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Global Scaling Up HWWS project

Learn about the impact of promoting HWWS on reducing child mortality, cost-effectiveness compared to other interventions, and scaling up initiatives in Peru, Senegal, Tanzania, and Vietnam. Explore key lessons and challenges for successful implementation and sustainable behavior change programs.

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Global Scaling Up HWWS project

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  1. Global Scaling Up HWWS project Team Meeting Presentation to Partners November 11, 2010

  2. 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)

  3. Cost Effectiveness of Hygiene and Sanitation compared to other public health interventions

  4. 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

  5. Evidence-based Approach

  6. Using FOAM As Framework

  7. Focus Vietnam • Target behavior • Target population

  8. Peru • Opportunity • Access/availability • Product attributes • Social norms

  9. Senegal • Ability • Knowledge • Social support

  10. Tanzania

  11. Going to Scale

  12. Integration

  13. 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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