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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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, ...

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

  • 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
    • At scale
    • Hygiene and Sanitation Improvement in the
    • Amhara Region of Ethiopia
    • through “Learning by Doing”
    • COMMUNITY-LED TOTAL BEHAVIOR CHANGE IN HYGIENE AND SANITATION
    • embedded in a national and regional process..
    • National Hygiene and Sanitation Strategy
    • Built around Health Extension Programme,
    • … . carried out by HEWs
    • Supported by “the whole system”
    • - emphasis on bridging and bonding
    Implementing a hybrid of … View slide
    • Systems Approach to Change – engaging the multiples
    • (Community-led) Total Sanitation
    • Strengthened Home Visits Negotiation of Improved Practices
    • Robust WASH Friendly Schools component
    View slide
  • Disgust
    • Fear
    Shame CLTS
  • Capacity Built in Household Behavior Change and CLTS Tools
    • Health Extension Workers, Development Agents, District WASH Teams and more trained
    • Encouraged to go out and ignite, or support ignition
    • Carry out a number of other mobilization and household BC activities
  •  
  •  
  • Were we effective? Did we achieve scale? Did combining individual and collective action work?
    • Results
  • Practices: Access to Sanitation Facilities Baseline-Endline Comparison: All Respondents **Source: Amhara LBD Evaluation Report, USAID/HIP-WSP/WB-AF, November 2010
  • 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 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
    • Contact Information
        • Julia Rosenbaum
        • [email_address]