HaKsh-E: AI-Powered Social Robot to Promote Good Hand Hygiene Practices in_Children

A friendly robot for nurturing positive hand hygiene habits

PROJECT - Year: 2021 - Country -India

Haksh-E is a social robot designed to help young children build healthy hand-washing habits through friendly interaction. It uses AI vision to recognize whether children are following WHO-prescribed hand-washing steps and gives real-time feedback to correct or reinforce their behavior. It has been built as an embodied agent with a conversational face and engages children in a playful and emotionally supportive way. Over time, it aims to motivate habitual hygiene

Project Background & Motivation

Handwashing with soap is called the “most effective vaccine” against many infectious diseases, yet children often do not wash their hands correctly, regularly, or for long enough. The gap is not in awareness alone, but in forming sustained habits in real-world settings like schools and homes.

HaKsh-E is AMMACHI Labs’ response to this challenge: an AI-powered, embodied social robot designed to encourage young children to practise proper hand hygiene through playful, repeated interactions. The robot combines social cues (voice, expressions, gestures) with computer vision–based handwashing action recognition to guide children step-by-step, provide feedback, and make handwashing “fun” instead of a chore.

  • Promote correct hand-hygiene habits in children by giving real-time feedback on each handwashing step.
  • Use socially engaging interaction (emotion-aware responses and child-informed design) to keep children motivated and attentive.
  • Provide useful hygiene-related data for schools and health programs to monitor progress and design better interventions.
  • Haksh-E is innovative because it blends AI-based action recognition, emotion-aware interaction, and a low-cost minimalist hardware design with the added strength of being co-designed with children themselves. Involving children in the design shaped how Haksh-E communicates, behaves, and supports learning, making the robot’s prompts more relatable, friendly, and motivating for its young users. This combination allows Haksh-E to not only detect each handwashing step in real time, but also respond in ways that feel natural and engaging to children while still being affordable and practical for schools.

    Project Leadership & Collaborators

    Project Implementation and Key activities

    HaKsh-E has been implemented in multiple phases, combining research, design, engineering, and real-world outreach:

    1. Concept & Co-Design with Children
      • Conducted design research study with primary school children from rural and urban backgrounds in Southern India. Children’s feedback shaped the robot’s appearance, personality, and style of interaction (e.g., friendliness, voice, how it “talks” about germs). 
    2. Prototype Development
      • Built an embodied tabletop social robot with a screen/face, speakers, and onboard sensors. Integrated a handwashing action recognition system that detects key steps in the handwashing sequence and duration of the activity. 
    3. AI & Interaction Design and Pilot Studies
      • Developed AI models to recognise handwashing gestures from camera input and classify whether the steps are complete and of sufficient duration.
      • Designed game-like interaction flows: the robot explains why handwashing matters, prompts children to follow steps, gives compliments, corrections, and playful challenges. 
      • Conducted pilot with children (ages 6–11) from rural and urban settings in Kerala to assess perceptions of the robot (likeability, trust, anthropomorphism, perceived intelligence, etc.) and feasibility for behaviour change. 
    4. School-Based Outreach & Demonstrations
      • Deployed HaKsh-E in schools and youth festivals as part of antimicrobial resistance (AMR) awareness and public health outreach (ALARM). Sessions combined interactive talks, demonstrations with HaKsh-E, and Q&A with students and teachers.
    5. Ongoing Field Studies
      • Collaborations with international student teams (University of Twente students) to study the impact of persuasive robotics on children’s hygiene behaviour in real school settings.

    Impact and Outcomes

    Awards / Recognition

    .

    Toycathon 2021-22 award, Know More >>  

    Featured in International Telecommunication Union (ITU)’s AI For Good Community Know More >>

    Future Plan and Scalability

    To take HaKsh-E from successful pilots to broader impact, the proposed roadmap includes:

    1. Larger-Scale Controlled Trials
      • Multi-school RCTs comparing HaKsh-E–mediated education with standard IEC (Information, Education & Communication) methods.
      • Outcome measures: correctness of handwashing, frequency, incidence of common infections, and AMR-related knowledge.
    2. Integration with School Health & WASH Programs
      • Alignment with government WASH, school health, and AMR action plans.
      • Co-branded deployments with public health agencies and NGOs working on hygiene promotion. 
    3. Modular Content Expansion
      • Additional content packs for cough/sneeze etiquette, safe water handling, menstrual hygiene, and other child-relevant health topics.
    4. Low-Cost & Open Designs
      • Exploring lower-cost hardware variants and open educational resources to enable replication by schools, makerspaces, and international partners.

    Alignment / SDGs / Policies

    Reports and publications

    Contact Information

     

    Contact Person

    Gayathri Manikutty – Senior Researcher, AMMACHI Labs

    Email / Phone

    gayathri.manikutty@ammachilabs.org  / +91 81130 76224

    Website Link

    https://www.amrita.edu/faculty/gayathri-manikutty/ 

    Social Media

    https://www.linkedin.com/in/gayathri-manikutty/

    https://www.facebook.com/gayathri.anand.5817/


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