AfricaSan 2011, Rwanda: Behaviour change session - Julia Rosenbaum, WASHplus Project in Ethiopia, USAID

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The document discusses hygiene and sanitation improvement efforts in the Amhara region of Ethiopia using community-led total sanitation approaches. A mix of community-led and household innovations were applied to improve WASH practices and reduce diarrheal disease while strengthening health systems. The program was embedded in Ethiopia's national hygiene and sanitation strategy and health extension program and emphasized community participation, behavior change techniques like shame walks, and capacity building of local cadres. Evaluation found improvements in sanitation access and handwashing knowledge from baseline to endline surveys.

Education Business Technology

Julia Rosenbaum, WASHplus (FHI 360) Kebede Faris, Water and Sanitation Program/ World Bank-AF Asrat Genet , BoH/Amhara (WSP) Orlando Hernandez, WASHplus (FHI 360) Belete Muluneh, WSP/WB (now UNICEF)) Applying a Mix of Community-led and Household-level WASH Innovations to Improve WASH, Reduce Diarrheal Disease and Strengthen Health Systems Making ‘what works’ work: Changing behaviour in sanitation and hygiene, AfricaSan, 20 July 2011

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Negotiation of Improved Practices or Small Doable Actions

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 2008 Baseline 2010 Endline Survey

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

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mWater is a social enterprise that uses mobile platforms to collect and share water quality data, helping provide access to safe drinking water in developing areas. Their mobile app allows users to map and monitor local water sources, and functions like "Yelp for water" by allowing people to view and share information about water safety. They currently have over 2,000 users across multiple countries and partnerships with large organizations. mWater is seeking funding to expand their work of addressing the global issues of lack of access to clean water and waterborne diseases using innovative mobile technologies.

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AfricaSan 2011, Rwanda: Behaviour change session - Lovy Rasolofomanana, Water...

SHARE (Sanitation and Hygiene Applied Research for Equity)

Young hygiene promoters in Madagascar, such as scouts, are helping to educate communities about sanitation and hygiene through activities like song, photography and drawing contests. Over 50,000 scouts from 5 movements and 24,119 primary schools are involved in this effort. While challenges remain around access to water and impact assessment, the dynamic youth and volunteers are opening discussions on hygiene to 22 regions through diverse media like street noises and films.

AfricaSan 2011, Rwanda: Behaviour change session - Julius Lukwago, PACE/PSI, ...

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The document discusses the Communication for Behavioral Impact (COMBI) approach and how it has been successfully used to change behaviors related to malaria treatment and other health issues. COMBI borrows from marketing and psychology theories and uses a 10 step process. It focuses on narrow behavioral objectives and generating insights into consumers to develop emotionally resonant messaging. The speaker provides the example of how COMBI was used in Uganda to significantly increase correct and timely malaria treatment. He suggests sanitation campaigns could apply COMBI's focus on specific behaviors and tapping into deep consumer needs and desires through emotional messaging like the "Little Gandhi" advertisement.

AfricaSan 2011, Rwanda: Behaviour change session - Joseph Katabarwa, Ministry...

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The document summarizes Rwanda's Community Based Environmental Health Promotion Programme (CBEHPP) which aims to establish a Community Hygiene Club (CHC) in every village to promote hygienic behaviors through participatory learning activities. The program expects to increase access to sanitation from 28% to 80%, reduce water-borne and hygiene-related diseases, and alleviate poverty through skills training and income generation activities of the CHCs. Past programs in other countries have shown reliable results in improving hygiene practices and reducing disease prevalence through this approach.

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