Publication: Scaling Up Handwashing Behavior : Findings from the Impact Evaluation Baseline Survey in Vietnam
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2010-11
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2010-11
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The goal of global scaling up handwashing is to reduce the risk of diarrhea and therefore increase household productivity by stimulating and sustaining the behavior of handwashing with soap at critical times in the lives of 5.4 million people in Peru, Senegal, Tanzania, and Vietnam, where the project has been implemented to date. The structure of this report proceeds as follows: In chapter one author provide an overview of the global scaling up handwashing and global scaling up rural sanitation projects, as well as background on the handwashing project in Vietnam. Chapter two details the methodology that underlies the impact evaluation, and provides details on the sampling design, sample selection, and field work protocols. The baseline findings for general household characteristics, handwashing behavior, child health, and child growth are presented in depth in chapter three. In chapter four authors conclude with a summary of the next steps of the impact evaluation study.
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“Chase, Claire; Do, Quy-Toan. 2010. Scaling Up Handwashing Behavior : Findings from the Impact Evaluation Baseline Survey in Vietnam. Water and sanitation program technical paper. © http://hdl.handle.net/10986/17272 License: CC BY 3.0 IGO.”
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Publication Handwashing Behavior Change at Scale : Evidence from a Randomized Evaluation in Vietnam(World Bank, Washington, DC, 2012-09)Handwashing with soap, which has been shown to reduce diarrhea in young children by as much as 48 percent, is frequently mentioned as one of the most effective and inexpensive ways to save children's lives. Yet rates of handwashing remain very low throughout the world. Handwashing with soap campaigns are de rigueur in developing countries, but little is known about their effectiveness. Few have been rigorously evaluated, and none on a large-scale. This paper evaluates a large-scale handwashing campaign in three provinces of Vietnam in 2010. 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. These results suggest that even under seemingly optimal conditions, where knowledge and access to soap and water are not main constraints, behavior change campaigns that take place on a large scale face tradeoffs in terms of intensity and effectiveness.Publication Scaling Up Rural Sanitation : Findings from the Impact Evaluation Baseline Survey in Madhya Pradesh, India(World Bank, Washington, DC, 2011-03)In India, Water and Sanitation Program's (WSP's) global scaling up rural sanitation program is supporting the Government of India's (GoI) Total Sanitation Campaign (TSC) in two states: Himachal Pradesh and Madhya Pradesh. TSC is an ambitious countrywide, scaled-up rural sanitation program launched by the GoI in 1999, which seeks to attain an Open Defecation Free (ODF) India by 2012. 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Although the data are limited in establishing causality, emerging trends indicate that gains in improved sanitation, likely to be brought about by TSC, could have positive impacts on the health and welfare of rural families, especially young children.Publication Scaling Up Rural Sanitation : Findings from the Impact Evaluation Baseline Survey in Indonesia(World Bank, Washington, DC, 2010-11)The overall purpose of the Impact Evaluation is to provide decision makers with a body of rigorous evidence on the effects of the hand washing and sanitation projects at scale on a set of relevant outcomes. It also aims to generate robust evidence on a cross-country basis, understanding how effects vary according to each country's programmatic and geographic contexts, and generate knowledge of relevant impacts such as child cognitive development, child growth (anthropometric) measures, anemia, acute lower respiratory disease, and productivity of mother's time, among many others. The studies will provide a better understanding of at-scale sanitation and hygiene interventions. The improved evidence will support development of large-scale policies and programs, and will inform donors and policy makers on the effectiveness and potential of the Global Scaling Up projects as massive interventions to meet global needs.Publication Scaling Up Handwashing Behavior : Findings from the Impact Evaluation Baseline Survey in Peru(Washington, DC, 2010-08)In response to the preventable threats posed by poor sanitation and hygiene, the Water and Sanitation Program (WSP) launched two large-scale projects, global scaling up handwashing and global scaling up rural sanitation, to improve the health and welfare outcomes for millions of poor people. Local and national governments are implementing these projects with technical support from WSP. Global scaling up handwashing aims to test whether handwashing with soap behavior can be generated and sustained among the poor and vulnerable using innovative promotional approaches. The primary objectives are to reduce the risk of diarrhea in young children and increase household productivity by stimulating and sustaining the behavior of handwashing with soap at critical times. Overall, the project aims to generate and sustain handwashing with soap practices among 5.4 million people living in Peru, Senegal, Tanzania, and Vietnam, the four countries where the project has been implemented to date. This technical paper presents the findings of the WSP impact evaluation (IE) baseline survey in Peru and is one in a series of papers presenting IE findings from surveys conducted in each project country.Publication Scaling Up Handwashing Behavior : Findings from the Impact Evaluation Baseline Survey in Senegal(World Bank, Washington, DC, 2011-06)In December 2006, in response to the preventable threats posed by poor sanitation and hygiene, the Water and Sanitation Program (WSP) launched two large-scale projects, global scaling up handwashing and global scaling up rural sanitation, to improve the health and welfare outcomes for millions of poor people. Local and national governments are implementing these projects with technical support from WSP. The goal of the Global Scaling up Handwashing Project (HWWS) is to reduce the risk of diarrhea and therefore increase household productivity by stimulating and sustaining the behavior of handwashing with soap at critical times for 5.4 million people in Peru, Senegal, Tanzania, and Vietnam. The project aims to test whether this handwashing behavior can be improved among the poor and vulnerable using innovative promotional approaches. In addition, it will undertake a structured learning and dissemination process to develop the evidence, practical knowledge, and tools needed to effectively replicate and scale up future handwashing programs.
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