Four-Country Synthesis of the Enabling Environment for Hand Washing with Soap Endline Analysis
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World Bank, Washington, DC
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The Water and Sanitation Program
(WSP)'s Global Scaling up Hand washing Project (HWWS)
has ended its four-year implementation period (2007-2011).
The project tested whether innovative approaches can
generate large-scale and sustained increases in hand washing
with soap at critical times among poor and vulnerable
mothers and children in Peru, Senegal, Tanzania, and
Vietnam. The assessments were repeated after three years of
project implementation to assess progress in strengthening
the enabling environment (EE) and to recommend additional
steps to improve the EE as the projects wound down. The
purpose of this report is to synthesize the main findings
from the four end line EE assessment reports, including
conclusions and lessons learned as well as recommended
interventions and practices that can be used to strengthen
the EE in the future. Aimed to gauge the robustness of the
programmatic conditions for the continued scale-up and
sustainability of program interventions as external funding
for the projects end, the assessments were conducted from
October 2010 through January 2011. The same basic instrument
was used for the 2007 baseline EE assessments, with some
modifications and additions made in 2010 based on program
experience and learning.
Palabras clave
AGED, AGRICULTURE, BEHAVIOR CHANGE, BOTTLES, BREAD, CAPACITY BUILDING, CHILD MORTALITY, CHILD SURVIVAL, CITIES, COMMUNES, COMMUNICATION EFFORTS, COMMUNITIES, DESCRIPTION, DEVELOPMENT PLANS, DIARRHEA, DISSEMINATION, DISTRICTS, DRINKING WATER, EXISTING CAPACITY, FAMILIES, FAMILY MEMBERS, GAUGE, GOVERNMENT AGENCIES, GOVERNMENT PROGRAMS, HANDS WITH SOAP, HANDWASHING, HEALTH EDUCATION, HEALTH OUTCOMES, HEALTH SECTOR, HOMES, HOUSEHOLD LEVEL, HOUSEHOLDS, HYGIENE, HYGIENE IMPROVEMENT, HYGIENE ISSUES, HYGIENE PROMOTION, INFANT, INFLUENZA, INFORMATION SYSTEM, INFORMATION SYSTEMS, INSTITUTIONALIZATION, INTERNATIONAL ORGANIZATIONS, INTERPERSONAL COMMUNICATION, INTERPERSONAL COMMUNICATIONS, INTERVENTION, INTERVENTIONS, LEADING CAUSES, LOCAL GOVERNMENTS, MALARIA, MASS MEDIA, MATERNAL HEALTH, MIDWIVES, MILLENNIUM DEVELOPMENT GOALS, MINISTRIES OF HEALTH, MINISTRY OF EDUCATION, MINISTRY OF HEALTH, MORBIDITY, MORTALITY, NATIONAL CAMPAIGN, NATIONAL CAPACITY, NATIONAL GOVERNMENT, NATIONAL GOVERNMENTS, NATIONAL LEVEL, NATIONAL POLICIES, NATIONAL POLICY, NATIONAL POLICY AGENDA, NATIONAL PRIORITY, NATIONAL STRATEGY, NUTRITION, OFFICIAL POLICY, PLASTICS, POLICY DEVELOPMENT, POLICY GUIDANCE, PRACTICAL TRAINING, PRIMARY SCHOOL, PRIMARY SCHOOLS, PROGRESS, PUBLIC HEALTH, RADIO, REGIONAL DEVELOPMENT, REPRODUCTIVE AGE, RESPECT, RURAL AREAS, RURAL DEVELOPMENT, RURAL POPULATIONS, SANITATION, SANITATION ACTIVITIES, SANITATION PROMOTION, SANITATION SERVICES, SCHOOL-AGE CHILDREN, SOAP, SOCIAL DEVELOPMENT, SOCIAL MARKETING, SOCIAL WELFARE, SUSTAINABLE ACCESS, TECHNICAL ASSISTANCE, TRANSPORTATION, TV, VOCATIONAL TRAINING, WASTE, WATER PROJECT, WATER SUPPLY, WORKING MOTHERS