AfricaSan 2011, Rwanda: Behaviour change session - Nyanzobe Hamisi Malimi, WSP, Tanzania

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  • GC’s edits: I have added your email address and the WSP homepage. Please add any more websites if appropriate.
  • AfricaSan 2011, Rwanda: Behaviour change session - Nyanzobe Hamisi Malimi, WSP, Tanzania

    1. 1. Making ‘what works’ work: Changing behaviour in sanitation and hygiene<br />Wednesday 20 July 2011Session jointly convened by LSHTM/SHARE, WSSCC, UNICEF and WSP Global Scaling Up Hand washing Project -Tanzania Experience Nyanzobe Hamisi Malimi, WSP<br />
    2. 2. Program snapshot<br />Working with national government and 10 districts to learn how to prompt households to improve and maintain their hand washing behaviours.<br />Implementation 2009-2011: Scaling up and hand washing with soap at critical junctures<br />
    3. 3. Why Tanzania investing in hand washing?<br />30,000 people die annually due to diarrheal diseases.<br />12.6 percent of children suffer from diarrheal diseases.<br />Acute respiratory infections (ARIs), an average prevalence of 8% (DHS, 2004-05 report).<br />Knowledge of the reasons to wash hands was high but the practice was low.<br />Hand washing with soap can reduce diarrheal incidence by 42-47% (Curtis and Cairncross 2003)<br />3<br />
    4. 4. Who are we talking to?Rural Mothers and caretakers of children under five years old. <br /><ul><li>Probably have many children and live in small, cramped spaces
    5. 5. Good at making ends meet with what they have .
    6. 6. Make efforts and sacrifices to improve the lives and safety of their children.</li></li></ul><li>Understand her life<br />
    7. 7. HWWS Insights <br /><ul><li>Wash only if hands are visibly dirty
    8. 8. HWWS too complicated,
    9. 9. Yet another burden
    10. 10. Diarrhoea is part of growing up</li></ul>Life Insights <br /><ul><li>Family trusts them when it comes to managing the household and hygiene issues
    11. 11. They feel nobody notices their efforts
    12. 12. “I’m surviving”</li></li></ul><li>Key messages for communication<br />“The hands to be proud of” and “Asante mama”<br />Rational: Handwashing is simple, easy and makes difference<br />Emotional:<br /><ul><li>The role of the mother is recognized
    13. 13. They found solution and are less burdens</li></li></ul><li>Mother practising handwashing with soap<br />
    14. 14. Strategy for communication<br />
    15. 15. Phases for behaviour change<br />
    16. 16. Outputs<br />
    17. 17. Outcome<br />Rapid assessment and Impact assessment will be conducted from August 2011.<br />Spot check in Kiteto District Feb, 2011:<br />Tippy tap as indicator<br />Kiteto District has 3,498 house holds<br />18% of House holds has fuctioning tippy taps and soap.<br />12<br />
    18. 18. Lessons and way forward<br />Understanding the consumer is necessary to develop the right message, ways of communication and technology.<br />The use of hand washing volunteers needs proper system for incentives within the Government structure.<br />Performance monitoring need strengthening <br />HWWS indicators included in MoH Results Framework  mentioned in TZ Nationa Strategy for Growth and Poverty Reduction (NSGPR)<br />Integtating Hand washing in National Sanitation Campaign from July 2011 for 42 Districts.<br />
    19. 19. Contact details and resources<br />nmalimi@worldbank.org<br />www.wsp.org/wsp/<br />
    20. 20. THANK YOU!<br />

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