Hygiene papers

Full papers presented at the South Asia Hygiene practitioners’ workshop, 1 – 4 February 2010, Dhaka, Bangladesh. The workshop is organised by BRAC, WaterAid, WSSCC, and IRC and is part of five learning and sharing workshops on sanitation and hygiene organised in 2009 and 2010.



Assessing and addressing hygiene issues of internally displaced persons of Swat, Buner and Dir

Authors: Syed Shah Nasir Khisro and Altaf Ur Rahman, Pakistan. The paper describes the steps and measures taken by the Integrated Regional Support Program (IRSP) to handle unhygienic conditions in camps and host families.

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Beyond tippy-taps: the role of enabling products in scaling up and sustaining handwashing

Author: Jacqueline Devine, United States. This article summarizes findings from the Water and Sanitation’s Global Scaling Up Handwashing Project and other research that suggest that convenient access to water and soap when and where needed and having a designated place for HWWS are also important determinant for handwashing.

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Beyond traditional KAP surveys-need for addressing other determinants of behavioral change for more effective hygiene promotion

Authors: Mohammad Riaz, Farooq Khan, Pakistan. This paper is based on an internal assessment of a donor-funded project, implemented over many years by a local NGO. The objective was to identify the factors limiting the effectiveness of behavioral changes aspects of WASH programming.

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Contributions of Village WASH Committee in breaking the cycle of unhygienic behaviours in rural Bangladesh

Authors: Babar Kabir PhD, Milan Kanti Barua, Rezaul Karim, Md. Bodiuzzaman, Mizanur Rahman and Md. Hasan Ali Mia. This paper summarizes the experience of BRAC-WASH Programme in hygiene promotion through setting up village WASH Committees (VWCs) in each village and their contributions in changing unhygienic behaviours/practices.

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Designing evidence-based communications programs to promote handwashing with soap in Vietnam

Author: Nga Kim Nguyen, Vietnam. This paper is about the process and results of an evidence-based, comprehensive behavior change communications program by the World Bank to promote handwashing with soap among women aged 15-49 and schoolchildren aged 6-10 throughout Vietnam.

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Freedom of mobility: experiences from villages in the states of Madhya Pradesh & Chhattisgarh India

Author: Maria Fernandes, India. . The paper highlights the findings of a survey on existing behaviours, misconceptions and the status on availability and accessibility to menstruation products. It makes a strong case of local initiatives and micro credit programmes which can support napkin production as an entrepreneurial and livelihood model for women.

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Hand washing practice in ASEH project area: a study for impact monitoring

Authors: Md. Iqbal Ahmed & Rozena Begum, Bangladesh. The study examined the status and benefits of hand washing with cleaning agents at five critical times. This study (2008) was the third part of a longitudinal study, of a project in rural and urban areas of Bangladesh, with an earlier baseline (2004) and mid-term impact study (2007).

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Hygiene promotion for men - challenges and experiences from Nepal

Authors: Ingeborg Krukkert, Carmen da Silva Wells, The Netherlands; Yubraj Shrestha and Mangal Dash Duwal, Nepal. Most hygiene promotion programmes focus on women only. Specific examples on how men are targeted are difficult to find. In this paper the authors use the experience of NEWAH, a national NGO based in Nepal, as a case to describe the challenges, but also the benefits and the lessons learned while focusing hygiene promotion on men.

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Hygiene promotion in South Asia; progress, challenges and emerging issues

Author: A.J. Peal (United Kingdom). This background paper focuses on hygiene promotion, the subject of the South Asia Hygiene Practitioners’ Workshop held in Rajendrapur, Bangladesh in February 2010. The paper gives an overview of hygiene and behaviour change approaches and experiences in the sector and describes the hygiene and behaviour change approaches used in South Asia.

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Measuring hand washing behaviour: methodological and validity issues

Author: Lisa Danquah, United Kingdom. This research assesses methodological issues of measuring hand washing behaviours through comparison of structured observation and responses to cross-sectional survey measures (spot-check observation, self-reported hand washing and a hand washing demonstration) and discusses the suitability of indicators.

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