Julia Rosenbaum, WASHplus (AED) Kebede Faris, World Bank Water and Sanitation Program Orlando Hernandez, WASHplus (AED) As...
<ul><li>At scale  </li></ul><ul><li>Hygiene and Sanitation Improvement in the  </li></ul><ul><li>Amhara Region of Ethiopia...
<ul><li>COMMUNITY-LED TOTAL BEHAVIOR CHANGE IN HYGIENE AND SANITATION </li></ul><ul><li>embedded in a national and regiona...
<ul><li>Systems Approach to Change – engaging the multiples </li></ul><ul><li>(Community-led) Total Sanitation </li></ul><...
Disgust <ul><li>Fear  </li></ul>Shame CLTS
Capacity Built in  Household Behavior Change and CLTS Tools    <ul><li>Health Extension Workers, Development Agents, Distr...
 
 
Were we effective? Did we achieve scale? Did combining individual and   collective action work? <ul><li>Results </li></ul>
Practices: Access to Sanitation Facilities Baseline-Endline Comparison: All  Respondents **Source: Amhara LBD Evaluation R...
ETHIOPIA Knowledge of When to Wash Hands
Presence of HW Stations at Latrines 17% 16%
Predictors of Latrine Ownership Endline **Source: Amhara LBD Evaluation Report, USAID/HIP-WSP/WB-AF, November 2010 Dimensi...
<ul><li>Contact Information </li></ul><ul><ul><ul><li>Julia Rosenbaum </li></ul></ul></ul><ul><ul><ul><li>[email_address] ...
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Applying a Mix of Community-led and Household-level WASH Innovations to Improve WASH, Reduce Diarrheal Disease, and Strengthen Health Systems

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This powerpoint was presented by Julia Rosenbaum of FHI360 and WSP Water and Sanitation Specialist Kebede Faris,during AfricaSan 3 (Kigali, Rwanda - 2011) under the "CLTS in Africa: Experiences, Challenges and Ways Forward" session.


This session provided a brief overview of CLTS and of its progress and status in Sub-Saharan African countries offering insights into current challenges and how they have been and can be tackled.

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Applying a Mix of Community-led and Household-level WASH Innovations to Improve WASH, Reduce Diarrheal Disease, and Strengthen Health Systems

  1. 1. Julia Rosenbaum, WASHplus (AED) Kebede Faris, World Bank Water and Sanitation Program Orlando Hernandez, WASHplus (AED) Asrat Genet, World Bank Water and Sanitation Program Belete Muluneh, WSP/WB (now UNICEF)) June 16, 2011 Applying a Mix of Community-led and Household-level WASH Innovations to Improve WASH, Reduce Diarrheal Disease and Strengthen Health Systems
  2. 2. <ul><li>At scale </li></ul><ul><li>Hygiene and Sanitation Improvement in the </li></ul><ul><li>Amhara Region of Ethiopia </li></ul><ul><li>through “Learning by Doing” </li></ul>
  3. 3. <ul><li>COMMUNITY-LED TOTAL BEHAVIOR CHANGE IN HYGIENE AND SANITATION </li></ul><ul><li>embedded in a national and regional process.. </li></ul><ul><li>National Hygiene and Sanitation Strategy </li></ul><ul><li>Built around Health Extension Programme, </li></ul><ul><li>… . carried out by HEWs </li></ul><ul><li>Supported by “the whole system” </li></ul><ul><li>- emphasis on bridging and bonding </li></ul>Implementing a hybrid of …
  4. 4. <ul><li>Systems Approach to Change – engaging the multiples </li></ul><ul><li>(Community-led) Total Sanitation </li></ul><ul><li>Strengthened Home Visits Negotiation of Improved Practices </li></ul><ul><li>Robust WASH Friendly Schools component </li></ul>
  5. 5. Disgust <ul><li>Fear </li></ul>Shame CLTS
  6. 6. Capacity Built in Household Behavior Change and CLTS Tools <ul><li>Health Extension Workers, Development Agents, District WASH Teams and more trained </li></ul><ul><li>Encouraged to go out and ignite, or support ignition </li></ul><ul><li>Carry out a number of other mobilization and household BC activities </li></ul>
  7. 9. Were we effective? Did we achieve scale? Did combining individual and collective action work? <ul><li>Results </li></ul>
  8. 10. Practices: Access to Sanitation Facilities Baseline-Endline Comparison: All Respondents **Source: Amhara LBD Evaluation Report, USAID/HIP-WSP/WB-AF, November 2010
  9. 11. ETHIOPIA Knowledge of When to Wash Hands
  10. 12. Presence of HW Stations at Latrines 17% 16%
  11. 13. Predictors of Latrine Ownership Endline **Source: Amhara LBD Evaluation Report, USAID/HIP-WSP/WB-AF, November 2010 Dimensions Factors p Odds Ratio Intervention Characteristics Community participated in walk of shame .00 2.23 Household visited by health work to improve sanitation .05 1.75 Intervention -related Perceptions Having a latrine contributes to the community’s health .00 2.6 Having a latrine contributes to the community’s development .00 1.8 ALL of THESE …………………………………………… .. >> 8.38
  12. 14. <ul><li>Contact Information </li></ul><ul><ul><ul><li>Julia Rosenbaum </li></ul></ul></ul><ul><ul><ul><li>[email_address] </li></ul></ul></ul>

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