Hygiene Promotion: beyond the messages

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Hygiene Promotion beyond the messages
Foyeke Tolani Ph.D, MPH Oxfam GB
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beyond the messages?
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AIM
To reinforce the fact that interventions to
promote hygiene (reduce morbidity and mortality
due to water and sanitation related diseases),
which are carefully conceived, executed,
monitored and evaluated can give good results
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(No Transcript)
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What do people say

• It does not work
• It works on the longer term
• It is necessary in the intermediate
• It is usually provided at the end of the chapter
  or the proposal
• It is about telling people what to do and what
  not

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What do people say

• It is largely targeted at women
• It is cheap
• Supply water 1st then provide latrines, later on
  add hygiene promotion (education)

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Experts explanation..

• The way messages are presented are not based on
  principles of adult learning
• Didactic approach to reaching people
• Give people knowledge and they will change.
• Tell them as often as possible.
• Secondary and tertiary target groups often not
  considered

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Recommendations
Adapt the Ottawa Charter for Health Promotion
Actions

• Build healthy public policy
• Create supportive environment
• Strengthen community action
• Develop personal skills
• Reorient health services

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Improve Health Prevent Epidemics
Advocacy
Ensuring access to essential items e.g. soap,
ORS, buckets
Participation, gender representation
Public Health Promotion
Providing adequate quantity of water
Providing learning opportunities
Appropriate sanitation
Ensuring adequate maintenance of facilities
Providing water of adequate quality
Participatory education
E.g.piped water hand pumps water filters chlorine
tablets
Acceptable design
Ownership responsibility
Action for change
Technical capacity access to spare parts financing
Privacy safety
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Specific Recommendations

• Identify risk practices and other motives for
  changed behaviour in a participatory manner from
  the onset of the emergency
• Target a small number of risk practices
• Target specific audiences (gender,
  representation)
• Hygiene messages need to be positive
• and entertaining (drama, songs etc)

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Specific Recommendations

• Identify appropriate channels of communications
  and where applicable use multiple channels (cost
  effective)
• Influence hardware component to adequately
  mainstream gender, representation (HIV/AIDS) and
  protection
• Use more participatory methods throughout the
  Project cycle (PHAST, PRA)
• Carry out gender role analysis for
• effective community mobilization

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Specific Recommendations

• Give skills on SSS/ORS preparation
• and link up with health services/ environmental
  health departments existing or newly established
  gender balanced health volunteers
• Think of the longer term and different phases
  (acute, intermediate, establishment, resettlement
  and development) and carefully plan, implement,
  monitor and evaluate HP interventions
• Make it a priority and make sure a skilled
• person is solely in charge

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Zambia experience (Nov Mar 2003)

• 8 new boreholes drilled and community constructed
  apron fence in all and did cleaning roster for
  4 out of 8 sites
• 13 out of 17 wells rehabilitated/newly
  constructed were maintained and cleaned
• 95 holes were dug for latrines by
  beneficiaries/community members through
  mobilization
• 55 out of 56 villages formed village action plan
  and compliance ranged from 25 100 (attempted
  all points)

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Zambia experience (Nov Mar 2003)

• 1095 new garbage pits, 1177 new dish racks, 551
  new bathing shelters constructed in addition to
  the existing 509, 689 and 606 respectively (2219
  HHs)
• VWASHE committees formed, trained and members
  assigned to specific zone
• Concentrated on five key messages
• Sphere standards used

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What motives you to make a change apart from
messages?