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Maintaining behaviour change: innovations in demand-side sanitation and hygiene interventions

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conference contribution
posted on 29.10.2018, 09:42 authored by Resom Berhe, Maryann Delea, G. Sclar, M. Woreta, K. Zewudie, S. Muhammed, J. Snyder, M. Linabarger, Azage Gebremariam, M.C. Freeman
This paper explores innovations in demand-side sanitation and hygiene intervention design and implementation. These innovations build on approaches employed by Community-Led Total Sanitation and Hygiene (CLTSH) programming to sustain improved WASH behaviours. Through an iterative process, our team conducted formative activities in Amhara, Ethiopia to: 1) generate information regarding stakeholders’ experiences with the government’s Health Extension Package (HEP) and previous CLTSH programming, and 2) explore options for intervention design and delivery. Our results suggest in some cases, community members were willing to engage in demand-side sanitation and hygiene programming after having negative experiences with ineffectual CLTSH triggering. Health Extension Workers (HEWs) indicated that high demand is placed on them to deliver the 16-component HEP. We conclude that what is needed are demand-side approaches that: 1) engage more community-level change agents, 2) include plans and resources to provide community actors with supportive supervision and on-the-job-training, and 3) focus on behavioural maintenance.

Funding

This project was made possible by support from the World Bank (PO 7175829), the International Initiative for Impact Evaluation (3ie, TW11.1016), and the Children’s Investment Fund Foundation (1606-01334).

History

School

  • Architecture, Building and Civil Engineering

Research Unit

  • Water, Engineering and Development Centre (WEDC)

Published in

Transformation towards sustainable and resilient WASH services: Proceedings of the 41st WEDC International Conference

Pages

? - ? (6)

Citation

BERHE, R. ... et al., 2018. Maintaining behaviour change: innovations in demand-side sanitation and hygiene interventions. IN: Shaw, R.J. (ed). Transformation towards sustainable and resilient WASH services: Proceedings of the 41st WEDC International Conference, Nakuru, Kenya, 9-13 July 2018, Paper 2889, 6 pp.

Publisher

© WEDC, Loughborough University

Version

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

2018

Notes

This is a conference paper.

Language

en

Location

Nakuru, Kenya

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