Hygiene Promotion - IRC International Water and Sanitation Centre

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locally available at little or no cost, financial needs mainly consist of salaries, training andtransport, plus seed money to finance pilot or demonstration projects developed throughthe participatory process.DurationChanging hygiene will take time, no matter which approach is used. Community managedhygiene promotion programmes are by definition long-term. Communities can often onlyundertake one or two improvements at a time and progress is gradual, although theCommunity Health Clubs programme was able to show measurable change on 16indicators (Waterkeyn, 2003). Higher time demand happens especially in communitieswhere cohesion and leadership have to develop. They must know and have sufficientguarantee that co-operation will continue. With a prolonged and gradual programme, it ispossible to measurably reduce many risky conditions and practices and to sustain theimprovements. At the same time, more general outcomes may be achieved. Localcapabilities for general development and solidarity may be built and local antithesesbetween genders and local groups reduced. Planning such programmes means low-level,long-term inputs over a prolonged implementation period. Not all policy makers, donorsand programme agencies are ready to do so.32 Hygiene promotion
5. Case studiesOn the following pages case studies are arranged by Regions (Africa, Asia, Latin America)and within those regions by country. They have also been keyworded according to thetopics covered. Check the topic list below for links to the study on your topics of interest.Advocacy Zimbabwe 3Baseline study Palestine 1Demonstration projects Zimbabwe 2, 3Handwashing promotion Guatemala 1Health Clubs Zimbabwe 1,2Hygiene game Ghana 1Hygiene Improvement framework (HIF) Palestine 1; Nicaragua 1Impact of hygiene promotion Niger 1; Zimbabwe 1; Zimbabwe 2Palestine 1Indicators Zimbabwe 2Institutional support Zimbabwe 2, 3Integrated projects Ghana 1; Zimbabwe 3; India 1KABP study Ghana 1; Zimbabwe 1, 2Locally developed approaches Ghana 1, Zimbabwe 1,2Messages and media Ghana 1;Zimbabwe 1; Guatemala 1PHAST India 1; Zimbabwe 2Social marketing Guatemala 1; Nicaragua 1Training of hygiene promoters Ghana 1; India 1; Nicaragua 1, Zimbabwe 25.1 Case studies: AfricaGhana 1: Integrating health and hygiene into a water and sanitation projectTopics: Integrated projects; KABP study; locally developed approaches; hygiene game;messages and media; training of hygiene promoters.This is a field example from the Northern Water and Sanitation Project (NORWASP) inNorthern Ghana. Central to this project is the integration of health and hygiene into watersupply and sanitation for rural communities. The majority of these communities have noexisting protected water supplies and all are without adequate means of sanitation. ‘Freerange’, or open defecation is the sanitation practice throughout. The project conducted aKABP baseline, which entailed a number of tools - many participatory, drawing from thePLA approach combined with observation and a brief questionnaire. A gender lens wasincorporated throughout, although (in retrospect) more specific inclusion of children couldhave been made. Information from this baseline was used to:• identify key risk and safe practices,• identify challenges / barriers to engaging in safe practices,• identify the interest in and willingness to pay for facilities,IRC International Water and Sanitation Centre 33
Page 2: Please note that the TOPs are a web
Page 7 and 8: 1. Hygiene PromotionWhat do you kno
Page 9 and 10: 2. Why hygiene promotion matters2.1
Page 11 and 12: • The costs of inaction can be hi
Page 13 and 14: 3. Learning from experiences and re
Page 15 and 16: • Hygiene Improvement Framework (
Page 17 and 18: groups, and facilitators of partici
Page 19 and 20: The diagrams are taken from McKee
Page 21 and 22: • Food, utensils and food prepara
Page 23 and 24: Guides for developing hygiene promo
Page 25 and 26: • What may prevent this change in
Page 27 and 28: areas, slabs and sanplats for latri
Page 29 and 30: often not taken seriously and their
Page 31 and 32: IIIIIIIVVInputsProcOutpEffectiImpae
Page 33: over for reasons of hierarchy, e.g.
Page 37 and 38: The Project recognises the importan
Page 39 and 40: almost all cases been exceeded, as
Page 41 and 42: skin diseases, HIV/AIDS and tubercu
Page 43 and 44: understanding of the importance of
Page 45 and 46: councils (JSCs) are associations of
Page 47 and 48: o through a schools programme, with
Page 49 and 50: outputs and outcomes are focused mo
Page 51 and 52: Harvey, Eric, Shadrack Dau, Alana P
Page 53 and 54: programmes more effective. The obje
Page 55 and 56: scale. Comparison is on approach, l
Page 57 and 58: Hygiene Behaviour Network, in Globa
Page 59 and 60: WHO - World Health Organizationhttp
Page 61 and 62: Tel: (703) 247-8730Fax: (703) 243-9
Page 63 and 64: Manila, PhilippinesTel: +632 911-57
Page 65 and 66: TOP Courses and conferencesCREPA, B
Page 67 and 68: TOP ReferencesBoot, Marieke T. and
Page 69 and 70: TOP Quiz on Hygiene PromotionTry it
Page 71 and 72: Question 4All the interventions wil
Page 73 and 74: Then you may decide that this paper
Page 75 and 76: Appendix 1. Hygiene promotion manua
Page 77 and 78: 2. Target specific audiences.These
Page 79 and 80: Appendix 4. WASH facts and figures1
Page 81 and 82: Research)18: (IHE Newsletter, Janua
Page 83 and 84: Appendix 6. Preventive measuresMeas
Page 85 and 86:
Appendix 8. Some key objectives for
Page 87 and 88:
Appendix 9. Participatory tools and
Page 89 and 90:
Appendix 10. The PHAST approachFor
Page 91 and 92:
Planning techniques are used to sim
Page 93 and 94:
While sensitive topics are often be
Page 95:
About IRCIRC facilitates the sharin
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Hygiene Promotion - IRC International Water and Sanitation Centre

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