Hygiene Promotion Approaches

What is an Approach?
Specific system of methods that are used to promote hygiene. Governed by particular principles of engagement. Methods - stand alone activities and tools

Approaches to Hygiene Promotion

Child to Child CHAST Campaigns Social marketing

PHAST/ Faster PHAST

Behaviour Change Communication (BCC)

Participatory Hygiene and Sanitation Transformation (PHAST)

PHAST
Its an approach: To working with communities (participatory) Helps people to feel more confident Empowering process It can help you to enable community members to: work out what they want to do How it should be implemented How it should be paid for How to make sure it is sustained

PHAST seeks to help communities

Improve hygiene behaviours Prevent diarrhoea diseases Encourage community management of water and Sanitation facilities
It does this by demonstrating relationship between sanitation and health status Increasing the self-esteem of community members Empowering the community to plan environmental improvements and to own and operate water and sanitation facilities

HOW
SEVEN STEPS 1. Problem identification 2. Problem analysis 3. Planning for solutions 4. Selecting options 5. Planning for new facilities and behaviour change 6. Planning for monitoring and evaluation 7. Participatory evaluation

HOW
Select the group (representative, affected) Group size (>40) Be prepared to spend few days to weeks in emergencies and few weeks to months in development setting Understand the steps and prepare necessary materials (tools) and environments for free discussions

1. Problem identification
Community stories Health problems in our community (pair wise ranking)
Outcome:

Unserialised posters

The group should have identified the main issues facing its community and have decided if diarrhoea is a priority and they wish to continue with the remaining steps

2. Problem analysis
1. Mapping water and sanitation in our community 2. Good and bad hygiene behaviour 3. Investigating community practices 4. How diseases spread
Outcome: Understanding of diseases transmission in daily practices and how to improve them

1. Community mapping 2. Three pile sorting 3. Pocket chart 4. Transmission route

3. Planning for solutions

1. Blocking the spread of disease 2. Selecting barriers 3. Tasks of men and women in the community
Outcome: The group members should have identified various ways to prevent diarrhoea in the community

1. Blocking the routes 2. Barrier charts 3. Gender role analysis

4. Selecting Options
1. Choosing sanitation options 2. Choosing improved hygiene behaviours 3. Taking time for questions 1. Sanitation options 2. Three pile sorting 3. Question box

Outcome: The group would have made informed choice about changes to facilities and hygiene behaviours it wants to make

5. Planning for new facilities and behaviour change

1. Planning for change 2. Planning who does what 3. Identifying what might go wrong
Outcome:

1. Planning posters
2. Problem box

Group come up with broken down process and task as well roles and contributions

6. Planning for monitoring and evaluation

Preparing to check our progress Monitoring chart

7. Participatory evaluation
Checking our progress Use different tools

Others
Making a tool kit (use of artist and training for artist) Be a good facilitator Train others

ADVANTAGES
Helps to determine whether or not health and hygiene problems is a big concern Empowering approach Sustainability and ownership