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Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/35533

Title: Maintaining behaviour change: innovations in demand-side sanitation and hygiene interventions
Authors: Berhe, Resom
Delea, Maryann
Sclar, G.
Woreta, M.
Zewudie, K.
Muhammed, S.
Snyder, J.
Linabarger, M.
Gebremariam, Azage
Freeman, M.C.
Issue Date: 2018
Publisher: © WEDC, Loughborough University
Citation: BERHE, R. ... et al., 2018. Maintaining behaviour change: innovations in demand-side sanitation and hygiene interventions. IN: Shaw, R.J. (ed). Transformation towards sustainable and resilient WASH services: Proceedings of the 41st WEDC International Conference, Nakuru, Kenya, 9-13 July 2018, Paper 2889, 6 pp.
Abstract: This paper explores innovations in demand-side sanitation and hygiene intervention design and implementation. These innovations build on approaches employed by Community-Led Total Sanitation and Hygiene (CLTSH) programming to sustain improved WASH behaviours. Through an iterative process, our team conducted formative activities in Amhara, Ethiopia to: 1) generate information regarding stakeholders’ experiences with the government’s Health Extension Package (HEP) and previous CLTSH programming, and 2) explore options for intervention design and delivery. Our results suggest in some cases, community members were willing to engage in demand-side sanitation and hygiene programming after having negative experiences with ineffectual CLTSH triggering. Health Extension Workers (HEWs) indicated that high demand is placed on them to deliver the 16-component HEP. We conclude that what is needed are demand-side approaches that: 1) engage more community-level change agents, 2) include plans and resources to provide community actors with supportive supervision and on-the-job-training, and 3) focus on behavioural maintenance.
Description: This is a conference paper.
Sponsor: This project was made possible by support from the World Bank (PO 7175829), the International Initiative for Impact Evaluation (3ie, TW11.1016), and the Children’s Investment Fund Foundation (1606-01334).
Version: Published
URI: https://dspace.lboro.ac.uk/2134/35533
Appears in Collections:WEDC 41st International Conference

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