Hygiene Promotion - IRC International Water and Sanitation Centre
Hygiene Promotion - IRC International Water and Sanitation Centre
Hygiene Promotion - IRC International Water and Sanitation Centre
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programmes more effective. The objective of the manual is to provide a tool that willcontribute towards a reduction in diarrhoeal diseases – one of the top three killer diseasesin developing countries – <strong>and</strong> thus a reduction in child mortality. The manual describes amethodology for bottom-up programming for hygiene promotion: first finding out whatpeople know about hygiene through formative research in people's knowledge <strong>and</strong>practices, <strong>and</strong> then combining this with state-of-the-art expert knowledge <strong>and</strong> appropriatecommunication strategies to develop effective <strong>and</strong> sustainable programming models. Themanual is accessible <strong>and</strong> jargon-free: its audience includes all professionals interested inthe area of hygiene promotion.<strong>Water</strong>keyn, Juliet (2003). ‘Cost-effectiveness of Health <strong>Promotion</strong>: Community HealthClubs.’ Paper presented at the 29th WEDC conference, Abuja, Nigeria.http://wedc.lboro.ac.uk/conferences/pdfs/29/<strong>Water</strong>keyn.pdf. In-depth study on costs <strong>and</strong>effectiveness of community health clubs for changing 50 hygiene practices. Report on 12of 16 observed practices show clubmembers practice more hygiene than the control group.The original paper (see case study) has more details <strong>and</strong> gives 27% higher adoption onclub promoted practices <strong>and</strong> 7% on practices already long promoted by the Ministry ofHealth. As the programme grew <strong>and</strong> If family members are included, cost per persondropped from USD 1 to 35 cents. It is not clear what has happened overall after projectcompletion <strong>and</strong> under the economic crisis.WHO (2005). ‘The Role of <strong>Hygiene</strong> Education’ (Factsheet 4.1). Geneva, Switzerl<strong>and</strong>,World Health Organization.http://www.who.int/water_sanitation_health/hygiene/emergencies/fs4_1.pdf<strong>Hygiene</strong> education helps improve health with <strong>and</strong> without improved facilities. Goodprogrammes make people aware, help prioritise <strong>and</strong> encourage self-action. Participationthrougout technology programmes is a condition, <strong>and</strong> has time <strong>and</strong> cooperationimplications. The use of participatory learning methods is recommended.WHO (2000). ‘Global <strong>Water</strong> Supply <strong>and</strong> <strong>Sanitation</strong> Assessment Report.’Geneva: World Health Organizationhttp://www.who.int/docstore/water_sanitation_health/Globassessment/GlobalTOC.html<strong>Hygiene</strong> promotion is increasingly important as rapidly increasing epidemiological evidencepoints to the importance of relatively small behavioural changes in protecting families fromfaecal-oral disease.WHO (1999). ‘Statistical Annex World Health Report 1999.’Geneva: World Health Organisation(http://www.who.int/whr/1999/en/)WHO (1996). ‘Participatory <strong>Hygiene</strong> <strong>and</strong> <strong>Sanitation</strong> Transformation: A new approach toworking with communities.’WHO, Switzerl<strong>and</strong>, Geneva (WHO/EOS/96.11)http://www.who.int/docstore/water_sanitation_health/Environmental_sanit/PHAST/phast96-11/96-11index.htm<strong>IRC</strong> <strong>International</strong> <strong>Water</strong> <strong>and</strong> <strong>Sanitation</strong> <strong>Centre</strong> 51
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