SlideShare a Scribd company logo
1 of 14
Download to read offline
Khondker, Sajani
1
	
   	
  
Hand	
  washing	
  Tourney	
  
Promoting	
  hand	
  washing	
  in	
  Kaolack,	
  Senegal	
  
	
  
	
  
Proposal	
  summary	
  
	
  
Title	
  of	
  proposal:	
  Hand	
  washing	
  Tourney:	
  Promoting	
  hand	
  washing	
  in	
  Kaolack,	
  Senegal	
  
	
  
Volunteer:	
  Sajani	
  Khondker	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Sector:	
  Health	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
Post:	
  Senegal	
  	
  
Project	
  supervisor:	
  Amy	
  Tall	
  
APCD:	
  Mamadou	
  Diaw	
  
	
  
Proposed	
  project	
  dates:	
  October	
  2016	
  –	
  January	
  2017	
  
	
  
Proposed	
  project	
  budget:	
  $1899.05	
  	
  
	
  
Proposal	
  summary:	
  Targeted	
  at	
  six	
  communities	
  in	
  Kaolack,	
  Senegal,	
  this	
  project	
  will	
  train	
  community	
  health	
  
workers	
  to	
  increase	
  awareness	
  of	
  hygiene	
  and	
  sanitation	
  through	
  use	
  of	
  creative	
  games	
  that	
  empower	
  
community	
  members	
  to	
  take	
  ownership	
  of	
  their	
  own	
  knowledge.	
  Iron	
  tippy	
  taps	
  will	
  be	
  provided	
  in	
  each	
  
community,	
  to	
  increase	
  access	
  to	
  durable	
  hand-­‐washing	
  stations	
  that	
  not	
  only	
  make	
  hand	
  washing	
  easier	
  in	
  a	
  
village	
  setting,	
  but	
  also	
  makes	
  it	
  an	
  attractive,	
  sophisticated,	
  and	
  therefore	
  desirable	
  activity.	
  Colorful	
  cues	
  to	
  
action	
  will	
  be	
  created	
  in	
  partnership	
  with	
  individual	
  households,	
  to	
  jar	
  the	
  memory	
  into	
  hand	
  washing	
  with	
  
soap	
  and	
  running	
  water	
  at	
  the	
  critical	
  times.
Expected	
  Outcomes:	
  	
  
Short	
  term:	
  
1.	
  Increased	
  capacity	
  of	
  community	
  health	
  workers	
  to	
  conduct	
  WASH	
  activities	
  in	
  their	
  communities	
  
2.	
  Increased	
  knowledge	
  in	
  community	
  members	
  on	
  WASH	
  issues	
  and	
  solutions	
  
3.	
  Increased	
  access	
  to	
  hand	
  washing	
  stations	
  in	
  communities	
  
Medium	
  term:	
  
1.	
  Increased	
  rates	
  of	
  hand	
  washing	
  with	
  soap	
  and	
  running	
  water	
  in	
  communities	
  	
  
Long	
  term:	
  	
  
1.	
  Decreased	
  rates	
  of	
  diarrhea	
  and	
  respiratory	
  infections	
  in	
  children	
  under	
  5	
  years	
  old	
  
	
  
Estimated	
  costs:	
  
	
  
Equipment	
   $9.67	
  
Labor	
   $316.06	
  
Materials	
  transport	
   $31.09	
  
Materials	
   $1279.02	
  
Travel/per	
  diem/food	
   $263.21	
  
Total	
   $1,899.05	
  
	
  
	
  
	
  
Khondker, Sajani
2
Executive	
  summary	
  
	
  
In	
  Senegal,	
  most	
  rural	
  households	
  have	
  no	
  form	
  of	
  improved	
  latrine,	
  and	
  none	
  have	
  a	
  hand	
  washing	
  
station.	
   Almost	
   every	
   household	
   washes	
   before	
   eating	
   by	
   dipping	
   hands	
   into	
   a	
   single	
   bowl	
   of	
  
standing	
  water,	
  with	
  no	
  soap.	
  Diarrheal	
  diseases	
  and	
  respiratory	
  infections	
  are	
  rampant	
  in	
  children	
  
under	
  five,	
  especially	
  during	
  the	
  rainy	
  season.	
  While	
  many	
  NGOs	
  working	
  in	
  central	
  Senegal	
  build	
  
latrines	
   across	
   multiple	
   communities,	
   there	
   is	
   no	
   record	
   of	
   existing	
   interventions	
   that	
   encourage	
  
hand	
  washing.	
  	
  
	
  
In	
  response	
  to	
  this	
  need,	
  the	
  Kaolack	
  hand-­‐washing	
  tourney	
  aims	
  to	
  increase	
  rates	
  of	
  hand	
  washing	
  
in	
  six	
  communities	
  in	
  the	
  region	
  of	
  Kaolack.	
  The	
  objectives	
  of	
  this	
  project	
  are	
  to	
  increase	
  awareness	
  
of	
  hygiene	
  and	
  sanitation	
  behaviors	
  in	
  six	
  communities;	
  increase	
  access	
  to	
  sustainable	
  hand	
  washing	
  
stations	
  in	
  those	
  six	
  communities;	
  and	
  to	
  increase	
  the	
  capacity	
  of	
  six	
  community	
  health	
  workers	
  
(CHWs)	
  to	
  facilitate	
  WASH	
  trainings	
  in	
  their	
  communities,	
  by	
  January	
  2017.	
  The	
  project	
  is	
  estimated	
  
to	
  directly	
  benefit	
  approximately	
  600	
  people.	
  	
  
	
  
To	
  accomplish	
  these	
  objectives,	
  six	
  CHWs	
  –	
  one	
  from	
  each	
  of	
  six	
  communities	
  –	
  will	
  be	
  trained	
  to	
  use	
  
WASH	
  visual	
  aid	
  cards	
  for	
  behavior	
  change	
  activities	
  in	
  their	
  villages.	
  They	
  will	
  each	
  be	
  assigned	
  to	
  
carry	
  out	
  four	
  health	
  talks	
  and	
  twenty	
  home-­‐visits	
  using	
  the	
  cards,	
  in	
  the	
  space	
  of	
  two	
  months.	
  The	
  
CHWs	
  will	
  carry	
  out	
  their	
  behavior	
  change	
  activities	
  free	
  of	
  charge,	
  and	
  the	
  communities	
  agree	
  to	
  
attend	
   and	
   participate	
   in	
   these	
   activities	
   as	
   a	
   prerequisite	
   for	
   obtaining	
   iron	
   tippy	
   taps	
   in	
   their	
  
community.	
  Ten	
  iron	
  tippy	
  taps	
  will	
  be	
  built	
  in	
  ten	
  households	
  in	
  each	
  community,	
  to	
  increase	
  access	
  
to	
  hand-­‐washing	
  stations.	
  Each	
  household	
  receiving	
  a	
  tippy	
  tap	
  will	
  have	
  paid	
  a	
  cash	
  contribution,	
  
will	
  gather	
  their	
  own	
  water	
  container,	
  string,	
  and	
  soap	
  for	
  the	
  tippy	
  tap,	
  as	
  well	
  as	
  transport	
  the	
  iron	
  
tippy	
  taps	
  from	
  the	
  road	
  town	
  Keur	
  Soce,	
  where	
  they	
  will	
  be	
  made,	
  into	
  their	
  communities.	
  Finally,	
  to	
  
continue	
  encouraging	
  development	
  of	
  hand-­‐washing	
  habits,	
  hand	
  washing	
  murals	
  and	
  conspicuous	
  
cues	
  to	
  action	
  will	
  be	
  painted	
  around	
  tippy	
  taps	
  in	
  each	
  community.	
  	
  
	
  
CHW-­‐facilitated	
   behavior	
   change	
   activities,	
   increased	
   access	
   to	
   hand	
   washing	
   infrastructure,	
   and	
  
cues	
   to	
   action	
   will	
   come	
   together	
   to	
   build	
   and	
   reinforce	
   hand-­‐washing	
   habits	
   in	
   community	
  
members.	
  	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Khondker, Sajani
3
Background	
  
	
  
The	
  goal	
  of	
  this	
  project	
  is	
  to	
  increase	
  the	
  rate	
  of	
  adequate	
  hand	
  washing	
  with	
  soap	
  and	
  running	
  water	
  
among	
  six	
  communities	
  by	
  January	
  2017.	
  It	
  aims	
  to	
  raise	
  awareness	
  in	
  community	
  members	
  about	
  
various	
  hygiene	
  and	
  sanitation	
  behaviors,	
  subsidize	
  the	
  building	
  of	
  hand	
  washing	
  infrastructure	
  in	
  
order	
  to	
  help	
  build	
  hand-­‐washing	
  habits,	
  and	
  utilize	
  cues	
  to	
  action	
  that	
  will	
  continue	
  to	
  reinforce	
  
those	
  habits.	
  Ultimately,	
  we	
  hope	
  to	
  decrease	
  rates	
  of	
  diarrhea	
  and	
  respiratory	
  infections	
  in	
  children	
  
under	
  5	
  living	
  in	
  these	
  six	
  communities.	
  
	
  
Community	
  partnerships:	
  	
  
This	
  project	
  will	
  work	
  through	
  well-­‐established	
  partnerships.	
  The	
  volunteer	
  and	
  her	
  work	
  partner,	
  
Amy,	
   collaborated	
   through	
   every	
   step	
   in	
   creating	
   project	
   goals,	
   objectives,	
   implementation	
   and	
  
evaluation	
   plans.	
   They	
   worked	
   together	
   in	
   approaching	
   community	
   members	
   and	
   community	
  
leaders,	
  such	
  as	
  the	
  mayors,	
  village	
  chiefs,	
  and	
  health	
  relays,	
  all	
  of	
  who	
  were	
  enthusiastic	
  about	
  the	
  
project	
   and	
   offered	
   their	
   support.	
   The	
   six	
   communities	
   in	
   this	
   tourney	
   were	
   selected	
   by	
   the	
   ICPs	
  
(infirmier	
  chef	
  de	
  poste,	
  or	
  head	
  nurses	
  at	
  health	
  posts)	
  at	
  three	
  health	
  posts	
  situated	
  in	
  Kaolack,	
  
Senegal.	
  
	
  
Participatory	
  hygiene	
  and	
  sanitation	
  transformation	
  (PHAST)	
  model:	
  	
  
Visual Aid cards based on the PHAST model, have already been designed by the volunteer and will be used
to help empower community members to take ownership of the project.	
   The	
   cards	
   are	
   of	
   colorful,	
  
culturally	
  appropriate	
  pictures,	
  and	
  do	
  not	
  require	
  literacy	
  for	
  use.	
  They	
  can	
  be	
  played	
  one-­‐on-­‐one	
  or	
  
in	
   a	
   group,	
   and	
   the	
   level	
   of	
   difficulty	
   of	
   the	
   games	
   is	
   flexible	
   based	
   on	
   the	
   audience.	
   Community	
  
members	
   can	
   use	
   these	
   cards	
   to	
   sort	
   hygiene	
   behaviors	
   into	
   effective/not-­‐effective,	
   and	
  
easy/difficult;	
  sort	
  sanitation	
  structures	
  into	
  improved/unimproved;	
  represent	
  different	
  versions	
  of	
  
the	
  fecal-­‐oral	
  route;	
  and	
  arrange	
  preventative	
  measures	
  to	
  break	
  the	
  fecal-­‐oral	
  route.	
  The	
  cards	
  are	
  
color-­‐coded	
  so	
  they	
  can	
  quickly	
  be	
  grouped	
  out	
  appropriately	
  for	
  each	
  game.	
  Amy	
  and	
  the	
  volunteer	
  
have	
  used	
  these	
  cards	
  multiple	
  times	
  in	
  the	
  field	
  already,	
  and	
  found	
  the	
  interactive	
  activities	
  much	
  
more	
  useful	
  than	
  simple	
  health	
  talks.	
  CHWs	
  are	
  able	
  to	
  learn	
  and	
  facilitate	
  the	
  activities	
  using	
  the	
  
cards,	
  and	
  community	
  members	
  are	
  engaged.	
  These	
  activities	
  will	
  be	
  applied	
  to	
  increase	
  awareness	
  
of	
  WASH	
  issues	
  and	
  solutions.	
  	
  
	
  
Infrastructure	
  to	
  promote	
  hand-­‐washing	
  access	
  and	
  behavior	
  change:	
  	
  
Iron	
  tippy	
  taps	
  will	
  be	
  built,	
  and	
  ten	
  provided	
  to	
  each	
  community.	
  An	
  iron	
  tippy	
  tap	
  had	
  been	
  built	
  by	
  
a	
  previous	
  PCV	
  and	
  found	
  to	
  be	
  a	
  durable	
  hand-­‐washing	
  station.	
  The	
  stand-­‐alone	
  design	
  is	
  one	
  that	
  
has	
  been	
  used	
  before,	
  and	
  is	
  versatile	
  enough	
  to	
  fit	
  any	
  household,	
  no	
  matter	
  the	
  floor	
  plan.	
  	
  
	
  
The	
   iron	
   tippy	
   taps	
   are	
   meant	
   to	
   both	
   increase	
   access	
   to	
   hand	
   washing	
   stations,	
   and	
   provide	
  
examples	
   for	
   people	
   to	
   imitate	
   if	
   they	
   wish.	
   Providing	
   infrastructure	
   for	
   hand-­‐washing	
   has	
   two	
  
justifying	
  points:	
  	
  
	
  
-­‐ Washing	
   with	
   soap	
   and	
   running	
  water	
  is	
   not	
   what	
   has	
   traditionally	
   been	
   done,	
   and	
  
traditions	
   die	
   hard.	
   Often,	
   though,	
   people	
   switch	
   to	
   new	
   behaviors	
   not	
   because	
   of	
   health	
  
concerns,	
   but	
   because	
   the	
   healthy	
   behavior	
   is	
   somehow	
   perceived	
   as	
   attractive,	
  
sophisticated,	
  or	
  cool.	
  Iron	
  tippy	
  taps	
  make	
  hand	
  washing	
  attractive	
  and	
  desirable.	
  This	
  is	
  
why	
   I	
   hypothesize	
   it	
   might	
   have	
   an	
   impact	
   where	
   health	
   knowledge-­‐based	
   WASH	
  
campaigns	
  have	
  not.	
  	
  
	
  
-­‐ Washing	
  in	
  a	
  single	
  bowl	
  of	
  still	
  water	
  is	
  much	
  easier	
  than	
  finding	
  the	
  soap	
  before	
  every	
  
meal	
  and	
  asking	
  someone	
  else	
  to	
  pour	
  water	
  for	
  you.	
  For	
  a	
  healthy	
  habit	
  to	
  stick,	
  it	
  has	
  to	
  be	
  
easy	
  to	
  do.	
  	
  Washing	
  with	
  running	
  water	
  and	
  soap	
  is	
  not	
  as	
  easy	
  in	
  a	
  village	
  setting	
  as	
  it	
  is	
  at	
  
a	
   bathroom	
   sink,	
   and	
   part	
   of	
   the	
   answer	
   is	
   equipment	
   that	
   makes	
   it	
   easier.	
   This	
   form	
   of	
  
equipment	
  is	
  conspicuous,	
  hands-­‐free,	
  and	
  less	
  transient	
  than	
  a	
  traditional	
  tippy	
  tap.	
  
	
  
Khondker, Sajani
4
Cues	
  to	
  action:	
  	
  
To	
  continue	
  reinforcing	
  hand	
  washing	
  habits	
  after	
  tippy	
  taps	
  are	
  installed,	
  the	
  volunteer	
  will	
  paint	
  
small	
  cues	
  to	
  action	
  in	
  each	
  individual	
  household	
  having	
  an	
  iron	
  tippy	
  tap,	
  as	
  well	
  as	
  a	
  larger	
  mural	
  in	
  
the	
  community	
  of	
  hand	
  washing	
  and	
  different	
  ways	
  to	
  do	
  it.	
  The	
  cues	
  to	
  action	
  might	
  include	
  a	
  set	
  of	
  
eyes	
  by	
  the	
  latrine	
  to	
  remind	
  people	
  to	
  wash	
  with	
  soap;	
  or	
  a	
  set	
  of	
  arrows	
  leading	
  from	
  the	
  place	
  
where	
   the	
   family	
   eats	
   to	
   the	
   tippy	
   tap	
   (adapted	
   from	
   other	
   WASH	
   campaigns,	
   such	
   as	
  
the	
  SuperAmma	
  Campaign	
  in	
  India).	
  The	
  volunteer	
  will	
  be	
  working	
  with	
  each	
  individual	
  household,	
  
so	
  that	
  the	
  family	
  can	
  come	
  up	
  with	
  how	
  to	
  remember	
  hand-­‐washing	
  habits	
  on	
  their	
  own.	
  	
  
	
  
	
  
	
  
Technical	
  plan	
  
	
  
Goal:	
  	
  
Increase	
  rates	
  of	
  adequate	
  hand	
  washing	
  with	
  soap	
  and	
  running	
  water	
  at	
  the	
  5	
  critical	
  times	
  during	
  
the	
  day	
  in	
  six	
  communities	
  in	
  Kaolack.	
  	
  
	
  
Objectives:	
  
• 600	
  men,	
  women,	
  and	
  children	
  in	
  six	
  communities	
  will	
  have	
  increased	
  awareness	
  of	
  hygiene	
  
and	
  sanitation	
  behaviors	
  by	
  the	
  end	
  of	
  the	
  project.	
  
• 600	
  men,	
  women,	
  and	
  children	
  in	
  six	
  communities	
  will	
  have	
  increased	
  access	
  to	
  sustainable	
  
hand	
  washing	
  stations	
  by	
  the	
  end	
  of	
  the	
  project.	
  
• By	
  the	
  end	
  of	
  the	
  project,	
  six	
  CHWs	
  will	
  have	
  increased	
  capacity	
  to	
  facilitate	
  WASH	
  trainings	
  
within	
  their	
  communities.	
  
	
  
Baseline	
  data	
  collection:	
  	
  
The	
  volunteer	
  will	
  carry	
  out	
  baseline	
  surveys	
  in	
  each	
  community,	
  in	
  partnership	
  with	
  the	
  local	
  health	
  
relays.	
  	
  
	
  
Relay	
  Training:	
  
Amy	
  Tall	
  will	
  train	
  the	
  six	
  CHWs,	
  one	
  from	
  each	
  community,	
  on	
  how	
  to	
  use	
  specially	
  designed	
  WASH	
  
activity	
  cards	
  to	
  raise	
  awareness	
  of	
  WASH	
  behaviors	
  in	
  the	
  target	
  population.	
  Each	
  CHW	
  will	
  receive	
  
a	
   set	
   of	
   the	
   activity	
   cards,	
   which	
   have	
   colorful,	
   culturally	
   appropriate	
   pictures	
   of	
   sanitation	
  
structures,	
  hygiene	
  behaviors,	
  and	
  components	
  of	
  the	
  fecal-­‐oral	
  route,	
  and	
  are	
  color-­‐coded	
  for	
  use	
  in	
  
a	
  flexible	
  range	
  of	
  games	
  and	
  activities.	
  	
  
	
  
WASH	
  training	
  in	
  communities:	
  	
  
Amy	
  Tall	
  will	
  then	
  draw	
  up	
  an	
  action	
  plan	
  of	
  health	
  talks	
  and	
  home	
  visits	
  that	
  the	
  CHWs	
  will	
  carry	
  
out	
  over	
  two	
  months.	
  She	
  will	
  manage	
  and	
  supervise	
  the	
  local	
  CHWs	
  during	
  this	
  time,	
  critiquing	
  their	
  
performance	
  and	
  collecting	
  attendance	
  sheets	
  and	
  reports.	
  	
  
	
  
Tippy	
  tap	
  construction:	
  	
  
Meanwhile,	
  a	
  metalworker	
  will	
  build	
  sixty	
  iron	
  tippy	
  taps	
  –	
  ten	
  for	
  each	
  community.	
  Once	
  the	
  CHWs	
  
have	
  finished	
  their	
  behavior	
  change	
  activities,	
  and	
  community	
  members	
  who	
  had	
  contributed	
  cash	
  
for	
  an	
  iron	
  tippy	
  tap	
  have	
  made	
  their	
  in-­‐kind	
  contributions,	
  community	
  members	
  will	
  transport	
  the	
  
iron	
  tippy	
  taps	
  into	
  their	
  communities	
  and	
  install	
  them,	
  with	
  the	
  assistance	
  of	
  the	
  metalworker	
  and	
  
the	
  volunteer.	
  The	
  volunteer	
  will	
  then	
  make	
  a	
  tourney	
  of	
  the	
  villages,	
  to	
  paint	
  murals	
  and	
  cues	
  to	
  
action	
  around	
  the	
  tippy	
  taps.	
  Finally,	
  there	
  will	
  be	
  a	
  final	
  evaluation	
  meeting	
  for	
  the	
  CHWs	
  in	
  which	
  
they	
  can	
  discuss	
  the	
  strengths	
  and	
  weaknesses	
  of	
  the	
  project,	
  after	
  which	
  the	
  local	
  CHWs	
  and	
  the	
  
volunteer	
  will	
  carry	
  out	
  an	
  end	
  line	
  survey	
  in	
  each	
  community.	
  
	
  
Below	
  is	
  a	
  list	
  of	
  potential	
  challenges,	
  coupled	
  with	
  ideas	
  on	
  how	
  to	
  mitigate	
  them:	
  
•	
  Not	
  all	
  CHWs	
  attend	
  training:	
  Every	
  effort	
  will	
  be	
  made	
  to	
  give	
  CHWs	
  adequate	
  notice	
  of	
  the	
  
Khondker, Sajani
5
training	
  date,	
  and	
  it’s	
  importance	
  in	
  project	
  implementation	
  will	
  be	
  impressed.	
  If	
  a	
  CHW	
  is	
  still	
  
unable	
  to	
  attend,	
  Amy	
  and	
  volunteer	
  will	
  meet	
  with	
  her/him	
  at	
  a	
  later	
  date	
  to	
  discuss	
  training	
  
materials.	
  	
  
•	
  CHWs	
  do	
  not	
  complete	
  the	
  assigned	
  number	
  of	
  behavior	
  change	
  activities,	
  or	
  rush	
  to	
  complete	
  
them:	
  Amy	
  Tall	
  will	
  discuss	
  the	
  individual	
  action	
  plan	
  with	
  each	
  CHW	
  to	
  ensure	
  they	
  have	
  enough	
  
time	
  scheduled	
  over	
  two	
  months	
  to	
  complete	
  their	
  work.	
  	
  
•	
  CHW	
  data	
  on	
  behavioral	
  change	
  activities	
  is	
  inaccurate:	
  Amy	
  Tall	
  has	
  a	
  great	
  deal	
  of	
  experience	
  
managing	
  CHWs,	
  including	
  working	
  through	
  inaccurate	
  data.	
  She	
  is	
  budgeted	
  to	
  make	
  multiple	
  trips	
  
to	
  each	
  village	
  to	
  critique	
  CHW	
  performance	
  and	
  support	
  them	
  in	
  collecting	
  accurate	
  data	
  for	
  their	
  
work.	
  	
  
•	
  Attendance	
  of	
  community	
  members	
  at	
  behavioral	
  change	
  activities	
  is	
  low:	
  October	
  and	
  November	
  
are	
  the	
  harvest	
  season	
  in	
  rural	
  central	
  Senegal,	
  and	
  many	
  community	
  members	
  are	
  likely	
  to	
  be	
  in	
  the	
  
field	
  all	
  day	
  during	
  this	
  period.	
  We	
  will	
  have	
  a	
  discussion	
  with	
  the	
  health	
  CHWs	
  to	
  find	
  ways	
  around	
  
this	
  issue,	
  e.g.,	
  organizing	
  health	
  talks	
  in	
  the	
  evenings	
  when	
  people	
  are	
  relaxing.	
  	
  
•	
  Community	
  members	
  who	
  will	
  receive	
  a	
  tippy	
  tap	
  do	
  not	
  attend	
  behavioral	
  change	
  activities:	
  It	
  will	
  
be	
  impressed	
  on	
  both	
  community	
  members	
  and	
  CHWs	
  that	
  attending	
  behavioral	
  change	
  activities	
  are	
  
an	
  essential	
  prerequisite	
  to	
  receiving	
  an	
  iron	
  tippy	
  tap.	
  Additionally,	
  the	
  volunteer	
  and	
  CHWs	
  will	
  
establish	
  a	
  voucher	
  system,	
  in	
  which	
  community	
  members	
  are	
  held	
  accountable	
  for	
  making	
  all	
  the	
  
required	
  in-­‐kind	
  contributions.	
  	
  
•	
  Delays	
  in	
  completing	
  iron	
  tippy	
  taps:	
  The	
  metalworker,	
  Adama	
  Faye,	
  works	
  next	
  door	
  to	
  the	
  project	
  
supervisor,	
  Amy,	
  so	
  both	
  she	
  and	
  the	
  volunteer	
  will	
  be	
  able	
  to	
  monitor	
  construction,	
  and	
  prevent	
  or	
  
reduce	
  delays.	
  
	
  
	
  
	
  
Monitoring	
  &	
  Evaluation	
  	
  
	
  
Monitoring	
  plan:	
  	
  
Amy	
   Tall,	
   the	
   project	
   supervisor,	
   will	
   collect	
   data	
   on	
   behavior	
   change	
   activities	
   (e.g.,	
   dates,	
  
attendance)	
  from	
  each	
  CHW.	
  She	
  will	
  also	
  use	
  a	
  checklist	
  to	
  monitor	
  the	
  CHWs’	
  work,	
  to	
  ensure	
  that	
  
they	
  are	
  covering	
  important	
  points	
  and	
  encouraging	
  participation	
  with	
  community	
  members,	
  and	
  to	
  
offer	
   support	
   in	
   improving	
   the	
   quality	
   of	
   their	
   health	
   talks	
   and	
   home	
   visits.	
   See	
   Annex	
   1	
   for	
   the	
  
supervisor	
  report	
  form.	
  	
  
The	
  metal	
  worker	
  responsible	
  for	
  building	
  the	
  tippy	
  taps	
  will	
  be	
  monitored	
  almost	
  everyday	
  during	
  
the	
  project,	
  because	
  he	
  works	
  next	
  door	
  to	
  the	
  project	
  supervisor.	
  She	
  and	
  the	
  volunteer	
  will	
  offer	
  
critique	
  and	
  support	
  to	
  him	
  as	
  necessary,	
  to	
  ensure	
  the	
  tippy	
  taps	
  are	
  of	
  high	
  quality	
  and	
  built	
  on	
  
schedule.	
  	
  
	
  
Evaluation	
  plan:	
  	
  
The	
  volunteer	
  will	
  collect	
  baseline	
  and	
  end	
  line	
  data	
  in	
  each	
  community,	
  in	
  partnership	
  with	
  the	
  local	
  
relays.	
   Households	
   will	
   be	
   the	
   units	
   of	
   measurement,	
   with	
   a	
   sample	
   size	
   of	
   20	
   households	
   per	
  
community.	
  Households	
  will	
  be	
  selected	
  using	
  systematic	
  random	
  sampling.	
  Data	
  on	
  knowledge	
  and	
  
perception	
  of	
  hand	
  washing	
  will	
  be	
  collected	
  using	
  a	
  survey	
  questionnaire.	
  Hand	
  washing	
  behavior	
  
will	
  be	
  assessed	
  using	
  rapid	
  and	
  structured	
  observation.	
  At	
  the	
  end	
  of	
  the	
  project,	
  baseline	
  and	
  end	
  
line	
  data	
  will	
  be	
  compared,	
  and	
  progress	
  on	
  quantitative	
  indicators	
  will	
  be	
  analyzed.	
  Annex	
  2	
  shows	
  
the	
  survey	
  questionnaire	
  in	
  English.	
  	
  
In	
  addition	
  to	
  the	
  initial	
  training	
  for	
  the	
  CHWs,	
  there	
  will	
  be	
  an	
  end-­‐line	
  evaluation	
  meeting,	
  in	
  which	
  
CHWs	
  will	
  be	
  asked	
  for	
  their	
  feedback	
  on	
  the	
  strengths	
  and	
  weaknesses	
  of	
  the	
  project.	
  This	
  will	
  yield	
  
qualitative	
  data	
  on	
  project	
  implementation	
  and	
  outcomes.	
  	
  
Finally,	
  data	
  on	
  project	
  successes	
  and	
  failures	
  will	
  be	
  disseminated	
  to	
  the	
  communities,	
  with	
  the	
  help	
  
of	
  the	
  CHWs.	
  	
  
	
  
Please	
  see	
  Annex	
  3	
  for	
  a	
  timeline	
  of	
  the	
  project,	
  and	
  Annex	
  4	
  for	
  M&E	
  tables.	
  	
  
Khondker, Sajani
6
Sustainability	
  statement	
  
	
  
By	
  the	
  end	
  of	
  the	
  project,	
  community	
  members	
  in	
  the	
  target	
  villages	
  will	
  have	
  increased	
  awareness	
  of	
  
hygiene	
  and	
  sanitation	
  behaviors,	
  structures,	
  and	
  the	
  fecal-­‐oral	
  route.	
  Each	
  community	
  will	
  also	
  have	
  
ten	
  iron	
  tippy	
  taps	
  in	
  ten	
  households.	
  	
  	
  
	
  
The	
  iron	
  tippy	
  taps	
  will	
  remain	
  as	
  examples	
  in	
  the	
  community.	
  They	
  will	
  have	
  an	
  efficient	
  design	
  and	
  
attractive	
  colors,	
  which	
  can	
  easily	
  be	
  copied	
  by	
  any	
  local	
  metalworker.	
  The	
  cost	
  of	
  a	
  tippy	
  tap	
  is	
  low	
  
enough	
  for	
  many	
  families	
  in	
  rural	
  settings	
  to	
  afford.	
  Therefore,	
  community	
  members	
  should	
  be	
  able	
  
to	
  have	
  them	
  made	
  without	
  the	
  help	
  of	
  a	
  PCV,	
  once	
  they	
  have	
  been	
  introduced	
  to	
  it	
  and	
  if	
  they	
  find	
  it	
  
beneficial.	
  	
  
	
  	
  
The	
  tippy	
  taps	
  made	
  for	
  the	
  project	
  will	
  last	
  at	
  least	
  a	
  generation.	
  By	
  the	
  time	
  the	
  washing	
  stations	
  
are	
  too	
  old	
  to	
  use,	
  many	
  community	
  members	
  may	
  have	
  developed	
  a	
  habit	
  of	
  using	
  them,	
  and	
  have	
  a	
  
new	
  one	
  made	
  for	
  themselves.	
  Most	
  importantly,	
  children	
  growing	
  up	
  in	
  households	
  in	
  which	
  hand-­‐
washing	
  with	
  soap	
  and	
  running	
  water	
  is	
  the	
  norm	
  will	
  have	
  the	
  habit	
  more	
  strongly	
  instilled	
  in	
  them,	
  
and	
  can	
  carry	
  on	
  teaching	
  it	
  to	
  their	
  own	
  children.	
  	
  
	
   	
  
The	
  CHWs	
  will	
  not	
  only	
  be	
  trained	
  in	
  how	
  to	
  teach	
  community	
  members	
  WASH	
  messages	
  through	
  
playing	
   new	
   creative	
   games,	
   they	
   will	
   also	
   be	
   actively	
   critiqued	
   to	
   improve	
   their	
   performance	
   in	
  
health	
  talks	
  and	
  home	
  visits.	
  Furthermore,	
  they	
  will	
  receive	
  their	
  own	
  set	
  of	
  playing	
  cards	
  to	
  use	
  
whenever	
   they	
   wish	
   to	
   re-­‐teach	
   WASH	
   messages	
   within	
   the	
   community.	
   The	
   volunteer	
   and	
   the	
  
project	
  supervisor,	
  Amy,	
  will	
  have	
  a	
  meeting	
  with	
  the	
  ICPs	
  at	
  the	
  health	
  posts,	
  to	
  discuss	
  how	
  they	
  
can	
   motivate	
   relays	
   to	
   continue	
   WASH	
   behavior	
   change	
   activities	
   regularly	
   in	
   their	
   communities,	
  
even	
  after	
  the	
  iron	
  tippy	
  taps	
  are	
  in	
  place.	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Budget	
  Summary	
  
Category	
   Grant	
  Amount	
   Community	
  
Contribution	
  Cash	
  
Community	
  
Contribution	
  In-­‐Kind	
  
Equipment	
   $9.67	
   $0.00	
   $0.00	
  
Labor	
   $316.06	
   $105.35	
   $1243.52	
  
Land/Venue	
  Rental	
   $0.00	
   $0.00	
   $34.54	
  
Materials	
  Transport	
   $31.09	
   $0.00	
   $31.09	
  
Materials/Supplies	
   $1279.02	
   $0.00	
   $84.28	
  
Other	
   	
   	
   	
  
Travel/Per	
  
Diem/Food/Lodging	
  
$263.21	
   $0.00	
   $0.00	
  
Total	
   $1,899.05	
   $105.35	
   $1,393.44	
  
	
  
	
  
Please	
  see	
  Annex	
  5	
  for	
  a	
  detailed	
  budget.	
  
Khondker, Sajani
7
	
  
	
  
Budget	
  Narrative	
  
Budget	
  Category	
   Grant	
  Contribution	
  	
   Community	
  Contribution	
  
Equipment	
   Paintbrushes	
  will	
  be	
  used	
  both	
  to	
  
paint	
  the	
  iron	
  tippy	
  taps,	
  and	
  to	
  
paint	
  hand-­‐washing	
  murals	
  and	
  
cues	
  to	
  action	
  in	
  the	
  communities.	
  
	
  
Labor	
   The	
  metalworker	
  asked	
  a	
  minimum	
  
fee	
  of	
  CFA	
  4000,	
  per	
  iron	
  tippy	
  tap.	
  
This	
  price	
  was	
  agreed	
  between	
  
metalworkers	
  to	
  be	
  a	
  reasonable	
  
one.	
  
The	
  local	
  CHWs	
  agreed	
  to	
  facilitate	
  
health	
  talks	
  and	
  home	
  visits	
  in	
  their	
  
communities	
  free	
  of	
  charge.	
  The	
  
value	
  assigned	
  to	
  this	
  labor	
  in	
  the	
  
budget	
  is	
  similar	
  to	
  the	
  standards	
  set	
  
by	
  local	
  non-­‐governmental	
  
organizations.	
  Community	
  members	
  
receiving	
  an	
  iron	
  tippy	
  tap	
  also	
  paid	
  
a	
  cash	
  contribution	
  that	
  will	
  go	
  
towards	
  part	
  of	
  the	
  metalworker's	
  
fee.	
  
Land/Venue	
  Rental	
   	
   The	
  health	
  post	
  in	
  road	
  town	
  has	
  
agreed	
  to	
  contribute	
  training	
  space	
  
and	
  chairs.	
  	
  
Materials	
   Pens,	
  notebooks,	
  and	
  folders	
  will	
  be	
  
supplied	
  to	
  the	
  CHWs	
  and	
  
supervisor	
  at	
  the	
  initial	
  training.	
  
The	
  original	
  WASH	
  activity	
  cards	
  
must	
  be	
  photocopied	
  and	
  laminated,	
  
and	
  paperwork	
  printed.	
  Iron	
  bars	
  
will	
  be	
  purchased	
  for	
  the	
  tippy	
  taps,	
  
and	
  paint	
  and	
  diluent	
  to	
  paint	
  both	
  
the	
  tippy	
  taps	
  and	
  murals	
  in	
  the	
  
communities.	
  	
  
The	
  community	
  is	
  responsible	
  for	
  
collecting	
  soap,	
  water	
  containers,	
  
and	
  string	
  for	
  their	
  tippy	
  taps.	
  
Materials	
  	
  
Transport	
  
Iron	
  bars	
  will	
  be	
  transported	
  from	
  
the	
  regional	
  capital	
  to	
  the	
  road	
  
town,	
  where	
  the	
  metalworker	
  will	
  
use	
  them	
  to	
  build	
  the	
  tippy	
  taps.	
  	
  
The	
  communities	
  will	
  be	
  responsible	
  
for	
  transporting	
  the	
  iron	
  tippy	
  taps	
  
from	
  the	
  road	
  town	
  to	
  their	
  homes.	
  	
  
Travel/Per	
  Diem/Food	
   The	
  CHWs	
  will	
  have	
  two	
  meetings	
  –	
  
an	
  initial	
  training	
  and	
  a	
  final	
  
evaluation.	
  Each	
  meeting	
  will	
  be	
  
daylong,	
  and	
  include	
  a	
  snack	
  and	
  
lunch.	
  Ice	
  water,	
  carbonated	
  drinks,	
  
tea,	
  and	
  mint	
  candies	
  will	
  also	
  be	
  
supplied.	
  The	
  CHWs	
  and	
  supervisor	
  
will	
  be	
  paid	
  a	
  per	
  diem	
  of	
  CFA	
  5000,	
  
which	
  is	
  the	
  minimum	
  travel	
  cost	
  
for	
  some	
  of	
  the	
  attendees.	
  Amy	
  will	
  
receive	
  a	
  traveling	
  stipend,	
  as	
  she	
  
must	
  travel	
  to	
  all	
  6	
  villages	
  multiple	
  
times	
  to	
  manage	
  the	
  CHWs.	
  	
  
	
  
Khondker, Sajani
8
Annex	
  	
  
	
  
Annex	
  1:	
  Supervisor	
  Report	
  
	
  
Relay name: ______________________________________________________ Date:
____________________
Village: _________________________________________ Health post:
_______________________________
Activity: Causerie / VAD District Ndoffane
Requirement Observation
1st
2nd
3rd
Public speaking
Did the relay speak in a clear, loud voice? Yes/No Yes/No Yes/No
Did the relay make eye contact with the audience? Yes/No Yes/No Yes/No
Participation
Did the relay ask the audience a minimum of 6 questions? Yes/No Yes/No Yes/No
Did the relay encourage answers from the audience? Yes/No Yes/No Yes/No
Did the relay include each member of the audience in discussion? Yes/No Yes/No Yes/No
Key messages
Did the relay explain the criteria for adequate hand washing? Yes/No Yes/No Yes/No
Did the relay explain the benefits of adequate hand washing? Yes/No Yes/No Yes/No
Did the relay explain the fecal-oral route? Yes/No Yes/No Yes/No
Did the relay connect hand washing to the fecal-oral route? Yes/No Yes/No Yes/No
Did the relay explain the 5 critical times? Yes/No Yes/No Yes/No
Did the relay explain where we need hand-washing stations? Yes/No Yes/No Yes/No
Did the relay explain how to build tippy tap? Yes/No Yes/No Yes/No
Score
Give the relay a score of 1 point per ‘yes.’
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Khondker, Sajani
9
Annex	
  2:	
  Survey	
  Questionnaire	
  
	
  
Hand	
  washing	
  Tourney	
  
	
  
Kaolack	
  Medical	
  Region	
  	
   Ndoffane	
  Health	
  District	
  
	
  
Community	
  ________________________________________________	
  
Village	
  Chief:	
  ______________________________________________	
  
Health	
  relay:	
  _______________________________________________	
  
	
  
Number	
  of	
  households:	
  
	
  
Latrines	
  
	
  
Number	
  of	
  households	
  with	
  unimproved	
  latrine:	
  
Number	
  of	
  covered	
  unimproved	
  latrines:	
  	
  
	
  
Number	
  of	
  households	
  with	
  improved	
  latrine:	
  
Number	
  of	
  covered	
  improved	
  latrines:	
  	
  
	
  
Hand-­‐washing	
  Stations	
  
	
  
Number	
  of	
  households	
  inspected	
  for	
  designated	
  hand-­‐washing	
  station:	
  	
  
Number	
  of	
  households	
  with	
  a	
  designated	
  hand-­‐washing	
  station:	
  
	
  
Questionnaire	
  
	
  
1. How	
  should	
  we	
  wash	
  our	
  hands?	
  
2. Why	
  do	
  we	
  wash	
  our	
  hands?	
  	
  
3. Where	
  do	
  germs	
  come	
  from?	
  
4. How	
  do	
  germs	
  enter	
  our	
  mouth?	
  
5. What	
  are	
  the	
  critical	
  times	
  for	
  hand	
  washing?	
  	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Khondker, Sajani
10
Annex	
  3:	
  Gantt	
  Chart	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Khondker, Sajani
11
Annex	
  4:	
  M&E	
  Tables	
  	
  
	
  
Table	
  1:	
  Monitoring	
  
	
  
Objective	
  1:	
  600	
  men,	
  women,	
  and	
  children	
  in	
  6	
  communities	
  will	
  have	
  increased	
  awareness	
  of	
  hygiene	
  and	
  
sanitation	
  behaviors	
  
Indicator	
   Data	
  source	
   Collected	
  by	
   Frequency	
   Data	
  use	
  
Agreement	
  of	
  
partnership	
  with	
  
PCV	
  
Community	
  
participation	
  
contract	
  
PCV	
   At	
  project	
  initiation	
  	
   Contract	
  
Number	
  of	
  WASH	
  
behavior	
  change	
  
activities	
  facilitated	
  
by	
  community	
  
health	
  workers	
  	
  
Action	
  plan	
  sheet	
   Supervisor	
   After	
  WASH	
  activity	
  
training	
  for	
  
community	
  health	
  
workers	
  
Coverage	
  WASH	
  
behavior	
  change	
  
activities	
  
Number	
  of	
  
community	
  
members	
  attending	
  
WASH	
  behavior	
  
change	
  activities	
  
Attendance	
  sheets	
  
for	
  behavior	
  change	
  
activities	
  
Supervisor	
   Monthly	
  for	
  
November	
  and	
  
December	
  
Coverage	
  WASH	
  
behavior	
  change	
  
activities	
  
Objective	
  2:	
  600	
  men,	
  women,	
  and	
  children	
  in	
  6	
  communities	
  will	
  have	
  increased	
  access	
  to	
  sustainable	
  hand	
  
washing	
  stations	
  
Indicator	
   Data	
  source	
   Collected	
  by	
   Frequency	
   Data	
  use	
  
Number	
  of	
  iron	
  
tippy	
  taps	
  produced	
  
by	
  metal	
  worker	
  
Visits	
  with	
  metal	
  
worker	
  
PCV	
   Weekly	
  for	
  
December	
  
Ensure	
  iron	
  tippy	
  
taps	
  are	
  produced	
  
on	
  time	
  
Number	
  of	
  iron	
  
tippy	
  taps	
  
transported	
  to	
  
benefiting	
  
communities	
  
Visits	
  with	
  metal	
  
worker,	
  community	
  
health	
  workers	
  
PCV	
   Weekly	
  for	
  
December	
  
Ensure	
  iron	
  tippy	
  
taps	
  are	
  installed	
  on	
  
time	
  
Number	
  of	
  iron	
  
tippy	
  taps	
  installed	
  
with	
  water	
  
containers,	
  string,	
  
and	
  soap	
  
Home	
  visits	
   PCV	
   After	
  transport	
  to	
  
each	
  benefiting	
  
community	
  
Ensure	
  iron	
  tippy	
  
taps	
  are	
  used	
  
appropriately	
  	
  
Objective	
  3:	
  6	
  local	
  health	
  relays	
  will	
  have	
  increased	
  capacity	
  to	
  facilitate	
  WASH	
  trainings	
  within	
  their	
  
communities	
  
Indicator	
   Data	
  source	
   Collected	
  by	
   Frequency	
   Data	
  use	
  
Number	
  of	
  
community	
  health	
  
workers	
  attending	
  
WASH	
  activity	
  
training	
  
Training	
  attendance	
  
sheet	
  	
  
PCV	
   After	
  WASH	
  activity	
  
training	
  for	
  
community	
  health	
  
workers	
  
Ensure	
  community	
  
health	
  workers	
  are	
  
trained	
  
	
  
	
  
	
  
	
  
	
  
Khondker, Sajani
12
Table	
  2:	
  Evaluation	
  	
  
	
  
Objective	
  1:	
  600	
  men,	
  women,	
  and	
  children	
  in	
  6	
  communities	
  will	
  have	
  increased	
  awareness	
  of	
  hygiene	
  
and	
  sanitation	
  behaviors	
  
Activity	
   Indicator	
   Frequency	
   Data	
  source	
   Data	
  use	
  
WASH	
  behavior	
  
change	
  activities	
  
Number	
  of	
  
community	
  
members	
  
At	
  initiation	
  and	
  
close	
  of	
  project	
  
Baseline	
  and	
  end	
  
line	
  survey	
  
questionnaires	
  	
  
Evaluate	
  change	
  in	
  
awareness	
  in	
  
community	
  
members	
  
Objective	
  2:	
  600	
  men,	
  women,	
  and	
  children	
  in	
  6	
  communities	
  will	
  have	
  increased	
  access	
  to	
  sustainable	
  
hand	
  washing	
  stations	
  
Activity	
   Indicator	
   Frequency	
   Data	
  source	
   Data	
  use	
  
Installation	
  of	
  iron	
  
tippy	
  taps	
  
Number	
  of	
  iron	
  
tippy	
  taps	
  
appropriately	
  
installed	
  (with	
  
water	
  containers,	
  
string,	
  and	
  soap)	
  
and	
  showing	
  signs	
  
of	
  regular	
  use	
  
Twice	
  per	
  
community	
  
Rapid	
  and	
  
structured	
  
observation	
  
To	
  ensure	
  that	
  
iron	
  tippy	
  taps	
  are	
  
used	
  appropriately	
  
to	
  wash	
  hands	
  	
  
Objective	
  3:	
  6	
  local	
  health	
  relays	
  will	
  have	
  increased	
  capacity	
  to	
  facilitate	
  WASH	
  trainings	
  within	
  their	
  
communities	
  
Activity	
   Indicator	
   Frequency	
   Data	
  source	
   Data	
  use	
  
Supervisor	
  
critiques	
  and	
  
reports	
  on	
  CHW	
  
performance	
  
Final	
  performance	
  
score	
  of	
  
community	
  health	
  
worker	
  
Monthly	
  for	
  
November	
  and	
  
December	
  
Supervisor	
  Report	
   Ensure	
  CHWs	
  are	
  
performing	
  highly	
  
at	
  behavior	
  change	
  
activities	
  
End	
  line	
  CHW	
  
meeting	
  
Indicator-­‐
generating	
  
qualitative	
  data	
  
At	
  project	
  close	
   Facilitated	
  group	
  
discussion	
  
Obtain	
  input	
  from	
  
CHWs	
  on	
  how	
  to	
  
improve	
  project	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
Khondker, Sajani
13
Annex	
  5:	
  Budget	
  Detail	
  
	
  
	
  
	
  
Budget	
  Detail	
  
Item	
   Budget	
  
Category	
  
Unit	
  Cost	
   Qty	
   Total	
  Cost	
   Grant	
  
Amount	
  
Local	
  
Grant	
  
Amount	
  
$US	
  
Community	
  
Contribution	
  Cash	
  
(Local/$US)	
  
Community	
  
Contribution	
  In-­‐Kind	
  
(Local/$US)	
  
Paintbrushes	
   Equipment	
   600.00	
   2.00	
   1200.00	
   1200.00	
   $2.07	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Paintbrushes	
   Equipment	
   500.00	
   4.00	
   2000.00	
   2000.00	
   $3.45	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Paintbrushes	
   Equipment	
   400.00	
   6.00	
   2400.00	
   2400.00	
   $4.15	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Relay	
  health	
  
talk	
  
Labor	
   10000.00	
   24.00	
   240000.00	
   0.00	
   $0.00	
   0.00	
   $0.00	
   240000.00	
   $414.51	
  
Relay	
  home	
  
visit	
  
Labor	
   4000.00	
   120.0
0	
  
480000.00	
   0.00	
   $0.00	
   0.00	
   $0.00	
   480000.00	
   $829.02	
  
Metalworker	
  
fee	
  
Labor	
   4000.00	
   61.00	
   244000.00	
   183000.0
0	
  
$316.06	
   61000.0
0	
  
$105.35	
   0.00	
   $0.00	
  
Chair	
  rental	
   Land/Venue	
  
Rental	
  
500.00	
   20.00	
   10000.00	
   0.00	
   $0.00	
   0.00	
   $0.00	
   10000.00	
   $17.27	
  
Venue	
  rental	
   Land/Venue	
  
Rental	
  
5000.00	
   2.00	
   10000.00	
   0.00	
   $0.00	
   0.00	
   $0.00	
   10000.00	
   $17.27	
  
Transport	
  
tippy	
  taps	
  
from	
  road	
  
town	
  to	
  
villages	
  
Materials	
  
Transport	
  
3000.00	
   6.00	
   18000.00	
   0.00	
   $0.00	
   0.00	
   $0.00	
   18000.00	
   $31.09	
  
Transport	
  
iron	
  from	
  
city	
  to	
  road	
  
town	
  
Materials	
  
Transport	
  
6000.00	
   3.00	
   18000.00	
   18000.00	
   $31.09	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Rope	
   Materials	
   200.00	
   61.00	
   12200.00	
   0.00	
   $0.00	
   0.00	
   $0.00	
   12200.00	
   $21.07	
  
Soap	
   Materials	
   300.00	
   61.00	
   18300.00	
   0.00	
   $0.00	
   0.00	
   $0.00	
   18300.00	
   $31.61	
  
Water	
  
containers	
  
Materials	
   300.00	
   61.00	
   18300.00	
   0.00	
   $0.00	
   0.00	
   $0.00	
   18300.00	
   $31.61	
  
Notebooks	
   Materials	
   200.00	
   9.00	
   1800.00	
   1800.00	
   $3.11	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Pens	
   Materials	
   100.00	
   18.00	
   1800.00	
   1800.00	
   $3.11	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Printing	
   Materials	
   300.00	
   7.00	
   2100.00	
   2100.00	
   $3.63	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Nametags	
   Materials	
   400.00	
   10.00	
   4000.00	
   4000.00	
   $6.91	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Folders	
   Materials	
   500.00	
   9.00	
   4500.00	
   4500.00	
   $7.77	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Diluent	
   Materials	
   500.00	
   24.00	
   12000.00	
   12000.00	
   $20.73	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Photocopy	
   Materials	
   50.00	
   275.0
0	
  
13750.00	
   13750.00	
   $23.75	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Paint	
  	
   Materials	
   6000.00	
   12.00	
   72000.00	
   72000.00	
   $124.35	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Lamination	
   Materials	
   400.00	
   260.0
0	
  
104000.00	
   104000.0
0	
  
$179.62	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Iron	
  #10	
  
bars	
  
Materials	
   2100.00	
   61.00	
   128100.00	
   128100.0
0	
  
$221.24	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Iron	
  #	
  12	
  
bars	
  
Materials	
   3250.00	
   122.0
0	
  
396500.00	
   396500.0
0	
  
$684.80	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Ice	
   Travel/Per	
  
Diem/Food	
  
100.00	
   6.00	
   600.00	
   600.00	
   $1.04	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Tea	
   Travel/Per	
  
Diem/Food	
  
100.00	
   6.00	
   600.00	
   600.00	
   $1.04	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Khondker, Sajani
14
Packaged	
  
water	
  
Travel/Per	
  
Diem/Food	
  
600.00	
   2.00	
   1200.00	
   1200.00	
   $2.07	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Sugar	
   Travel/Per	
  
Diem/Food	
  
600.00	
   2.00	
   1200.00	
   1200.00	
   $2.07	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Bottled	
  
drinks	
  
Travel/Per	
  
Diem/Food	
  
500.00	
   6.00	
   3000.00	
   3000.00	
   $5.18	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Mint	
  candy	
   Travel/Per	
  
Diem/Food	
  
800.00	
   6.00	
   4800.00	
   4800.00	
   $8.29	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Snack	
   Travel/Per	
  
Diem/Food	
  
4000.00	
   2.00	
   8000.00	
   8000.00	
   $13.82	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Lunch	
   Travel/Per	
  
Diem/Food	
  
9000.00	
   2.00	
   18000.00	
   18000.00	
   $31.09	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Supervisor	
  
transport	
  
Travel/Per	
  
Diem/Food	
  
5000.00	
   9.00	
   45000.00	
   45000.00	
   $77.72	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
Relay	
  per	
  
diem	
  
Travel/Per	
  
Diem/Food	
  
5000.00	
   14.00	
   70000.00	
   70000.00	
   $120.90	
   0.00	
   $0.00	
   0.00	
   $0.00	
  
	
   	
   	
   	
   	
   	
   	
   	
   	
   	
   	
  
Total	
   	
   	
   	
   	
   1,099,55
0.00	
  
$1,899.
05	
  
61,000.
00	
  
$105.35	
   806,800.0
0	
  
$1,393.4
4	
  
	
  

More Related Content

What's hot

What's hot (13)

National service training program
National service training programNational service training program
National service training program
 
Nstp project proposal
Nstp project proposalNstp project proposal
Nstp project proposal
 
Inclusive Urban Governance Approach In Cities: Lessons from UHRC’s Practical ...
Inclusive Urban Governance Approach In Cities: Lessons from UHRC’s Practical ...Inclusive Urban Governance Approach In Cities: Lessons from UHRC’s Practical ...
Inclusive Urban Governance Approach In Cities: Lessons from UHRC’s Practical ...
 
Final BLOG- sanitation priorities
Final BLOG- sanitation priorities Final BLOG- sanitation priorities
Final BLOG- sanitation priorities
 
Swachh Bharat Abhiyaan
Swachh Bharat AbhiyaanSwachh Bharat Abhiyaan
Swachh Bharat Abhiyaan
 
The-Five-Horsemen
The-Five-HorsemenThe-Five-Horsemen
The-Five-Horsemen
 
explorers
explorersexplorers
explorers
 
Serving the needs of underserved by Varma
Serving the needs of underserved by VarmaServing the needs of underserved by Varma
Serving the needs of underserved by Varma
 
Communique Oct 2016
Communique Oct 2016Communique Oct 2016
Communique Oct 2016
 
Bulletin (8)final (1)
Bulletin (8)final (1)Bulletin (8)final (1)
Bulletin (8)final (1)
 
Swachh bharath project_Manjunath.BJ
Swachh bharath project_Manjunath.BJSwachh bharath project_Manjunath.BJ
Swachh bharath project_Manjunath.BJ
 
Tgelf Clean India Presentation
Tgelf Clean India Presentation Tgelf Clean India Presentation
Tgelf Clean India Presentation
 
Swachh gaon-kalwari-a-convergence-of-communities-and-village-institutions
Swachh gaon-kalwari-a-convergence-of-communities-and-village-institutionsSwachh gaon-kalwari-a-convergence-of-communities-and-village-institutions
Swachh gaon-kalwari-a-convergence-of-communities-and-village-institutions
 

Similar to Promoting Hand Washing in Senegal

EFN WASH Project Update_as per 5.8.2014
EFN WASH Project Update_as per 5.8.2014EFN WASH Project Update_as per 5.8.2014
EFN WASH Project Update_as per 5.8.2014Titus Draleke
 
Roles and Responsibilities of NSS Volunteers
Roles and Responsibilities of NSS VolunteersRoles and Responsibilities of NSS Volunteers
Roles and Responsibilities of NSS VolunteersChella Pandian
 
23rd september 2019
23rd september 201923rd september 2019
23rd september 2019Sarah Okemwa
 
A2S FINAL REPORT June 2015
A2S FINAL REPORT June 2015A2S FINAL REPORT June 2015
A2S FINAL REPORT June 2015Shelley Sabo
 
Foundation for Sustainable Development 2015 Project Highlights
Foundation for Sustainable Development 2015 Project HighlightsFoundation for Sustainable Development 2015 Project Highlights
Foundation for Sustainable Development 2015 Project HighlightsFsd Connect
 
Annual report manav foundation, sheopur, 2012-2013
Annual report manav foundation, sheopur, 2012-2013Annual report manav foundation, sheopur, 2012-2013
Annual report manav foundation, sheopur, 2012-2013Digambar Sharma
 
At least something for many? New pathways, greater progress: Scopes and Chall...
At least something for many? New pathways, greater progress: Scopes and Chall...At least something for many? New pathways, greater progress: Scopes and Chall...
At least something for many? New pathways, greater progress: Scopes and Chall...STEPS Centre
 
Swachh Bharat Campaign Study
Swachh Bharat Campaign StudySwachh Bharat Campaign Study
Swachh Bharat Campaign StudyAshutosh Singh
 
Ensuring Availability and Sutainable Management of Water and Sanitation for All
Ensuring Availability and Sutainable Management of Water and Sanitation for AllEnsuring Availability and Sutainable Management of Water and Sanitation for All
Ensuring Availability and Sutainable Management of Water and Sanitation for AllCaroline Agalheir
 
Final 4th Quarterly Newsletter WASH Pakistan (Oct-Dec-2015)
Final 4th Quarterly Newsletter WASH Pakistan (Oct-Dec-2015)Final 4th Quarterly Newsletter WASH Pakistan (Oct-Dec-2015)
Final 4th Quarterly Newsletter WASH Pakistan (Oct-Dec-2015)Shazia Sardar
 
RURAL DEVELOPMENT PROGRAMME OF BMCWS
RURAL DEVELOPMENT PROGRAMME OF BMCWSRURAL DEVELOPMENT PROGRAMME OF BMCWS
RURAL DEVELOPMENT PROGRAMME OF BMCWSdr madhav sathe
 
Sri Lanka; Rainwater Harvesting Projects in Sri Lanka
Sri Lanka;  Rainwater Harvesting Projects in Sri LankaSri Lanka;  Rainwater Harvesting Projects in Sri Lanka
Sri Lanka; Rainwater Harvesting Projects in Sri LankaV9X
 
Community resource mobilization in Asia (Aid finance session)
Community resource mobilization in Asia (Aid finance session)Community resource mobilization in Asia (Aid finance session)
Community resource mobilization in Asia (Aid finance session)IIED
 
Gebrye Kefelew - ESAP2 Emperical Experineces
Gebrye Kefelew - ESAP2 Emperical ExperinecesGebrye Kefelew - ESAP2 Emperical Experineces
Gebrye Kefelew - ESAP2 Emperical ExperinecesGebrye Kefelew
 
IRSP Annual Review 2016
IRSP Annual Review 2016IRSP Annual Review 2016
IRSP Annual Review 2016IRSP Pakistan
 
A Guide for Developing a Hygiene Promotion Program to Increase Handwashing wi...
A Guide for Developing a Hygiene Promotion Program to Increase Handwashing wi...A Guide for Developing a Hygiene Promotion Program to Increase Handwashing wi...
A Guide for Developing a Hygiene Promotion Program to Increase Handwashing wi...v2zq
 
[Challenge:Future] NEIGHBORHOOD NETWORK SCHEME NIGERIA
[Challenge:Future] NEIGHBORHOOD NETWORK SCHEME NIGERIA[Challenge:Future] NEIGHBORHOOD NETWORK SCHEME NIGERIA
[Challenge:Future] NEIGHBORHOOD NETWORK SCHEME NIGERIAChallenge:Future
 

Similar to Promoting Hand Washing in Senegal (20)

EFN WASH Project Update_as per 5.8.2014
EFN WASH Project Update_as per 5.8.2014EFN WASH Project Update_as per 5.8.2014
EFN WASH Project Update_as per 5.8.2014
 
Roles and Responsibilities of NSS Volunteers
Roles and Responsibilities of NSS VolunteersRoles and Responsibilities of NSS Volunteers
Roles and Responsibilities of NSS Volunteers
 
23rd september 2019
23rd september 201923rd september 2019
23rd september 2019
 
A2S FINAL REPORT June 2015
A2S FINAL REPORT June 2015A2S FINAL REPORT June 2015
A2S FINAL REPORT June 2015
 
Foundation for Sustainable Development 2015 Project Highlights
Foundation for Sustainable Development 2015 Project HighlightsFoundation for Sustainable Development 2015 Project Highlights
Foundation for Sustainable Development 2015 Project Highlights
 
Annual report manav foundation, sheopur, 2012-2013
Annual report manav foundation, sheopur, 2012-2013Annual report manav foundation, sheopur, 2012-2013
Annual report manav foundation, sheopur, 2012-2013
 
A REPORT
A    REPORTA    REPORT
A REPORT
 
At least something for many? New pathways, greater progress: Scopes and Chall...
At least something for many? New pathways, greater progress: Scopes and Chall...At least something for many? New pathways, greater progress: Scopes and Chall...
At least something for many? New pathways, greater progress: Scopes and Chall...
 
Swachh Bharat Campaign Study
Swachh Bharat Campaign StudySwachh Bharat Campaign Study
Swachh Bharat Campaign Study
 
Ensuring Availability and Sutainable Management of Water and Sanitation for All
Ensuring Availability and Sutainable Management of Water and Sanitation for AllEnsuring Availability and Sutainable Management of Water and Sanitation for All
Ensuring Availability and Sutainable Management of Water and Sanitation for All
 
Tsc seminar 1
Tsc seminar 1Tsc seminar 1
Tsc seminar 1
 
Final 4th Quarterly Newsletter WASH Pakistan (Oct-Dec-2015)
Final 4th Quarterly Newsletter WASH Pakistan (Oct-Dec-2015)Final 4th Quarterly Newsletter WASH Pakistan (Oct-Dec-2015)
Final 4th Quarterly Newsletter WASH Pakistan (Oct-Dec-2015)
 
RURAL DEVELOPMENT PROGRAMME OF BMCWS
RURAL DEVELOPMENT PROGRAMME OF BMCWSRURAL DEVELOPMENT PROGRAMME OF BMCWS
RURAL DEVELOPMENT PROGRAMME OF BMCWS
 
Sri Lanka; Rainwater Harvesting Projects in Sri Lanka
Sri Lanka;  Rainwater Harvesting Projects in Sri LankaSri Lanka;  Rainwater Harvesting Projects in Sri Lanka
Sri Lanka; Rainwater Harvesting Projects in Sri Lanka
 
Final pr
Final prFinal pr
Final pr
 
Community resource mobilization in Asia (Aid finance session)
Community resource mobilization in Asia (Aid finance session)Community resource mobilization in Asia (Aid finance session)
Community resource mobilization in Asia (Aid finance session)
 
Gebrye Kefelew - ESAP2 Emperical Experineces
Gebrye Kefelew - ESAP2 Emperical ExperinecesGebrye Kefelew - ESAP2 Emperical Experineces
Gebrye Kefelew - ESAP2 Emperical Experineces
 
IRSP Annual Review 2016
IRSP Annual Review 2016IRSP Annual Review 2016
IRSP Annual Review 2016
 
A Guide for Developing a Hygiene Promotion Program to Increase Handwashing wi...
A Guide for Developing a Hygiene Promotion Program to Increase Handwashing wi...A Guide for Developing a Hygiene Promotion Program to Increase Handwashing wi...
A Guide for Developing a Hygiene Promotion Program to Increase Handwashing wi...
 
[Challenge:Future] NEIGHBORHOOD NETWORK SCHEME NIGERIA
[Challenge:Future] NEIGHBORHOOD NETWORK SCHEME NIGERIA[Challenge:Future] NEIGHBORHOOD NETWORK SCHEME NIGERIA
[Challenge:Future] NEIGHBORHOOD NETWORK SCHEME NIGERIA
 

Promoting Hand Washing in Senegal

  • 1. Khondker, Sajani 1     Hand  washing  Tourney   Promoting  hand  washing  in  Kaolack,  Senegal       Proposal  summary     Title  of  proposal:  Hand  washing  Tourney:  Promoting  hand  washing  in  Kaolack,  Senegal     Volunteer:  Sajani  Khondker                                                             Sector:  Health                                                                                               Post:  Senegal     Project  supervisor:  Amy  Tall   APCD:  Mamadou  Diaw     Proposed  project  dates:  October  2016  –  January  2017     Proposed  project  budget:  $1899.05       Proposal  summary:  Targeted  at  six  communities  in  Kaolack,  Senegal,  this  project  will  train  community  health   workers  to  increase  awareness  of  hygiene  and  sanitation  through  use  of  creative  games  that  empower   community  members  to  take  ownership  of  their  own  knowledge.  Iron  tippy  taps  will  be  provided  in  each   community,  to  increase  access  to  durable  hand-­‐washing  stations  that  not  only  make  hand  washing  easier  in  a   village  setting,  but  also  makes  it  an  attractive,  sophisticated,  and  therefore  desirable  activity.  Colorful  cues  to   action  will  be  created  in  partnership  with  individual  households,  to  jar  the  memory  into  hand  washing  with   soap  and  running  water  at  the  critical  times. Expected  Outcomes:     Short  term:   1.  Increased  capacity  of  community  health  workers  to  conduct  WASH  activities  in  their  communities   2.  Increased  knowledge  in  community  members  on  WASH  issues  and  solutions   3.  Increased  access  to  hand  washing  stations  in  communities   Medium  term:   1.  Increased  rates  of  hand  washing  with  soap  and  running  water  in  communities     Long  term:     1.  Decreased  rates  of  diarrhea  and  respiratory  infections  in  children  under  5  years  old     Estimated  costs:     Equipment   $9.67   Labor   $316.06   Materials  transport   $31.09   Materials   $1279.02   Travel/per  diem/food   $263.21   Total   $1,899.05        
  • 2. Khondker, Sajani 2 Executive  summary     In  Senegal,  most  rural  households  have  no  form  of  improved  latrine,  and  none  have  a  hand  washing   station.   Almost   every   household   washes   before   eating   by   dipping   hands   into   a   single   bowl   of   standing  water,  with  no  soap.  Diarrheal  diseases  and  respiratory  infections  are  rampant  in  children   under  five,  especially  during  the  rainy  season.  While  many  NGOs  working  in  central  Senegal  build   latrines   across   multiple   communities,   there   is   no   record   of   existing   interventions   that   encourage   hand  washing.       In  response  to  this  need,  the  Kaolack  hand-­‐washing  tourney  aims  to  increase  rates  of  hand  washing   in  six  communities  in  the  region  of  Kaolack.  The  objectives  of  this  project  are  to  increase  awareness   of  hygiene  and  sanitation  behaviors  in  six  communities;  increase  access  to  sustainable  hand  washing   stations  in  those  six  communities;  and  to  increase  the  capacity  of  six  community  health  workers   (CHWs)  to  facilitate  WASH  trainings  in  their  communities,  by  January  2017.  The  project  is  estimated   to  directly  benefit  approximately  600  people.       To  accomplish  these  objectives,  six  CHWs  –  one  from  each  of  six  communities  –  will  be  trained  to  use   WASH  visual  aid  cards  for  behavior  change  activities  in  their  villages.  They  will  each  be  assigned  to   carry  out  four  health  talks  and  twenty  home-­‐visits  using  the  cards,  in  the  space  of  two  months.  The   CHWs  will  carry  out  their  behavior  change  activities  free  of  charge,  and  the  communities  agree  to   attend   and   participate   in   these   activities   as   a   prerequisite   for   obtaining   iron   tippy   taps   in   their   community.  Ten  iron  tippy  taps  will  be  built  in  ten  households  in  each  community,  to  increase  access   to  hand-­‐washing  stations.  Each  household  receiving  a  tippy  tap  will  have  paid  a  cash  contribution,   will  gather  their  own  water  container,  string,  and  soap  for  the  tippy  tap,  as  well  as  transport  the  iron   tippy  taps  from  the  road  town  Keur  Soce,  where  they  will  be  made,  into  their  communities.  Finally,  to   continue  encouraging  development  of  hand-­‐washing  habits,  hand  washing  murals  and  conspicuous   cues  to  action  will  be  painted  around  tippy  taps  in  each  community.       CHW-­‐facilitated   behavior   change   activities,   increased   access   to   hand   washing   infrastructure,   and   cues   to   action   will   come   together   to   build   and   reinforce   hand-­‐washing   habits   in   community   members.                                      
  • 3. Khondker, Sajani 3 Background     The  goal  of  this  project  is  to  increase  the  rate  of  adequate  hand  washing  with  soap  and  running  water   among  six  communities  by  January  2017.  It  aims  to  raise  awareness  in  community  members  about   various  hygiene  and  sanitation  behaviors,  subsidize  the  building  of  hand  washing  infrastructure  in   order  to  help  build  hand-­‐washing  habits,  and  utilize  cues  to  action  that  will  continue  to  reinforce   those  habits.  Ultimately,  we  hope  to  decrease  rates  of  diarrhea  and  respiratory  infections  in  children   under  5  living  in  these  six  communities.     Community  partnerships:     This  project  will  work  through  well-­‐established  partnerships.  The  volunteer  and  her  work  partner,   Amy,   collaborated   through   every   step   in   creating   project   goals,   objectives,   implementation   and   evaluation   plans.   They   worked   together   in   approaching   community   members   and   community   leaders,  such  as  the  mayors,  village  chiefs,  and  health  relays,  all  of  who  were  enthusiastic  about  the   project   and   offered   their   support.   The   six   communities   in   this   tourney   were   selected   by   the   ICPs   (infirmier  chef  de  poste,  or  head  nurses  at  health  posts)  at  three  health  posts  situated  in  Kaolack,   Senegal.     Participatory  hygiene  and  sanitation  transformation  (PHAST)  model:     Visual Aid cards based on the PHAST model, have already been designed by the volunteer and will be used to help empower community members to take ownership of the project.   The   cards   are   of   colorful,   culturally  appropriate  pictures,  and  do  not  require  literacy  for  use.  They  can  be  played  one-­‐on-­‐one  or   in   a   group,   and   the   level   of   difficulty   of   the   games   is   flexible   based   on   the   audience.   Community   members   can   use   these   cards   to   sort   hygiene   behaviors   into   effective/not-­‐effective,   and   easy/difficult;  sort  sanitation  structures  into  improved/unimproved;  represent  different  versions  of   the  fecal-­‐oral  route;  and  arrange  preventative  measures  to  break  the  fecal-­‐oral  route.  The  cards  are   color-­‐coded  so  they  can  quickly  be  grouped  out  appropriately  for  each  game.  Amy  and  the  volunteer   have  used  these  cards  multiple  times  in  the  field  already,  and  found  the  interactive  activities  much   more  useful  than  simple  health  talks.  CHWs  are  able  to  learn  and  facilitate  the  activities  using  the   cards,  and  community  members  are  engaged.  These  activities  will  be  applied  to  increase  awareness   of  WASH  issues  and  solutions.       Infrastructure  to  promote  hand-­‐washing  access  and  behavior  change:     Iron  tippy  taps  will  be  built,  and  ten  provided  to  each  community.  An  iron  tippy  tap  had  been  built  by   a  previous  PCV  and  found  to  be  a  durable  hand-­‐washing  station.  The  stand-­‐alone  design  is  one  that   has  been  used  before,  and  is  versatile  enough  to  fit  any  household,  no  matter  the  floor  plan.       The   iron   tippy   taps   are   meant   to   both   increase   access   to   hand   washing   stations,   and   provide   examples   for   people   to   imitate   if   they   wish.   Providing   infrastructure   for   hand-­‐washing   has   two   justifying  points:       -­‐ Washing   with   soap   and   running  water  is   not   what   has   traditionally   been   done,   and   traditions   die   hard.   Often,   though,   people   switch   to   new   behaviors   not   because   of   health   concerns,   but   because   the   healthy   behavior   is   somehow   perceived   as   attractive,   sophisticated,  or  cool.  Iron  tippy  taps  make  hand  washing  attractive  and  desirable.  This  is   why   I   hypothesize   it   might   have   an   impact   where   health   knowledge-­‐based   WASH   campaigns  have  not.       -­‐ Washing  in  a  single  bowl  of  still  water  is  much  easier  than  finding  the  soap  before  every   meal  and  asking  someone  else  to  pour  water  for  you.  For  a  healthy  habit  to  stick,  it  has  to  be   easy  to  do.    Washing  with  running  water  and  soap  is  not  as  easy  in  a  village  setting  as  it  is  at   a   bathroom   sink,   and   part   of   the   answer   is   equipment   that   makes   it   easier.   This   form   of   equipment  is  conspicuous,  hands-­‐free,  and  less  transient  than  a  traditional  tippy  tap.    
  • 4. Khondker, Sajani 4 Cues  to  action:     To  continue  reinforcing  hand  washing  habits  after  tippy  taps  are  installed,  the  volunteer  will  paint   small  cues  to  action  in  each  individual  household  having  an  iron  tippy  tap,  as  well  as  a  larger  mural  in   the  community  of  hand  washing  and  different  ways  to  do  it.  The  cues  to  action  might  include  a  set  of   eyes  by  the  latrine  to  remind  people  to  wash  with  soap;  or  a  set  of  arrows  leading  from  the  place   where   the   family   eats   to   the   tippy   tap   (adapted   from   other   WASH   campaigns,   such   as   the  SuperAmma  Campaign  in  India).  The  volunteer  will  be  working  with  each  individual  household,   so  that  the  family  can  come  up  with  how  to  remember  hand-­‐washing  habits  on  their  own.           Technical  plan     Goal:     Increase  rates  of  adequate  hand  washing  with  soap  and  running  water  at  the  5  critical  times  during   the  day  in  six  communities  in  Kaolack.       Objectives:   • 600  men,  women,  and  children  in  six  communities  will  have  increased  awareness  of  hygiene   and  sanitation  behaviors  by  the  end  of  the  project.   • 600  men,  women,  and  children  in  six  communities  will  have  increased  access  to  sustainable   hand  washing  stations  by  the  end  of  the  project.   • By  the  end  of  the  project,  six  CHWs  will  have  increased  capacity  to  facilitate  WASH  trainings   within  their  communities.     Baseline  data  collection:     The  volunteer  will  carry  out  baseline  surveys  in  each  community,  in  partnership  with  the  local  health   relays.       Relay  Training:   Amy  Tall  will  train  the  six  CHWs,  one  from  each  community,  on  how  to  use  specially  designed  WASH   activity  cards  to  raise  awareness  of  WASH  behaviors  in  the  target  population.  Each  CHW  will  receive   a   set   of   the   activity   cards,   which   have   colorful,   culturally   appropriate   pictures   of   sanitation   structures,  hygiene  behaviors,  and  components  of  the  fecal-­‐oral  route,  and  are  color-­‐coded  for  use  in   a  flexible  range  of  games  and  activities.       WASH  training  in  communities:     Amy  Tall  will  then  draw  up  an  action  plan  of  health  talks  and  home  visits  that  the  CHWs  will  carry   out  over  two  months.  She  will  manage  and  supervise  the  local  CHWs  during  this  time,  critiquing  their   performance  and  collecting  attendance  sheets  and  reports.       Tippy  tap  construction:     Meanwhile,  a  metalworker  will  build  sixty  iron  tippy  taps  –  ten  for  each  community.  Once  the  CHWs   have  finished  their  behavior  change  activities,  and  community  members  who  had  contributed  cash   for  an  iron  tippy  tap  have  made  their  in-­‐kind  contributions,  community  members  will  transport  the   iron  tippy  taps  into  their  communities  and  install  them,  with  the  assistance  of  the  metalworker  and   the  volunteer.  The  volunteer  will  then  make  a  tourney  of  the  villages,  to  paint  murals  and  cues  to   action  around  the  tippy  taps.  Finally,  there  will  be  a  final  evaluation  meeting  for  the  CHWs  in  which   they  can  discuss  the  strengths  and  weaknesses  of  the  project,  after  which  the  local  CHWs  and  the   volunteer  will  carry  out  an  end  line  survey  in  each  community.     Below  is  a  list  of  potential  challenges,  coupled  with  ideas  on  how  to  mitigate  them:   •  Not  all  CHWs  attend  training:  Every  effort  will  be  made  to  give  CHWs  adequate  notice  of  the  
  • 5. Khondker, Sajani 5 training  date,  and  it’s  importance  in  project  implementation  will  be  impressed.  If  a  CHW  is  still   unable  to  attend,  Amy  and  volunteer  will  meet  with  her/him  at  a  later  date  to  discuss  training   materials.     •  CHWs  do  not  complete  the  assigned  number  of  behavior  change  activities,  or  rush  to  complete   them:  Amy  Tall  will  discuss  the  individual  action  plan  with  each  CHW  to  ensure  they  have  enough   time  scheduled  over  two  months  to  complete  their  work.     •  CHW  data  on  behavioral  change  activities  is  inaccurate:  Amy  Tall  has  a  great  deal  of  experience   managing  CHWs,  including  working  through  inaccurate  data.  She  is  budgeted  to  make  multiple  trips   to  each  village  to  critique  CHW  performance  and  support  them  in  collecting  accurate  data  for  their   work.     •  Attendance  of  community  members  at  behavioral  change  activities  is  low:  October  and  November   are  the  harvest  season  in  rural  central  Senegal,  and  many  community  members  are  likely  to  be  in  the   field  all  day  during  this  period.  We  will  have  a  discussion  with  the  health  CHWs  to  find  ways  around   this  issue,  e.g.,  organizing  health  talks  in  the  evenings  when  people  are  relaxing.     •  Community  members  who  will  receive  a  tippy  tap  do  not  attend  behavioral  change  activities:  It  will   be  impressed  on  both  community  members  and  CHWs  that  attending  behavioral  change  activities  are   an  essential  prerequisite  to  receiving  an  iron  tippy  tap.  Additionally,  the  volunteer  and  CHWs  will   establish  a  voucher  system,  in  which  community  members  are  held  accountable  for  making  all  the   required  in-­‐kind  contributions.     •  Delays  in  completing  iron  tippy  taps:  The  metalworker,  Adama  Faye,  works  next  door  to  the  project   supervisor,  Amy,  so  both  she  and  the  volunteer  will  be  able  to  monitor  construction,  and  prevent  or   reduce  delays.         Monitoring  &  Evaluation       Monitoring  plan:     Amy   Tall,   the   project   supervisor,   will   collect   data   on   behavior   change   activities   (e.g.,   dates,   attendance)  from  each  CHW.  She  will  also  use  a  checklist  to  monitor  the  CHWs’  work,  to  ensure  that   they  are  covering  important  points  and  encouraging  participation  with  community  members,  and  to   offer   support   in   improving   the   quality   of   their   health   talks   and   home   visits.   See   Annex   1   for   the   supervisor  report  form.     The  metal  worker  responsible  for  building  the  tippy  taps  will  be  monitored  almost  everyday  during   the  project,  because  he  works  next  door  to  the  project  supervisor.  She  and  the  volunteer  will  offer   critique  and  support  to  him  as  necessary,  to  ensure  the  tippy  taps  are  of  high  quality  and  built  on   schedule.       Evaluation  plan:     The  volunteer  will  collect  baseline  and  end  line  data  in  each  community,  in  partnership  with  the  local   relays.   Households   will   be   the   units   of   measurement,   with   a   sample   size   of   20   households   per   community.  Households  will  be  selected  using  systematic  random  sampling.  Data  on  knowledge  and   perception  of  hand  washing  will  be  collected  using  a  survey  questionnaire.  Hand  washing  behavior   will  be  assessed  using  rapid  and  structured  observation.  At  the  end  of  the  project,  baseline  and  end   line  data  will  be  compared,  and  progress  on  quantitative  indicators  will  be  analyzed.  Annex  2  shows   the  survey  questionnaire  in  English.     In  addition  to  the  initial  training  for  the  CHWs,  there  will  be  an  end-­‐line  evaluation  meeting,  in  which   CHWs  will  be  asked  for  their  feedback  on  the  strengths  and  weaknesses  of  the  project.  This  will  yield   qualitative  data  on  project  implementation  and  outcomes.     Finally,  data  on  project  successes  and  failures  will  be  disseminated  to  the  communities,  with  the  help   of  the  CHWs.       Please  see  Annex  3  for  a  timeline  of  the  project,  and  Annex  4  for  M&E  tables.    
  • 6. Khondker, Sajani 6 Sustainability  statement     By  the  end  of  the  project,  community  members  in  the  target  villages  will  have  increased  awareness  of   hygiene  and  sanitation  behaviors,  structures,  and  the  fecal-­‐oral  route.  Each  community  will  also  have   ten  iron  tippy  taps  in  ten  households.         The  iron  tippy  taps  will  remain  as  examples  in  the  community.  They  will  have  an  efficient  design  and   attractive  colors,  which  can  easily  be  copied  by  any  local  metalworker.  The  cost  of  a  tippy  tap  is  low   enough  for  many  families  in  rural  settings  to  afford.  Therefore,  community  members  should  be  able   to  have  them  made  without  the  help  of  a  PCV,  once  they  have  been  introduced  to  it  and  if  they  find  it   beneficial.         The  tippy  taps  made  for  the  project  will  last  at  least  a  generation.  By  the  time  the  washing  stations   are  too  old  to  use,  many  community  members  may  have  developed  a  habit  of  using  them,  and  have  a   new  one  made  for  themselves.  Most  importantly,  children  growing  up  in  households  in  which  hand-­‐ washing  with  soap  and  running  water  is  the  norm  will  have  the  habit  more  strongly  instilled  in  them,   and  can  carry  on  teaching  it  to  their  own  children.         The  CHWs  will  not  only  be  trained  in  how  to  teach  community  members  WASH  messages  through   playing   new   creative   games,   they   will   also   be   actively   critiqued   to   improve   their   performance   in   health  talks  and  home  visits.  Furthermore,  they  will  receive  their  own  set  of  playing  cards  to  use   whenever   they   wish   to   re-­‐teach   WASH   messages   within   the   community.   The   volunteer   and   the   project  supervisor,  Amy,  will  have  a  meeting  with  the  ICPs  at  the  health  posts,  to  discuss  how  they   can   motivate   relays   to   continue   WASH   behavior   change   activities   regularly   in   their   communities,   even  after  the  iron  tippy  taps  are  in  place.                         Budget  Summary   Category   Grant  Amount   Community   Contribution  Cash   Community   Contribution  In-­‐Kind   Equipment   $9.67   $0.00   $0.00   Labor   $316.06   $105.35   $1243.52   Land/Venue  Rental   $0.00   $0.00   $34.54   Materials  Transport   $31.09   $0.00   $31.09   Materials/Supplies   $1279.02   $0.00   $84.28   Other         Travel/Per   Diem/Food/Lodging   $263.21   $0.00   $0.00   Total   $1,899.05   $105.35   $1,393.44       Please  see  Annex  5  for  a  detailed  budget.  
  • 7. Khondker, Sajani 7     Budget  Narrative   Budget  Category   Grant  Contribution     Community  Contribution   Equipment   Paintbrushes  will  be  used  both  to   paint  the  iron  tippy  taps,  and  to   paint  hand-­‐washing  murals  and   cues  to  action  in  the  communities.     Labor   The  metalworker  asked  a  minimum   fee  of  CFA  4000,  per  iron  tippy  tap.   This  price  was  agreed  between   metalworkers  to  be  a  reasonable   one.   The  local  CHWs  agreed  to  facilitate   health  talks  and  home  visits  in  their   communities  free  of  charge.  The   value  assigned  to  this  labor  in  the   budget  is  similar  to  the  standards  set   by  local  non-­‐governmental   organizations.  Community  members   receiving  an  iron  tippy  tap  also  paid   a  cash  contribution  that  will  go   towards  part  of  the  metalworker's   fee.   Land/Venue  Rental     The  health  post  in  road  town  has   agreed  to  contribute  training  space   and  chairs.     Materials   Pens,  notebooks,  and  folders  will  be   supplied  to  the  CHWs  and   supervisor  at  the  initial  training.   The  original  WASH  activity  cards   must  be  photocopied  and  laminated,   and  paperwork  printed.  Iron  bars   will  be  purchased  for  the  tippy  taps,   and  paint  and  diluent  to  paint  both   the  tippy  taps  and  murals  in  the   communities.     The  community  is  responsible  for   collecting  soap,  water  containers,   and  string  for  their  tippy  taps.   Materials     Transport   Iron  bars  will  be  transported  from   the  regional  capital  to  the  road   town,  where  the  metalworker  will   use  them  to  build  the  tippy  taps.     The  communities  will  be  responsible   for  transporting  the  iron  tippy  taps   from  the  road  town  to  their  homes.     Travel/Per  Diem/Food   The  CHWs  will  have  two  meetings  –   an  initial  training  and  a  final   evaluation.  Each  meeting  will  be   daylong,  and  include  a  snack  and   lunch.  Ice  water,  carbonated  drinks,   tea,  and  mint  candies  will  also  be   supplied.  The  CHWs  and  supervisor   will  be  paid  a  per  diem  of  CFA  5000,   which  is  the  minimum  travel  cost   for  some  of  the  attendees.  Amy  will   receive  a  traveling  stipend,  as  she   must  travel  to  all  6  villages  multiple   times  to  manage  the  CHWs.      
  • 8. Khondker, Sajani 8 Annex       Annex  1:  Supervisor  Report     Relay name: ______________________________________________________ Date: ____________________ Village: _________________________________________ Health post: _______________________________ Activity: Causerie / VAD District Ndoffane Requirement Observation 1st 2nd 3rd Public speaking Did the relay speak in a clear, loud voice? Yes/No Yes/No Yes/No Did the relay make eye contact with the audience? Yes/No Yes/No Yes/No Participation Did the relay ask the audience a minimum of 6 questions? Yes/No Yes/No Yes/No Did the relay encourage answers from the audience? Yes/No Yes/No Yes/No Did the relay include each member of the audience in discussion? Yes/No Yes/No Yes/No Key messages Did the relay explain the criteria for adequate hand washing? Yes/No Yes/No Yes/No Did the relay explain the benefits of adequate hand washing? Yes/No Yes/No Yes/No Did the relay explain the fecal-oral route? Yes/No Yes/No Yes/No Did the relay connect hand washing to the fecal-oral route? Yes/No Yes/No Yes/No Did the relay explain the 5 critical times? Yes/No Yes/No Yes/No Did the relay explain where we need hand-washing stations? Yes/No Yes/No Yes/No Did the relay explain how to build tippy tap? Yes/No Yes/No Yes/No Score Give the relay a score of 1 point per ‘yes.’              
  • 9. Khondker, Sajani 9 Annex  2:  Survey  Questionnaire     Hand  washing  Tourney     Kaolack  Medical  Region     Ndoffane  Health  District     Community  ________________________________________________   Village  Chief:  ______________________________________________   Health  relay:  _______________________________________________     Number  of  households:     Latrines     Number  of  households  with  unimproved  latrine:   Number  of  covered  unimproved  latrines:       Number  of  households  with  improved  latrine:   Number  of  covered  improved  latrines:       Hand-­‐washing  Stations     Number  of  households  inspected  for  designated  hand-­‐washing  station:     Number  of  households  with  a  designated  hand-­‐washing  station:     Questionnaire     1. How  should  we  wash  our  hands?   2. Why  do  we  wash  our  hands?     3. Where  do  germs  come  from?   4. How  do  germs  enter  our  mouth?   5. What  are  the  critical  times  for  hand  washing?                                    
  • 10. Khondker, Sajani 10 Annex  3:  Gantt  Chart                                              
  • 11. Khondker, Sajani 11 Annex  4:  M&E  Tables       Table  1:  Monitoring     Objective  1:  600  men,  women,  and  children  in  6  communities  will  have  increased  awareness  of  hygiene  and   sanitation  behaviors   Indicator   Data  source   Collected  by   Frequency   Data  use   Agreement  of   partnership  with   PCV   Community   participation   contract   PCV   At  project  initiation     Contract   Number  of  WASH   behavior  change   activities  facilitated   by  community   health  workers     Action  plan  sheet   Supervisor   After  WASH  activity   training  for   community  health   workers   Coverage  WASH   behavior  change   activities   Number  of   community   members  attending   WASH  behavior   change  activities   Attendance  sheets   for  behavior  change   activities   Supervisor   Monthly  for   November  and   December   Coverage  WASH   behavior  change   activities   Objective  2:  600  men,  women,  and  children  in  6  communities  will  have  increased  access  to  sustainable  hand   washing  stations   Indicator   Data  source   Collected  by   Frequency   Data  use   Number  of  iron   tippy  taps  produced   by  metal  worker   Visits  with  metal   worker   PCV   Weekly  for   December   Ensure  iron  tippy   taps  are  produced   on  time   Number  of  iron   tippy  taps   transported  to   benefiting   communities   Visits  with  metal   worker,  community   health  workers   PCV   Weekly  for   December   Ensure  iron  tippy   taps  are  installed  on   time   Number  of  iron   tippy  taps  installed   with  water   containers,  string,   and  soap   Home  visits   PCV   After  transport  to   each  benefiting   community   Ensure  iron  tippy   taps  are  used   appropriately     Objective  3:  6  local  health  relays  will  have  increased  capacity  to  facilitate  WASH  trainings  within  their   communities   Indicator   Data  source   Collected  by   Frequency   Data  use   Number  of   community  health   workers  attending   WASH  activity   training   Training  attendance   sheet     PCV   After  WASH  activity   training  for   community  health   workers   Ensure  community   health  workers  are   trained            
  • 12. Khondker, Sajani 12 Table  2:  Evaluation       Objective  1:  600  men,  women,  and  children  in  6  communities  will  have  increased  awareness  of  hygiene   and  sanitation  behaviors   Activity   Indicator   Frequency   Data  source   Data  use   WASH  behavior   change  activities   Number  of   community   members   At  initiation  and   close  of  project   Baseline  and  end   line  survey   questionnaires     Evaluate  change  in   awareness  in   community   members   Objective  2:  600  men,  women,  and  children  in  6  communities  will  have  increased  access  to  sustainable   hand  washing  stations   Activity   Indicator   Frequency   Data  source   Data  use   Installation  of  iron   tippy  taps   Number  of  iron   tippy  taps   appropriately   installed  (with   water  containers,   string,  and  soap)   and  showing  signs   of  regular  use   Twice  per   community   Rapid  and   structured   observation   To  ensure  that   iron  tippy  taps  are   used  appropriately   to  wash  hands     Objective  3:  6  local  health  relays  will  have  increased  capacity  to  facilitate  WASH  trainings  within  their   communities   Activity   Indicator   Frequency   Data  source   Data  use   Supervisor   critiques  and   reports  on  CHW   performance   Final  performance   score  of   community  health   worker   Monthly  for   November  and   December   Supervisor  Report   Ensure  CHWs  are   performing  highly   at  behavior  change   activities   End  line  CHW   meeting   Indicator-­‐ generating   qualitative  data   At  project  close   Facilitated  group   discussion   Obtain  input  from   CHWs  on  how  to   improve  project                                      
  • 13. Khondker, Sajani 13 Annex  5:  Budget  Detail         Budget  Detail   Item   Budget   Category   Unit  Cost   Qty   Total  Cost   Grant   Amount   Local   Grant   Amount   $US   Community   Contribution  Cash   (Local/$US)   Community   Contribution  In-­‐Kind   (Local/$US)   Paintbrushes   Equipment   600.00   2.00   1200.00   1200.00   $2.07   0.00   $0.00   0.00   $0.00   Paintbrushes   Equipment   500.00   4.00   2000.00   2000.00   $3.45   0.00   $0.00   0.00   $0.00   Paintbrushes   Equipment   400.00   6.00   2400.00   2400.00   $4.15   0.00   $0.00   0.00   $0.00   Relay  health   talk   Labor   10000.00   24.00   240000.00   0.00   $0.00   0.00   $0.00   240000.00   $414.51   Relay  home   visit   Labor   4000.00   120.0 0   480000.00   0.00   $0.00   0.00   $0.00   480000.00   $829.02   Metalworker   fee   Labor   4000.00   61.00   244000.00   183000.0 0   $316.06   61000.0 0   $105.35   0.00   $0.00   Chair  rental   Land/Venue   Rental   500.00   20.00   10000.00   0.00   $0.00   0.00   $0.00   10000.00   $17.27   Venue  rental   Land/Venue   Rental   5000.00   2.00   10000.00   0.00   $0.00   0.00   $0.00   10000.00   $17.27   Transport   tippy  taps   from  road   town  to   villages   Materials   Transport   3000.00   6.00   18000.00   0.00   $0.00   0.00   $0.00   18000.00   $31.09   Transport   iron  from   city  to  road   town   Materials   Transport   6000.00   3.00   18000.00   18000.00   $31.09   0.00   $0.00   0.00   $0.00   Rope   Materials   200.00   61.00   12200.00   0.00   $0.00   0.00   $0.00   12200.00   $21.07   Soap   Materials   300.00   61.00   18300.00   0.00   $0.00   0.00   $0.00   18300.00   $31.61   Water   containers   Materials   300.00   61.00   18300.00   0.00   $0.00   0.00   $0.00   18300.00   $31.61   Notebooks   Materials   200.00   9.00   1800.00   1800.00   $3.11   0.00   $0.00   0.00   $0.00   Pens   Materials   100.00   18.00   1800.00   1800.00   $3.11   0.00   $0.00   0.00   $0.00   Printing   Materials   300.00   7.00   2100.00   2100.00   $3.63   0.00   $0.00   0.00   $0.00   Nametags   Materials   400.00   10.00   4000.00   4000.00   $6.91   0.00   $0.00   0.00   $0.00   Folders   Materials   500.00   9.00   4500.00   4500.00   $7.77   0.00   $0.00   0.00   $0.00   Diluent   Materials   500.00   24.00   12000.00   12000.00   $20.73   0.00   $0.00   0.00   $0.00   Photocopy   Materials   50.00   275.0 0   13750.00   13750.00   $23.75   0.00   $0.00   0.00   $0.00   Paint     Materials   6000.00   12.00   72000.00   72000.00   $124.35   0.00   $0.00   0.00   $0.00   Lamination   Materials   400.00   260.0 0   104000.00   104000.0 0   $179.62   0.00   $0.00   0.00   $0.00   Iron  #10   bars   Materials   2100.00   61.00   128100.00   128100.0 0   $221.24   0.00   $0.00   0.00   $0.00   Iron  #  12   bars   Materials   3250.00   122.0 0   396500.00   396500.0 0   $684.80   0.00   $0.00   0.00   $0.00   Ice   Travel/Per   Diem/Food   100.00   6.00   600.00   600.00   $1.04   0.00   $0.00   0.00   $0.00   Tea   Travel/Per   Diem/Food   100.00   6.00   600.00   600.00   $1.04   0.00   $0.00   0.00   $0.00  
  • 14. Khondker, Sajani 14 Packaged   water   Travel/Per   Diem/Food   600.00   2.00   1200.00   1200.00   $2.07   0.00   $0.00   0.00   $0.00   Sugar   Travel/Per   Diem/Food   600.00   2.00   1200.00   1200.00   $2.07   0.00   $0.00   0.00   $0.00   Bottled   drinks   Travel/Per   Diem/Food   500.00   6.00   3000.00   3000.00   $5.18   0.00   $0.00   0.00   $0.00   Mint  candy   Travel/Per   Diem/Food   800.00   6.00   4800.00   4800.00   $8.29   0.00   $0.00   0.00   $0.00   Snack   Travel/Per   Diem/Food   4000.00   2.00   8000.00   8000.00   $13.82   0.00   $0.00   0.00   $0.00   Lunch   Travel/Per   Diem/Food   9000.00   2.00   18000.00   18000.00   $31.09   0.00   $0.00   0.00   $0.00   Supervisor   transport   Travel/Per   Diem/Food   5000.00   9.00   45000.00   45000.00   $77.72   0.00   $0.00   0.00   $0.00   Relay  per   diem   Travel/Per   Diem/Food   5000.00   14.00   70000.00   70000.00   $120.90   0.00   $0.00   0.00   $0.00                         Total           1,099,55 0.00   $1,899. 05   61,000. 00   $105.35   806,800.0 0   $1,393.4 4