Hygiene promotion: designing a simple, scalable programme in rural Mozambique

This case study outlines the rural hygiene promotion work of the Anglican Diocese of Niassa. The approach builds on the strategies and structures established during ten years of community development by the Diocese in northern Mozambique. This paper demonstrates the successes and challenges of working through existing community structures, including the church, to achieve widespread behaviour change in very rural areas. This is done through a scalable programme that promotes six key hygiene themes which are taught to every household in a community. We conclude by sharing lessons learnt about the mobilisation of volunteers, ensuring consistency and avoiding dilution of messaging, as experienced through the two initial iterations of the programme.