BiWASH

Summary Report on Health and Hygiene 2011, BiWASH Health and hygiene education is an integral part, in the WASH project, in supplementing for the changes in health and hygiene behavior. The hygiene education targeted to change the health and hygiene education for better and also to persist such changed at titudes. The changes in the hygiene behavior could not be measured directly by standard indicators and hence proxy indicator such as use and cleanliness of latrines, presence of soap in wash -place, decrease in point prevalence rate of WASH related diseases (derived by survey), purification of water and safety of food and such are used to indicate that people are practicing safe health and hygiene behavior. In communities, Community Health Motivators (CHMs), Community Health Volunteers (CHVs), Community Development Workers (CDWs) and Sanitation Groups were deployed for educating hygiene education. The mentioned task group for hygiene education held community meetings, trainings, orientations and campaigns to aware communities for adopting safe hygiene behavior and to abandon ill practices. And, the challenge faced in changing hygiene behavior is not regarding adopting new behaviors but leaving the old ones. And, to address the challenge interpersonal counseling as well as group counseling was done through door to door visit, interpersonal communication and group orientation. In order to influence upon quitting ill practices such regular meetings were conducted throughout the year. 1.2.a. Adding New Dimension to Hygiene Education: Deployment of Sanitation G roups

This fiscal year has seen an innovation in sector of health and hygiene education, particularly, in BiWASH project by deployment of Sanitation Groups. The sanitation group in communities compromises of women who are held responsible for undertaking health and hygiene education in their respective communities. The women in sanitation groups are given responsibility of undertaking responsibility of educating households in the ratio 1:10 i.e. one woman of sanitation group is responsible for educating 10 households, at least. There has been substantive effectiveness in sector of health and hygiene education through the deployment of sanitation groups in communities. The simple notion is that the sanitation groups are available in communities at any time , so that they are reliable in respect of time. Also, deploying the sanitation group is cost effective and more efficient. The efficiency can be measured in terms of use of local languages and local contexts by the members of sanitation groups. The locally recruited sanitation groups are effective resources for understanding local context for planning and designing hygiene messages. Also, thus designed messages are effectively communicated in the communities as the sanitation groups have sound knowledge of the local language. The knowledge of local language and local context is the most crucial in communicating hygiene messages and this is ensured by deployment of sanitation groups. 1.2. b. Change observed through hygiene education in the communities As mentioned above, the changes brought by hygiene education is harder to assess from the

BiWASH

changed behaviour but it can be evident from the use of latrine and its cleanliness, cleanliness of the surrounding, practice of safeguarding water and food and from the hygiene behaviour survey (here RCS Survey). If RCS survey is taken into account, the findings of the survey shows that there has been The implementation of radical changes in health and hygiene and environmental aspects of the community. It is observed th at all of the communities have adopted safe health and hygiene attitudes. The significant changes seen are as because of the infrastructures developments and health and hygiene education provided in the communities. Mobilization of CHVs in the communities and their motivation in the communities influenced the people to adhere to the better health and hygiene attitude. For an instance, the behavior of management of human excreta, hand-washing at critical times and safeguarding of water and food has substantively increased to as much as 95% in the communities. The CHM, CHV s and Sanitation groups are working actively in the community to assist in Hygiene Behaviour change of the community people. Message of safe drinking water provided to the community in household level through massive mobilization of CHM and CHVs has made the community people more aware on importance of consuming safe water and its impact on human health. The number of people that practiced safeguarding of drinking water has radically incre ased. The community people are active in keeping their surrounding clean. They have been keeping the environment free from faeces and have been participating in cleaning the community. As an impact of gender based education targeted for women in the communities, the women have become more aware about menstrual hygiene. The RCS report shows the raise in percentage of women using clean piece of cloth or sanitary pad during menstruation and their practice of drying and preserving the cloth is in practice no w. As evident from the RCS, the prevalence rates of WASH related diseases has been decreased, even in monsoon. Now there are fewer cases of people suffering from diseases such as diarrhea, typhoid, skin and eye diseases.

BiWASH

The comparative chart of RCS in communities before and after intervention of project is presented in the charts below: 1. Status of adoption of 4 key hygiene messages
S.N 1 Name of Community Swayambhu Tole Before Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: After Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety: Hand-washing: Excreta Management: Food Safety: Water Safety:

Shiva Tole

Gogha Hansamukhi

Naya Tole

Mahato Ka

Mahato Kha

Bishnu Tole

Gaphur

Parti

10

Laxmi Narayan

BiWASH

2. Prevalence rate of WASH related diseases

S.N 1 Name of Community Swayambhu Tole Before H Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: After Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases: Diarrhea: Hepatitis A: Typhoid: Skin Diseases Eye Diseases:

Shiva Tole

Gogha Hansamukhi

Naya Tole

Mahato Ka

Mahato Kha

Bishnu Tole

Gaphur

Parti

10

Laxmi Narayan