Hernandez-O-1162.pdf (177.14 kB)

Combining sanitation and hand washing promotion: an example from Amhara, Ethiopia

Download (177.14 kB)
conference contribution
posted on 12.02.2018, 15:08 by Orlando Hernandez, Julia Rosenbaum, Kebede Faris
Given the importance of the MDGs, sanitation coverage is a focus of many programs. Hand washing is often not integrated into sanitation promotion even though hand washing with soap at certain junctures helps reduce morbidity and mortality associated with diarrheal disease and is easy to incorporate into sanitation programming. With support of the World Bank-AF’s Water and Sanitation Program and USAID’s Hygiene Improvement Project, the Amhara Regional Health and Education Bureaus in Ethiopia implemented a program promoting sanitation uptake together with the installation of a hand washing device at latrines, fully supplied with water and a cleansing agent, in accordance with the national hygiene and sanitation strategy. This document reviews the results. Although statistically significant drops in sanitation uptake were observed, hand washing device installation kept pace with existing (substandard) trends but did not surpass them. Hand washing promotion may need to rely on social mobilization approaches as much as sanitation does.



  • Architecture, Building and Civil Engineering

Research Unit

  • Water, Engineering and Development Centre (WEDC)

Published in

WEDC Conference


HERNANDEZ, O. ... et al, 2011. Combining sanitation and hand washing promotion: an example from Amhara, Ethiopia. IN: Shaw, R.J. (ed). The future of water, sanitation and hygiene in low-income countries - Innovation, adaptation and engagement in a changing world: Proceedings of the 35th WEDC International Conference, Loughborough, UK, 6-8 July 2011, 7p.p.


© WEDC, Loughborough University


VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Publication date



This is a conference paper.

Other identifier




Usage metrics

WEDC 35th International Conference