lessons learned from the global scaling up handwashing with soap project
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Lessons Learned from the Global Scaling Up Handwashing with Soap Project. 2013 Water and Health Conference Chapel Hill, North Carolina. Jacqueline Devine Sr Social Marketing Specialist. October 15, 2013. Session Objectives. - PowerPoint PPT PresentationTRANSCRIPT
Lessons Learned from the Global Scaling Up
Handwashing with Soap Project
2013 Water and Health Conference
Chapel Hill, North Carolina
Jacqueline Devine Sr Social Marketing Specialist October 15, 2013
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Session Objectives
• Share main lessons learned from Global Handwashing with Soap (HWWS) project
• Highlight areas of consideration for future programming
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Roadmap
• Background
– Project objectives– Implementation model
• Lessons learned
• Areas of consideration for future programming
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Global Handwashing with Soap Project
• Intensive learning project funded by BMGF
• 2006-2010
• Peru, Vietnam, Senegal and Tanzania
• Targeting mainly caretakers of children < 5 years of age
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Project Objectives
1. Learn what it takes to stimulate HWWS at large scale
2. Sustain activities after project ends
3. Measure impact on health
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Main Project Components
Enabling environment
Behavior change
program
Impact evaluation
Structured learning
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Implementation Model
• Thinking at scale from design phase
• Technical assistance for development of materials, policy reform and capacity building provided by WSP
• Implementation through local governments, mass organizations, NGOs, firms or partner agencies
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Some Lessons Learned
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Men May Also Need to Part of the Behavior Change Journey
Role Model• Practices HW himself
Protector• Ensures that soap and water
are available and used at critical times (follow-up role)
Gatekeeper• Allows access to his household
to frontline workers• Provides funds for soap for HW
Source: Monitoring system, Senegal (WSP)
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Programs Also Need to Include HWWS Stations
• HWWS stations provide:– Ease of access when, where needed– Environmental cue– Norm appeal
• Need to think beyond tippy-taps:– Mechanics of HWWS– User preferences– Size matters– Appearances
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Design iteration of Happy Tap, Watershed Asia
Design iteration of Mrembo, IFC/WSP Selling Sanitation
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Stand-Alone Interventions May Not Be Sustainable
• Consider integrating and mainstreaming through:– Nutrition programs
(e.g., cash transfers)– Ante-natal clinics– Sanitation– Corporate social responsibility
• But recognize this is further burdening health systems
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Areas for Future Consideration
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Getting the Right Behavior Change Framework
Focus
Target
behavior
Target population
Opportunity
Access/availability
Product attributes
Social norms
Ability
Knowledge
Social support
Motivation
Beliefs & attitudes
Outcome expectations
Threat
Intention
Implementation Intentions
(conscious)
Repetition in stable context
Behavior relegated
to cues
(automatic)
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Norming the Behavior
• Use subjective norms rather than descriptive
• Make the norm noticeable/visible
• Present the norm at the time desirable behavior is to occur
• Select communication channels that can allow for modeling
• Reinforce with policy
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Prompting
• Critical for habit formation
• Consider environmental cues:– HWWS stations– Stickers/posters/print materials– Mobile applications
• Consider social cues:– Leverage household and community roles– Shift message from “Wash your hands”
to “Remind someone to wash their hands”
To Learn More . . . http://www.wsp.org/hwws-toolkit/hwws-tk-home
www.worldbank.org/water
blogs.worldbank.org/water
www.wsp.org
@wspworldbank
HANDWASHING WITH SOAP TOOLKIThttp://www.wsp.org/hwws-toolkit/hwws-tk-home