Hygiene and Sanitation Behaviour Change efforts in vulnerable communities of Western Nepal

HYGIENE AND SANITATION

BEHAVIOUR CHANGE EFFORTS IN VULNERABLE COMMUNITIES OF WESTERN NEPAL

Chhabi Goudel – Health and Sanitation SpecialistMarkus Tuukkanen – Junior Technical AdvisorRural Water Supply and Sanitation Project in Western Nepal (RWSSP-WN)

1.2.2012, Dhaka, Practitioners’workshop

RWSSP-WN

Overall objective• Increased wellbeing of the

poorest and excluded households

Project Purpose• To fulfil the basic needs and

ensure rights of access of the poorest and excluded households to safe domestic water, good health and hygiene through decentralized governance system

Chhabi GoudelMarkus TuukkanenRWSSP-WN

Small Doable Actions in H & S

Dhaka 2012

SANITATION COVERAGE IN NEPAL

Rural Urban National0

10

20

30

40

50

60

70

80

37 %

78 %

43 %

0

0.1

0.2

0.3

0.4

0.5

0.6

42 %46 %54 %

31 %29 %

Chhabi GoudelMarkus TuukkanenRWSSP-WN

Dhaka 2012

NATIONAL TARGETS AND POLICY

National Target• Universal coverage

(100%) by 2017 with basic sanitation ,

• No common national target for hygiene promotion

Existing Policy• National Sanitation and

Hygiene Master Plan: 2010-2017

Chhabi GoudelMarkus TuukkanenRWSSP-WN

Dhaka 2012

46%

17%

12%

14%

11%

(10.4 b)

DoLIDAR

RWSSFDB

(3.8 b)

(2.6 b)

Small Towns

(3.1 b)

Off budget

(2.6 b)

Budget by agency : Total expenditure Rs. 22.3 billion

Source: Sharma Suman, MPPW

past 6 years

DWSS

Why the Idea of Community Led Total Behaviour Change in H & S ( CLTBCHS)

Various approaches -However, the situation -WASH associated diseases more prevalent i.e. Diarrhea, Skin, Typhoid etc.

-10,500 children still dying from diarrheal diseases. Diarrheal outbreak still persistent.-The annual cost of the increased morbidity and mortality of sanitation related diseases is conservatively estimated to be USD 8,000, 0000

How -RWSSP-WN Implementing CLTBCHS

Chhabi GoudelMarkus TuukkanenRWSSP-WN

Dhaka 2012

Focus on Behavior Change in H & S

Community led

Realization for behavior change

Focus on local leadership

Equal emphasis on hygiene & nutrition

Talking about open shit- OPENLYIgnition and Pre-Triggering, and

Triggering Choice of technology, ODF

declaration Post ODF Rewarding

Total Behaviour Change in Hygiene

and Sanitation

LTBCF s Training- district level

TBC Triggers training -VDC level

Post ODF Follow up

PROGRESS IN SANITATION COVERAGE

National status 2010 NMIP 2010, RWSSP WN working districts

RWSSP-WN Baseline 2009 in 51 program VDCs

Progress in program VDCs after RWSSP-WN efforts

2009-2011

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

43 % 47 % 42 %

80 %

38% progress

Chhabi GoudelMarkus TuukkanenRWSSP-WN

Dhaka 2012

TOTAL ODF VDC´S IN NEPAL

Total ODF VDC´s by RWSSP-WN

Total ODF VDC´s in Nepal0

50

100

150

200

250

73 (29%)

251 (100%)

Chhabi GoudelMarkus TuukkanenRWSSP-WN

Dhaka 2012

How this happened in 2 years period

Level of Happiness

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Increasing Happiness

Decreasing happiness

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Time line

Creating disgust, shame and Realisation

Focussing for Change in Key Hygiene Behaviours and Small Doable ActionsSafe disposal of feces Hand washing at four critical times Safe handling of Household Drinking Water and food Personal hygiene including MHMProper solid and liquid waste management

Walk of Pride -ODF Declaration

Walk of Pride-Sanitation Campaign

Toilet construction

Post ODF- Rewarding

Realisation

Oath Taking during ODF declaration

Leading

Thank youChhabi GoudelMarkus TuukkanenRWSSP-WN

Dhaka 2012