Publication: Enabling Environment Assessment and Baseline for Scaling Up Handwashing Programs : Vietnam
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2008-04
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2008-04
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To follow up country work supported by the Public-Private Partnership for Handwashing (PPPHW), the World Bank Water and Sanitation Program (WSP) received funding from the Bill & Melinda Gates Foundation to support projects to scale up the promotion of handwashing with soap (HWWS) in Peru, Senegal, Tanzania, and Vietnam. The major project objectives of the Handwashing Initiative are: a) inculcate the HWWS habit among millions of mothers and children in these countries, b) use a strong monitoring and evaluation (M&E) component to enhance the conceptualizing and management of such programs, and c) establish sustainable programs that will continue and expand after this four-year grant ends. Enabling environment assessments are being carried out in all four countries to assess current conditions for scalability and sustainability and to make recommendations for improving conditions that are not supportive. This report summarizes the study in Vietnam. All four county studies are following a similar methodology, developed by WSP, to examine nine dimensions of scalability/sustainability through individual and group in-depth interviews and an electronic survey in which respondents are asked to score various statements.
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“Cogswell, Lynne; Anh Thu, Le Thi. 2008. Enabling Environment Assessment and Baseline for Scaling Up Handwashing Programs : Vietnam. Water and Sanitation Program;. © http://hdl.handle.net/10986/17371 License: CC BY 3.0 IGO.”
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Publication Enabling Environment Assessment and Baseline for Scaling Up Handwashing Programs : Peru(World Bank, Washington, DC, 2008-04)To follow up country work supported by the Public-Private Partnership for Handwashing, the World Bank Water and Sanitation Program (WSP) received funding from the Bill and Melinda Gates Foundation to support projects to scale up the promotion of handwashing with soap (HWWS) in Peru, Senegal, Tanzania, and Vietnam. The major project objectives of the handwashing Initiative are: (i) inculcate the HWWS habit among millions of mothers and children in these countries; (ii) use a strong monitoring and evaluation (M&E) component to enhance the conceptualizing and management of such programs; and (iii) establish sustainable programs that will continue and expand after this four-year grant ends. Evaluation of actual impact on knowledge, attitudes, and practice regarding HWWS shows some positive and some inconclusive findings. 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Exposure to the campaign resulted in a slight increase in the availability of handwashing materials in the household, and caregivers in the treatment group were more likely to report washing hands at some of the times emphasized by the campaign. However, observed handwashing with soap at these times is low, and there isn't any difference between the treatment and control groups. As a result, no impact on health or productivity is found. 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This learning note documents the development process of the caretakers' program with a focus on how it was designed, implemented, and monitored. Lessons learned and challenges are also highlighted to assist program managers in designing and managing evidence-based handwashing with soap or other hygiene promotion programs. A separate publication will focus on the process of developing the children's handwashing program.Publication Peru : A Handwashing Behavior Change Journey(Washington, DC, 2010-08)In 2003, a national multi-sectorial Handwashing Initiative (HWI) was created in Peru to increase handwashing with soap among mothers and children. The early years of the HWI focused on laying groundwork, including a formative research study in 2004; the creation of a consultative committee by the Ministry of Health (MoH); and a national decree formalizing the HWI. The Water and Sanitation program (WSP) has coordinated the HWI since its inception. This learning note profiles the behavior change component of the second phase with a focus on how it was designed, implemented, and monitored. Challenges and lessons learned are included to assist program managers as they make decisions to develop and manage a handwashing promotion initiative. Peru provides an interesting case study because the intervention itself is interwoven with efforts to strengthen capacity, policies, partnerships, and other aspects of the enabling environment required to sustain handwashing with soap programs. Though detangling these various program components is a challenge, this note on the behavior change journey attempts to do so.
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