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Global Scaling Up HWWS project

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Global Scaling Up HWWS project. Team Meeting Presentation to Partners November 11, 2010. Why Handwashing ?. Diarrhea is one of the major killer of children under 5. Gain one year of life free of disease and disability for $3 if you promote HWWS

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slide1

Global Scaling Up HWWS project

Team Meeting Presentation to Partners

November 11, 2010

why handwashing
Why Handwashing ?
  • Diarrhea is one of the major killer of children under 5

Gainone year of life free of disease and disability

for $3 if you promote HWWS

for $2750 if you promote cholera immunization

Source: Cairncross “The Health Impact of Sanitation” presentation to the Rural Water and Sanitation Thematic Group in August 2004. a – d Esrey SA et al. (1991) Bull WHO 69 (5): 609-621; e Curtis V, Cairncross S (2003) Lancet Inf Dis 3: 275-281.

  • One of the most cost-effective intervention for improving child survival

Source for cost-effective ratios: Second Edition of Disease Control Priorities in Developing Countries, World Bank (2006)

slide5

What We are Trying to Do?

  • Share Evidence and Learning
  • Build capacity of governments and partners
  • Develop and Strengthen HWWS behavior change programs.

SCALE and SUSTAIN:

5.4 Million Women and Children

Peru, Senegal, Tanzania

Vietnam

Performance Monitoring/ Impact Evaluation

Learning

Behavior Change Interventions

Enabling Environment

vietnam

Focus

Vietnam
  • Target behavior
  • Target population
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Peru
  • Opportunity
  • Access/availability
  • Product attributes
  • Social norms
senegal
Senegal
  • Ability
  • Knowledge
  • Social support
some lessons and challenges
Some Lessons and Challenges
  • Greater attention to the institutional landscape (public, private, and NGO sectors) is needed upfront
  • Reaching out to private sector beyond soap companies helps to scale up and sustain
  • Learning and knowledge sharing difficult to do, when implementation faces challenges and delays
  • Need for strong results framework and monitoring system
  • Building capacity is not enough; incentives, supervision, monitoring (accountability)
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