Documente Academic
Documente Profesional
Documente Cultură
WASH interventions
Water Supply Sanitation Hygiene promotion
Hand washing Safe disposal of child feces
Other, 10%
Neonatal 37%
70
60
50 40 30 20
1 0 0
(a) Sanitation
Previous reviews: ad e
Esrey SA et al. (1991) Bull WHO 69 (5): 609-621 Curtis V, Cairncross S (2003) Lancet Inf Dis 3: 275-281.
Improved hygiene behaviours would decrease the risk of stunting in one in three children who are already vulnerable
Without improved hygiene behaviours four in ten children will not reach their full educational potential
Maintaining a healthy environment through hygiene improvements is essential to safe guarding the health and quality of life of people living with HIV/AIDS.
AHI hand washing one of the four key messages
Cost effectiveness
Interventions against diarrhoeal disease Cholera immunizations
Rotavirus immunizations
Measles immunization Oral rehydration therapy Breastfeeding promotion programs
1,402 to 8,357
257 to 4,565 132 to 2,570 527 to 2,001
270.00
223 94 47 11.15 3.35
Source: Disease Control Priorities in Developing Countries, 2nd edition 2006 (www.dcp2.org) Chapter 41
Common Messages . . . .
Avoid different and sometimes conflicting messages Simple practical messages that everyone can use One theme to maximise impact handwashing, sanitation, water quality, etc. Build on existing knowledge & practices
RESOURCES
Recruitment of mass Human media, press Financial events. Creation, Existing printing of dissemination promotional mechanisms materials, MoH, MoE, MoWR, Recruitment, NGOs, FBOs activation & participation Regional Health, of NGOs, Water & Education FBOs,CBOs, Bureaus schools, & Private Sector community leaders WASH committees
Mass Media
TV, Radio, print
Interpersonal Communication
House to house promotion with decision makers, caretakers & children
Community Mobilisation
Community, religious & educational promotional events
INPUTS
ACTIVITIES
OUTPUTS
OUTCOMES
CLTS/Total Sanitation
Open Defecation Free Communities Community based process Demand Driven Technology choice secondary Social change pride and dignity Community managed
CLTS/Total Sanitation
Asia Cambodia, Bangladesh, India Africa Ethiopia, Zambia, Malawi, Sierra Leone (Kaka free villages) Americas Bolivia In total approximately 17 countries SLTS School Led Total Sanitation in Pakistan
PPPHW (www.globalhandwashing.org)
Concept Note available
Global level, the initiative seeks to raise the profile of handwashing and created sustained interest in public and private organizations. Country level, the PPPHW advocates for, and assists in the planning and implementing of large-scale country handwashing programs. While programs tend vary with local conditions, all share a common approach: Researching consumer needs to find out about handwashing habits, barriers and drivers of behavior change, and the best ways to communicate to the target audience; Designing appropriate and appealing messages; Implementing a promotion program making use of all suitable channels, whether through outreach workers, citizen networks, special events, soap distributors, schools, or mass media; Measuring and evaluating results.
Private Sector
Soap Manafacturers/detergent makers Unilever, P & G, Colgate, etc Example: Unilever Global MoU, Country LoAs In Safe Hands Project Champion
CHAMPION
Our goal*
To make a contribution to MDG4 by promoting at scale the essential link between hand washing with soap and the health of Under 5s by creating engaging ways for school children to: a)Influence behaviour change among mothers/caregivers and siblings b)Wash their own hands with soap at critical times.
* Taken from the CHARTER document agreed between Unicef & Unilever /Lifebuoy in 2007
Our Beliefs
Getting poorer households across the world to hand wash with soap is more alike as a challenge than it is different.
Creating a program from scratch in each new country (as is currently often done) wastes valuable resource. School children and schools one of the few common, stable and valued channels of influence within poor rural and urban communities in developing countries can significantly influence behaviour at home.
Program Development
Working in Africa (Uganda) & Asia (TBC)
1. Scoping
Clarify Task Mine info & knowledge globally Develop hypotheses
2. Research
2 countries Experimental & exploratory High core team involvement
4. Programme Design
Involve agencies & experts as necessary
The final program must work: at scale; across continents; where kids have little say; predominately through primary schools & primary school children.
POP Intervention
Useful Sites
Hygienecentral.org EHP/HIP Website CDC WEDC information notes WELL
HWTSS
www.who.int Household Water Treatment and safe storage Waterguard Chlorine based soln Pur/Watermakers Sodis Filters Social Marketing/product based PSI, CDC, and network
WASH in Schools
www.schools@watsan.net
Global Network and forum Working with Children on key behaviours Evidence base Evaluations
Water Supply and Sanitation Collaborative Council Advocacy WASH Coordinators WASH Campaigns/Movements
Access to Services
Hygiene Promotion
Hygiene Improvement
Diarrheal Disease Reduction
Enabling Environments
Behavioural & social Change & Skills Family Mobilisation Social Marketing Community Participation in Problem Detection & Solutions (TripleA)
Health impact focus - Address improving hygiene behaviors as the key to health improvement