poor locality,” Int. J. Community Med. Public Heal., vol. 6, no. 6, pp. 2526–2532, May 2019, doi: 10.18203/2394-6040.ijcmph20192316.
A. Setya Roswendi and Y. Zakiyah, “Relationship between environmental sanitation and the incidence of scabies: A literature review,” KnE Med., vol. 2022, pp. 207–215, 2022, doi: 10.18502/kme.v2i2.11083.
B. Cervantes‐Paz and E. M. Yahia, “Avocado oil: Production and market demand, bioactive components, implications in health, and tendencies and potential uses,” Compr. Rev. Food Sci. Food Saf., vol. 20, no. 4, pp. 4120–4158, Jul. 2021, doi: 10.1111/1541-4337.12784.
N. Nada, H. Mustapa, N. K. Harahap, and S. W. Oktavia, “Analysis of emotional intelligence on science learning achievement,” EduFisika J. Pendidik. Fis., vol. 8, no. 3, pp. 261–267, 2023, doi: 10.59052/edufisika.v8i3.28165.
S. Ghavifekr and W. A. W. Rosdy, “Teaching and learning with technology: Effectiveness of ICT integration in schools,” Int. J. Res. Educ. Sci., vol. 1, no. 2, pp. 175–191, 2015, doi: 10.21890/ijres.23596.
E. B. Kırıkkaya and B. Başaran, “Investigation of the effect of the integration of arduino to electrical experiments on students’ attitudes towards technology and ICT by the mixed method,” Eur. J. Educ. Res., vol. 8, no. 1, pp. 31–48, 2019, doi: 10.12973/eu-jer.8.1.31.
A. Mengist Dessie, S. Fenta Feleke, S. Getaye Workie, T. Getinet Abebe, Y. Mossu Chanie, and A. Kassa Yalew, “Prevalence of skin disease and its associated factors among primary schoolchildren: A cross-sectional study from a northern ethiopian town,” Clin. Cosmet. Investig. Dermatol., vol. 15, no. 4, pp. 791–801, Apr. 2022, doi: 10.2147/CCID.S361051.
M. M. D. Wahyuni et al., “Epidemiological surveillance on diarrheal diseases at pasir panjang primary health care center 2025,” J. Widya Med., vol. 11, no. 2, pp. 100–110, Aug. 2025, doi: 10.33508/jwm.v11i2.7508.
S. S. Madsen, “What is the motivation of Norwegian and New Zealand teacher educators for using digital technology when teaching?,” Nord. J. Comp. Int. Educ., vol. 4, no. 2, pp. 42–63, Jul. 2020, doi: 10.7577/njcie.3826.
L. Nahar, “The effects of standardized tests on incorporating 21st century skills in science classrooms,” Integr. Sci. Educ. J., vol. 4, no. 2, pp. 36–42, 2023, doi: 10.37251/isej.v4i2.324.
D. C. Karaferis, D. A. Niakas, D. Balaska, and A. Flokou, “Valuing outpatients’ perspective on primary health care services in greece: A cross-sectional survey on satisfaction and personal-centered care,” Healthcare, vol. 12, no. 14, pp. 1–20, 2024, doi: 10.3390/healthcare12141427.
R. Sibarani, P. Simanjuntak, and E. J. Sibarani, “The role of women in preserving local wisdom poda na lima ‘Five Advices of Cleanliness’ for the community health in Toba Batak at lake Toba area,” Gac. Sanit., vol. 35, pp. S533–S536, 2021, doi: 10.1016/j.gaceta.2021.10.086.
K. I. Krisnadewi, S. A. Kristina, T. M. Andayani, and D. Endarti, “Implementation preventive program for diabetic mellitus (Prolanis) at community health center in Indonesia: A qualitative study,” J. Appl. Pharm. Sci., vol. 15, no. 01, pp. 153–161, 2024, doi: 10.7324/JAPS.2024.194416.
M. Khusniati, A. P. Heriyanti, N. P. Aryani, T. R. Fariz, and D. Harjunowibowo, “Indigenous science constructs based on Troso woven fabric local wisdom: A study in ethnoscience and ethnoecology,” J. Turkish Sci. Educ., vol. 20, no. 3, pp. 549–566, 2023, doi: 10.36681/tused.2023.031.
T. Kee, H. Zhang, and R. B. King, "An empirical study on immersive technology in synchronous hybrid learning in design education," Springer Netherlands, vol. 34, no. 3, pp- 23-30, 2024. doi: 10.1007/s10798-023-09855-5.
E. K. Odjer and E. K. G. Mensah, “Maternal mortality and legal accountability: Examining government responsibility for preventable deaths,” J. Law Crim. Justice, vol. 13, no. 5, pp. 49–73, Sep. 2025, doi: 10.15640/jlcj.v13p4.
S. Barteit, D. Guzek, A. Jahn, T. Bärnighausen, M. M. Jorge, and F. Neuhann, “Evaluation of e-learning for medical education in low- and middle-income countries: A systematic review,” Comput. Educ., vol. 145, no. October 2019, 2020, doi: 10.1016/j.compedu.2019.103726.
L. Liu, “Using generic inductive approach in qualitative educational research: A case study analysis,” J. Educ. Learn., vol. 5, no. 2, p. 129, 2016, doi: 10.5539/jel.v5n2p129.
L. Chen, P. Chen, and Z. Lin, “Artificial intelligence in education: A review,” IEEE Access, vol. 8, pp. 75264–75278, 2020, doi: 10.1109/ACCESS.2020.2988510.
L. Yao, S. Haberman, D. F. McCaffrey, and J. R. Lockwood, “Large-sample properties of minimum discriminant information adjustment estimates under complex sampling designs,” ETS Res. Rep. Ser., vol. 2020, no. 1, pp. 1–20, 2020, doi: 10.1002/ets2.12297.
H. R. Ganesha and P. S. Aithal, “Deriving right sample size and choosing an appropriate sampling technique to select samples from the research population during ph.d. program in India,” Int. J. Appl. Eng. Manag. Lett., vol. 6, no. 2, pp. 288–306, 2022, doi: 10.47992/ijaeml.2581.7000.0159.
S. Parent et al., “Development and initial factor validation of the violence toward athletes questionnaire (VTAQ) in a sample of young athletes,” Loisir Soc., vol. 42, no. 3, pp. 471–486, 2019, doi: 10.1080/07053436.2019.1682262.
Konstantina Vasileiou, Julie Barnett, Susan Thorpe, and Terry Young, “Characterising and justifying sample size sufficiency in interview-based studies: Systematic analysis of qualitative health research over a 15-year period,” BMC Med. Res. Methodol., vol. 18, no. 1, p. 148, 2018, doi: 10.1186/s12874-018-0594-7
T. Taqqiyyuddin, S. Barzegar, and M. S. Islam, “Use of crossword media to increase the arabic vocabulary of higher class in elementary school,” J. Basic Educ. Res., vol. 5, no. 1, pp. 28–33, 2024, doi: 10.37251/jber.v5i1.829.
G. Daǧhan and B. Akkoyunlu, “Bilişim teknolojileri dersinde kullani{dotless}lan performansa dayali{dotless} deǧerlendirme yöntemlerine İlişkin nitel bir çali{dotless}şma,” Kuram ve Uygulamada Egit. Bilim., vol. 14, no. 1, pp. 333–338, 2014, doi: 10.12738/estp.2014.1.2005.
A. Baltacı, “Nitel veri analizinde miles-huberman modeli,” Ahi Evran Üniversitesi Sos. Bilim. Enstitüsü Derg., vol. 3, no. 1, pp. 1–15, 2017.
Y. Khoviriza, M. Z. Azzahra, U. Galadima, and W. S. Salsabila, “Revealing the impact: Meta analysis of problem based learning models on improving communication skills in science learning,” EduFisika J. Pendidik. Fis., vol. 9, no. 1, pp. 38–45, 2024, doi: 10.59052/edufisika.v9i1.32650.
Goyanes, M., Lopezosa, C., and Jordá, B., “Thematic analysis of interview data with ChatGPT: Designing and testing a reliable research protocol for qualitative research,” Qual. Quant., vol. 59, pp. 5491–5510, 2025, doi: 10.1007/s11135-025-02199-3.
Salmona, M., and Kaczynski, D., “Qualitative data analysis strategies,” in How to Conduct Qualitative Research in Finance. Cheltenham, U.K.: Edward Elgar Publishing, 2024, ch. 6, doi: 10.4337/9781803927008.00012.
de Farias, B. G., Dutra-Thomé, L., Koller, S. H., et al., “Formulation of themes in qualitative research: Logical procedures and analytical paths,” Trends Psychol., vol. 29, pp. 155–166, 2021, doi: 10.1007/s43076-020-00052-0.
Thorne, S., Interpretive Description: Qualitative Research for Applied Practice, 3rd ed. London, U.K.: Routledge, 2025, doi: 10.4324/9781003503538.
Zelčāne, E., and Pipere, A., “Finding a path in a methodological jungle: A qualitative research of resilience,” Int. J. Qual. Stud. Health Well-being, vol. 18, no. 1, 2023, doi: 10.1080/17482631.2023.2164948.
A. P. Knapp, W. Rehmus, and A. Y. Chang, “Skin diseases in displaced populations: A review of contributing factors, challenges, and approaches to care,” Int. J. Dermatol., vol. 59, no. 11, pp. 1299–1311, 2020, doi: 10.1111/ijd.15063.
K. Zinszer and S. Abuzerr, “Water, sanitation, and hygiene insecurity and infectious disease outbreaks among internally displaced populations in Gaza: Implications of conflict-driven displacement on public health,” J. Water, Sanit. Hyg. Dev., vol. 14, no. 11, pp. 1182–1192, 2024, doi: 10.2166/washdev.2024.361.
Copyright (c) 2025 Charles Ayodeji Osunla, Taisia Chertenko

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and acknowledge that the Journal of Health Innovation and Environmental Education is the first publisher licensed under a Creative Commons Attribution 4.0 International License.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges and earlier and greater citation of published work.



.png)
.png)











