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In small groups provide examples of what might be included under enabling environment, hygiene promotion, and access to hardware (10 minutes)
Hygiene Promotion
Hygiene promotion is the planned, systematic attempt to enable people to take action to prevent or mitigate water, sanitation, and hygiene related diseases. It can also provide a practical way to facilitate community participation and accountability in emergencies.
It involves ensuring that optimal use is made of the water, sanitation, and hygiene enabling facilities that are provided.
Terminology
Hygiene education The provision of education and/or information to encourage people to maintain good hygiene and prevent hygiene related disease. It remains a part of Hygiene Promotion and is often most effective when undertaken in a participatory or interactive way.
Health promotion The process of enabling people to increase control over, and to improve, their health. The focus is on broader health issues rather than just those associated with water and sanitation.
The safe disposal of excreta Effective handwashing Reducing household drinking water contamination
23 36 39 42 44 10 20 30 40 50
Data leads to some controversy, partly due to the difficulty of splitting impacts of interventions. For example: * Hand-washing is not possible without a water supply, so hand-washing is in fact water supply and hand-washing ** Water quality at household will also have involved some hygiene promotion when setting up the household water treatment processes
Facilities may not be used or may be used in a way that was not intended Discussions with users can ensure the best possible design of facilities Systems that ensure the cleanliness and maintenance of facilities need to be set up
Photo: IFRC
All facilities and resources provided reflect the vulnerabilities, needs, and preferences of the affected population. Users are involved in the management and maintenance of hygiene facilities where appropriate.
Team integration
Hygiene Promotion is not just about message dissemination and behaviour change
Community & individual action Communication with WASH stakeholders Hygiene Promotion in emergencies Selection & distribution of hygiene items
Monitoring
Community participation
Feedback to engineers on design and acceptability of facilities Establish a voluntary system of cleaning and maintenance, or train latrine attendants Identify, organise, and train water and sanitation committees (with engineers) and/or latrine attendants
Expected outcome: The toilets provided are used by men, women, and children in comfort and safety, and are kept clean.
Community participation
Consult with affected men, women, and children on design of facilities, hygiene kits, and outreach system Support community organisations, organisers, and communicators Carry out a basic gender analysis and disaggregate assessment data Identify and respond to vulnerability (e.g. disabled people, elderly people)
Consult on content and acceptability of items for hygiene kits and advise logistics personnel
Example expected outcome: Men, women, and children use hygiene items effectively to improve hygiene
Train outreach system of hygiene promoters to conduct home visits Organise community dramas and group activities with adults and children
Example expected outcome: Communities are mobilised to dig drainage ditches around their shelters
Photo: IFRC
Photo: IRC
Train womens groups/ co-operatives, faith based institutions, government workers, and national NGOs
Photo: IFRC
Example expected outcome: Programming is designed to maximise the use of local skills and capacities
Monitoring
Systems are in place to ensure the regular collection of information to identify whether the indicators for each standard are being met e.g. in relation to disability (Example from Sphere)
including engineers/technicians/logisticians, and coordinators. and positive practices and motivation for these. including opinion leaders and influential men, women, and children. use a mix of directive and message based (mass media) methods and interactive methods that encourage feedback and discussion. in conjunction with engineers and other team members.
Conduct rapid assessment and identify high risk practices and disease burden
Communication approaches
PHAST?
Faster PHAST CHAST
Communication approaches
Communication methods
Home visiting
Communication methods
Radio Programmes
TV/Video Leaflets Posters/Notice boards
Structure will depend on context. Alternatives are: Community Health Clubs or Water and Sanitation Committees
Sphere recommends at least 2 outreach workers per 1,000 population and WHO 1:1000
Participation Ladder
Empowerment
Partnership Involvement
Consultation
Information
Disaggregation of data
Sex distribution of cholera cases, Kiryandongo Refugee Camp, Masindi, 2002 - IRC
Sex Distribution
Listen to men and women separately and analyse their different perspectives and needs
Identify those who might be vulnerable (e.g. women, young children, elderly, those with disabilities, or minority or excluded groups) and ensure access to facilities, information, and education
Improving accountability
Facilitating participation Monitoring intervention including satisfaction and acceptability and impact on health Link between those affected and other actors
Exercise 3: 15 minutes
In small groups consider what you can do in this context to ensure:
1.
that women, men, and children participate in the WASH emergency response that WASH initiatives are accountable to the affected community
2.
Practical accountability
Feed back concerns of the affected community and advocate for these to be addressed Ensure men and women are aware of their rights and entitlements (e.g. with regard to hygiene kits) Ensure monitoring system is in place and that it is used to inform future activities Monitor satisfaction and participation