Hygiene and Sanitation Behaviour Change efforts in vulnerable communities of Western Nepal

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Hygiene and Sanitation Behaviour Change efforts in vulnerable communities of Western Nepal

  1. 1. HYGIENE AND SANITATIONBEHAVIOUR CHANGE EFFORTS INVULNERABLE COMMUNITIES OFWESTERN NEPAL Chhabi Goudel – Health and Sanitation Specialist Markus Tuukkanen – Junior Technical Advisor Rural Water Supply and Sanitation Project in Western Nepal (RWSSP-WN) 1.2.2012, Dhaka, Practitioners’workshop
  2. 2. RWSSP-WNOverall objective• Increased wellbeing of the poorest and excluded householdsProject Purpose• To fulfil the basic needs and ensure rights of access of Small Doable Actions in H & S the poorest and excluded households to safe domestic water, good health and hygiene through decentralized governance system Chhabi Goudel Markus Tuukkanen Dhaka 2012 RWSSP-WN
  3. 3. SANITATION COVERAGE IN NEPAL 78 % 0.6 54 %8070 0.5 42 %46 %60 0.4 31 %29 % 43 %50 37 % 0.340 0.23020 0.110 0 0 Rural Urban National Chhabi Goudel Dhaka 2012 Markus Tuukkanen RWSSP-WN
  4. 4. NATIONAL TARGETS AND POLICYNational Target• Universal coverage (100%) by 2017 with basic sanitation ,• No common national target for hygiene promotionExisting Policy• National Sanitation and Hygiene Master Plan: 2010-2017 Chhabi Goudel Dhaka 2012 Markus Tuukkanen RWSSP-WN
  5. 5. Budget by agency : Total expenditure Rs. 22.3billion Off budget past 6 years (2.6 b)Small Towns (3.1 b) DWSS (10.4 b)RWSSFDB (2.6 b) (3.8 b) DoLIDAR Source: Sharma Suman, MPPW
  6. 6. Why the Idea of Community Led Total Behaviour Change in H & S ( CLTBCHS)Various approaches -However, the situation-WASH associated diseases more prevalent i.e.Diarrhea, Skin, Typhoid etc.-10,500 children still dying from diarrhealdiseases. Diarrheal outbreak still persistent.-The annual cost of the increased morbidityand mortality of sanitation related diseases isconservatively estimated to be USD8,000, 0000
  7. 7. How -RWSSP-WN Implementing CLTBCHS Focus on Behavior Change in H & S Community led Realization for behavior change Total Focus on local leadership Behaviour LTBCF s Training- district level Equal emphasis on hygiene & Change in nutrition Hygiene Talking about open shit- OPENLY and Ignition and Pre-Triggering, and Sanitation Triggering Choice of technology, ODF declarationTBC Triggers training -VDC level Post ODF Rewarding Post ODF Follow up Chhabi Goudel Dhaka 2012 Markus Tuukkanen RWSSP-WN
  8. 8. PROGRESS IN SANITATION COVERAGE 0.9 0.8 0.7 38% progress 0.6 0.5 0.4 80 % 0.3 0.2 43 % 47 % 42 % 0.1 0National status 2010 NMIP 2010, RWSSP WN RWSSP-WN Baseline 2009 Progress in program VDCs working districts in 51 program VDCs after RWSSP-WN efforts 2009-2011 Chhabi Goudel Dhaka 2012 Markus Tuukkanen RWSSP-WN
  9. 9. TOTAL ODF VDC´S IN NEPAL 251 250 (100%) 200 150 73 (29%) 100 50 0 Total ODF VDC´s by Total ODF VDC´s in RWSSP-WN Nepal Chhabi Goudel Dhaka 2012 Markus Tuukkanen RWSSP-WN
  10. 10. How this happened in 2 years period Level of Happinessxfnsf] vzLsf] tx 36fPsf] vzL sf] tx nfO a9fpg] Increasing Happiness Decreasing happiness xfnsf] vzL sf] tx nfO 36fpg] Time line
  11. 11. Creating disgust, shame and Realisation
  12. 12. Focussing for Change in KeyHygiene Behaviours and SmallDoable ActionsSafe disposal of fecesHand washing at four critical timesSafe handling of Household DrinkingWater and foodPersonal hygiene including MHMProper solid and liquid waste management
  13. 13. Walk of Pride -ODF Declaration
  14. 14. Walk of Pride-Sanitation Campaign
  15. 15. Toilet construction
  16. 16. Post ODF- Rewarding
  17. 17. Realisation
  18. 18. Oath Taking during ODF declaration
  19. 19. Leading
  20. 20. Thank you Chhabi Goudel Dhaka 2012 Markus Tuukkanen RWSSP-WN

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