Global Scaling Up Handwashing Project : Results, Impacts, and Learning from Vietnam

Nguyen, Nga Kim; Devine, Jacqueline

Global Scaling Up Handwashing Project : Results, Impacts, and Learning from Vietnam

Autores

Nguyen, Nga Kim

Devine, Jacqueline

Editor

World Bank, Washington, DC

Descripción

The Vietnam Handwashing Initiative (HWI) began in January 2006 with the goal of reducing morbidity and mortality from diarrheal diseases in children less than five years of age. In December 2006, Vietnam became one of four countries in the Water and Sanitation Program's (WSP) Global Scaling Up Handwashing Project. The objective of the project was to learn how to stimulate improved hand washing behaviors at large scale, sustain the activities after the project ended, and measure the impact on behavioral, health, and welfare outcomes. This learning note presents the achievements, learning, and reflections that resulted from implementing a large-scale hand washing program in Vietnam and provides recommendations for future hygiene promotion initiatives. During the four-year implementation (2006-2010), the program achieved all four of its key objectives. However, a randomized control trial (RCT) impact evaluation found no significant changes in hand washing behavior and no impact on health in children under two. Although much has been learned about how to implement a nation-wide communication program in Vietnam, behavior change at scale has proven challenging.

Palabras clave

AGE RANGES, BEHAVIOR CHANGE, CAREGIVERS, CHILD HEALTH, CHILD MORTALITY, COMMUNICATION CAMPAIGN, COOKING, CURRICULUM, DIARRHEA, DIARRHEAL DISEASES, EFFECTIVE HYGIENE PROMOTION, EPIDEMIOLOGY, FAMILIES, FOOD SAFETY, GAUGE, GERMS, GROSS DOMESTIC PRODUCT, HANDS WITH SOAP, HANDWASHING, HEALTH IMPACT, HEALTH WORKERS, HELMINTHES, HEPATITIS, HEPATITIS A, HYGIENE, HYGIENE BEHAVIOR, HYGIENE EDUCATION, HYGIENE PROMOTION, HYGIENE PROMOTION INITIATIVES, HYGIENE PROMOTION PROGRAM, HYGIENE PROMOTION PROGRAMS, IMPACT ON HEALTH, INFECTIOUS DISEASES, INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, INTERPERSONAL COMMUNICATION, INTERVENTION, INTERVENTIONS, LEADING CAUSES, LEARNING, MANUALS, MASS MEDIA, MINISTRY OF EDUCATION, MINISTRY OF HEALTH, MORBIDITY, MORTALITY, NATIONAL GOVERNMENTS, NONGOVERNMENTAL ORGANIZATIONS, NUMBER OF WOMEN, NUTRITION, POLICY RESEARCH, POLICY RESEARCH WORKING PAPER, PRETESTING, PRIMARY SCHOOL, PRIMARY SCHOOLS, PROGRESS, REPRODUCTIVE AGE, RURAL WATER SUPPLY, SANITATION, SANITATION SERVICES, SOAP, SOCIAL MARKETING, SOCIAL NORMS, SOCIALIZATION, SUSTAINABLE ACCESS, TEACHERS, TECHNICAL ASSISTANCE, TELEVISION, TV, WASHING HANDS, WATER SUPPLY, WORKERS