Integrating Behavior Change and Hygiene in Public Policy : Four Key Dimensions
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World Bank, Washington, DC
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During the past decade countries in the
Latin American and Caribbean (LAC) region have lifted more
than 50 million people out of poverty, yet half of the rural
population in the region still lacks access to sanitation
and approximately 20 percent to drinking water. In January
2012, policy makers, scholars, and practitioners from nine
LAC countries came together in Santo Domingo, Dominican
Republic to explore the opportunities and challenges of
integrating in a more systematic and sustainable way the
promotion of hygiene and sanitation behavioral change into
water and sanitation investments. During the conference in
Santo Domingo, it became evident that a common understanding
is currently emerging from most countries in the sense that
infrastructure by itself will not solve the global problems
of inadequate access to improved sanitation and potable
water, unless people adopt new behaviors. Therefore, there
is a need to spread learning on best practices to implement
cost effective water, sanitation and hygiene models, which
bring about change at home and in the community at scale.
This paper highlights key issues that arose in presentations
and group discussions during the conference, which, can lead
to substantial improvements in the provision of a
multi-sector approach to hindering sustainable water and
sanitation services for all.
Palabras clave
ACCESS TO HEALTH CARE, ACCESS TO SAFE WATER, ACCESS TO SANITATION, ACCESS TO WATER, ADEQUATE SANITATION, AGING, BASIC SANITATION, BEHAVIOR CHANGE, BEHAVIORAL CHANGE, CAPACITY BUILDING, CHOLERA, CHOLERA EPIDEMIC, CLEAN WATER, CLIMATE CHANGE, COMMUNICATION CHANNELS, COMMUNITY LEADERS, COMMUNITY PARTICIPATION, DEVELOPING COUNTRIES, DIARRHEA, DIET, DISABILITY, DISINFECTION, DISSEMINATION, DISTRIBUTION OF WATER, DRINKING WATER, EARTHQUAKE, ECONOMIC GROWTH, EFFECTIVE WATER, EMERGENCIES, ENVIRONMENTAL HEALTH, ENVIRONMENTAL PROTECTION, FAMILIES, FOOD HYGIENE, HAND WASHING, HANDS WITH SOAP, HANDWASHING, HEALTH CARE, HEALTH IMPACT, HEALTH INTERVENTIONS, HEALTH PROMOTERS, HEALTH PROMOTION, HEALTH SECTOR, HEALTH SYSTEM, HEALTH WORKERS, HOLISTIC APPROACH, HOUSEHOLD LEVEL, HOUSEHOLD SURVEYS, HOUSEHOLDS, HYGIENE, HYGIENE BEHAVIOR, HYGIENE BEHAVIORS, HYGIENE PRACTICE, HYGIENE PRACTICES, HYGIENE PROMOTION, IMMUNIZATIONS, IMPACT ON CHILDREN, INDIVIDUAL CHOICES, INFECTIOUS DISEASES, INSTITUTIONAL CAPACITY, INTERNATIONAL COOPERATION, INTERNATIONAL ORGANIZATION FOR MIGRATION, INTERPERSONAL COMMUNICATION, INTERVENTION, INTESTINAL PARASITES, LEGAL STATUS, LIVING CONDITIONS, LOCAL AUTHORITIES, LOCAL CAPACITY, LOCAL CAPACITY BUILDING, LOCAL GOVERNMENTS, MASS MEDIA, MIGRATION, MORBIDITY, MORTALITY, MUNICIPALITIES, NATIONAL GOVERNMENTS, NATIONAL LEVEL, NATIONAL LEVELS, NATIONAL POLICY, NATIONAL PRIORITIES, NATIONAL STRATEGY, NUTRITION, PATIENTS, PERSONAL HYGIENE, POLICY MAKERS, POTABLE WATER, PRACTITIONERS, PRESS RELEASE, PRIMARY SCHOOLS, PRIVATE COMPANIES, PROGRESS, PROMOTION OF HYGIENE, PUBLIC HEALTH, PUBLIC POLICY, PURIFICATION, QUALITY OF LIFE, QUALITY WATER, REDUCTION OF MORBIDITY, REFERRAL SERVICES, RISK OF INFECTION, RURAL AREAS, RURAL COMMUNITIES, RURAL POPULATION, SAFE HYGIENE, SAFE HYGIENE PRACTICES, SAFE WATER, SANITATION, SANITATION FACILITIES, SANITATION IMPROVEMENT, SANITATION INVESTMENTS, SANITATION POLICY, SANITATION PROGRAM, SANITATION SECTOR, SANITATION SERVICES, SANITATION STRATEGY, SOAP, SOCIAL INEQUALITIES, SOCIAL ISSUES, SOCIAL MARKETING, SOCIAL MOBILIZATION, SOCIAL NORMS, SOCIAL POLICY, SOCIAL PROGRAMS, SOCIAL SPHERE, SOCIAL STATUS, SOCIAL SYSTEMS, SOLID WASTE, SOLID WASTE MANAGEMENT, STORAGE CONTAINERS, SUSTAINABLE ACCESS, SUSTAINABLE WATER, TECHNICAL CAPACITY, VILLAGE WATER, WASHING HANDS, WATER QUALITY, WATER SERVICE, WATER SOURCES, WATER SUPPLY, WATER SYSTEM, WATER SYSTEMS, WORKERS