151125 Handwashing Communication Plan

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HANDWASHING STRATEGIC HEALTH COMMUNICATION PLAN

INFLUENCING HANDWASHING BEHAVIOURS AND SOCIAL NORMS FOR

CHILDREN AGED 6-12 IN THE SOLOMON ISLANDS

BACKGROUND

The Solomon Islands are an archipelago made up of around 992 islands with a total population of 515,870 (2009 census). Around 80% of the population lives in rural areas and 22.7% of people live below the national poverty line (World Bank, 2006). While progress has been made in many areas, the Solomon Islands are not on track to meet the majority of the Millennium Development Goals, a reflection of the complex and difficult environment for development (Pacific Islands Forum Secretariat, 2013).

Challenges related to water, sanitation and hygiene account for many of the development issues faced by children and communities in the Solomon Islands. When water, sanitation and hygiene are compromised, new born children are at risk, growth stunting is more prevalent, vaccines are less effective, child mortality rates are higher and children miss more school due to sickness.

Overall safe water supply coverage in the Solomon Islands is low at 66% (Demographic Health Survey, 2007). However, the government estimates that half of the systems included in this national coverage figure are operating at less than design capacity or totally inoperable. Sanitation coverage is estimated at 18%, and open defecation is prevalent (RWASH Policy, 2014). There is a distinct lack of data on hygiene practices in the country, although it is estimated that only 5-10% of people wash their hands at critical times (MHMS Descriptive Core Indicator Report, 2014).

Increasing sanitation and hygiene coverage is a Solomon Islands Government priority highlighted in the National Development Strategy (2011-2020) and supported by new policies adopted by the Ministry of Health and Medical Services (MHMS)1. In order to address this, the MHMS and key WASH stakeholders, with support from UNICEF, are collaborating on a joint strategic health communication (SHC) initiative in support of hygiene as a priority.

WASH behaviour in Solomon Islands

While work to improve water and sanitation infrastructure has progressed well, work to address the deeply-rooted community norms, behaviours and traditions surrounding sanitation and hygiene, including washing hands with soap and water have been less successful. Addressing harmful social norms requires strategic, sustained and targeted strategic health communication measures based on the best available evidence that have been formulated, tested and implemented in partnership with communities.

1 Within MHMS, rural water supply, sanitation and hygiene is the responsibility of RWASH section of the Environmental Health

Development (EHD), with WASH promotion support from the Health Promotion Unit (HPU).

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In 2014, Pacifika conducted a Knowledge, Attitudes and Practice (KAP) survey in 72 households from six peri-urban and rural communities in Guadalcanal Province, incorporating coastal, plain and highland geographical settings. Between November 2013 and March 2014, Live and Learn, in collaboration with UNICEF, also conducted a community perceptions survey in fifteen sites in Isabel, Choiseul and Makira provinces, including schools, clinics and communities.

Both these studies, found that knowledge on water, sanitation and hygiene is quite high. However, there is a big gap in attitude in relation to the cost-benefit of sanitation and hygiene measures, and a perception that water is more important than sanitation or hygiene (Live and Learn, 2014). An even greater gap exists in practice, with communities citing insufficient water as a barrier to practicing good sanitation and hygiene (Live and Learn, 2014).

However, according to a meeting of WASH stakeholders held in June 2015, previous research and related campaigns have often suffered from the following limitations:

• In-country consultations have failed to engage stakeholders (especially communities) at various levels and across sectors

• Campaigns have often tried to address too many issues and corresponding key messages, diluting focus and reducing impact

• Campaigns have often drawn on a didactic approach heavy on printed IEC materials which fails to address the underlying causes of behaviour.

In order to support effective and sustained behaviour change, this strategy, developed in consultation with government and WASH sector stakeholders, has been designed to address and reshape the social norms driving key harmful behaviours related to hygiene, taking into account the limitations of the past.

Handwashing promotion strategy

This strategy outlines a roadmap for SHC activities regarding handwashing with water and soap after using the toilet and before eating. There is a particular focus on children aged 6-12 years, both in and out of school, within 14 school catchment areas in Guadalcanal Province and Honiara, supporting sustainable change embedded from children’s earliest days.

Health Zone

Watery Diarrhoea 2014 Bloody Diarrhoea 2014

Total Cases % of cases in SI Total Cases % of cases in SI East & Bush 585 1.28% 116 1.50% Grove 4048 8.86% 1134 14.65% North West Guadalcanal 1214 2.66% 176 2.27% Weathercoast Central 659 1.44% 102 1.32% Weathercoast East 631 1.38% 148 1.91% Weathercoast West 648 1.42% 138 1.78% Guadalcanal Total 7785 17.04% 1814 23.44% Central Honiara 1798 3.94% 133 1.72% East Honiara 3330 7.29% 402 5.19% West Honiara 3132 6.86% 300 3.88% Honiara Total 8260 18.08% 835 10.79% GP and Honiara Total 16045 35.12% 2649 34.22% Solomon Islands Total 45689 100.00% 7740 100%

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The incidence of WASH-related diseases in Guadalcanal Province (GP) and Honiara (HCC) alone support the need for a more strategic focus for reduction in these targeted areas. In 2014, GP and HCC accounted for 35% of watery diarrhoea cases and 34% of bloody diarrhoea cases respectively (see Table above). Furthermore, the accessibility of these two provinces was key to piloting the campaign.

The strategy recognises and builds on existing behaviour change efforts in the Solomon Islands and prioritises the active involvement of children as agents of change in their communities. It focuses on: 1) redefining social norms around handwashing, and 2) improving accessibility to no/low-cost handwashing facilities.

This revised strategy incorporates the following principles:

• Strategic focus and agreement on a single issue (hand washing with water and soap2 after toilet and before eating3) to maximise impact including analysis of behavioural determinants and existing social norms, as well as misconceptions.

Please note: Where soap is mentioned throughout the strategy, this refers to soap and soap alternatives, including ash, sand, lime, and Akwa leaf.

• Strategic focus and agreement on one primary target audience (children aged 6-124) and relevant “influencers” that are essential for an enabling environment.

• Strengthened coordination through ongoing consultations/collaborative efforts amongst relevant WASH partners and stakeholders (government led with UNICEF support)

• Agreed piloting of innovative and engaging/effective approaches in Guadalcanal and Honiara provinces (norms based5).

• Monitoring and evaluation tools allow space for adaptation of strategy and campaign activities, as well as scale up of project scope as necessary.

2 RATIONALE: HANDWASHING WITH SOAP AND WATER: This issue was selected by WASH stakeholders, for several reasons: It has the lowest coverage in Solomon Islands compared with water or sanitation; There is strong evidence that handwashing with soap after contact with stools is one of the most important ways to prevent microbe infection in children (the other most important way is through safe stool disposal, which is already being addressed through the government’s Community-Led Total Sanitation programme); Washing hands with soap and water is something that be practiced easily, at low cost, regardless of age or sociodemographic background. 3 RATIONALE: AFTER TOILET AND BEFORE EATING: These key times for washing hands with soap and water were selected based on focus group discussions with students. These discussions showed that the practice of handwashing is already common place among children when hands are visibly dirty, such as after being in the fields and after eating. As a result, the focus of the campaign was to increase handwashing at times when dirt and faecal contamination are invisible, including after the toilet and before eating. 4 RATIONALE: CHILDREN AGED 6-12. This age group includes all students in grades 1 to grade 6. Anecdotal evidence suggests children under 6 years of age already had a significant amount of supervised handwashing through Early Childhood Education, which dropped off significantly once children moved to Primary School. In addition, the majority of children aged 6-12 are engaged in primary school making them an easy target group to capture, unlike older children who have lower enrolment rates in secondary school, and who are more likely to move away from home to pursue educational, training and working opportunities. 5 RATIONALE: FOCUS ON SOCIAL NORMS. Social norms are mostly unwritten rules of behaviour that govern what is considered

acceptable in a particular group or society. There are norms defining appropriate behaviour for every social group and most people experience significant social pressure to conform. As the individual moves from one group to another, their behaviour changes accordingly. In the context of WASH protective behaviours, this strategy aims to reframe social norms in a school setting/social group, as a precursor to wider shifts outside of the school environment. Reframing social norms requires a deep understanding of barriers and bottlenecks to change on specific issues, as well as strategic interventions at all levels to influence and support targeted groups.

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THE STRATEGY

HEALTH GOAL: Reduction in the incidence of diarrhoea among children aged 6-12 years by 2017.6

BEHAVIOURAL OBJECTIVES:

1. Proportion of children aged 6-12 years in fourteen (14) selected school catchment areas (urban and rural communities)7 in Guadalcanal and Honiara Provinces consistently washing hands with soap and water after going to the toilet and before eating, by end of 2017.

2. Proportion of households and schools with handwashing facilities that have soap and water, by end of 2017.

Sub-Objectives

Attitudes: Hand washing after toilet and before eating becomes internalised as a desirable social norm.

Practice: Children aged 6-12 years have easy access to handwashing facilities with soap and water (within 5 metres of toilet, kitchen and/or classroom, as appropriate)

The overall intention of the strategy is to position hand washing as a valued behaviour and social norm, support increased adoption of health protective behaviours such as hand washing at key times, and support children to become agents of change in relation to WASH in schools and communities. Furthermore, it will build a foundation for future SHC initiatives on aligned themes.

SCOPE:

This project will be realised over 5 years with a 2-year initial pilot focusing on fourteen (14) school catchment areas in Guadalcanal and Honiara (urban/rural mix) with scale up over the remaining 3 years. This is in line with the Solomon Islands National RWASH Strategy’s focus for 2015 – 2020.

TARGET AUDIENCE:

All children between 6 to 12 years of age, including children in school and children out of school, within 14 school catchment areas.

CREATING AN ENABLING ENVIRONMENT / INFLUENCERS

In order to effectively target and engage with children aged 6-12, this strategy will also engage and equip the following ‘influencers’ to act as agents of change. These ‘influencers’ were selected based on WASH Stakeholder feedback, as well as focus group discussions with primary school students.

1. Mothers and Fathers (community definition) 2. Peers 3. Teachers 4. Community leaders (Traditional and Religious leaders) 5. Grandparents 6. Popular culture/media/celebrities

6 It is recognised that this campaign can only contribute to rates of diarrhoea, and that rates of diarrhoea will also be affected by other health promotion programmes and changing environmental conditions, such as natural disasters. 7 School Catchment areas are considered all communities within 1 or 2km radius of target school. See Appendix 2 for details.

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PARTNERS:

Successful implementation of a holistic norms-based approach will require the combined efforts of multiple partners, including:

• Ministry of Health and Medical Services – RWASH Unit (GP and HCC)

• Ministry of Health and Medical Services - Health Promotion Unit (GP and HCC)

• UNICEF

• Ministry of Education and Human Resource Development

• Education Authorities (GP, HCC, Catholic Diocese, Church of Melanesia, South Seas Evangelical Church)

• Ministry of Women, Youth, Children and Family Affairs

• Live and Learn

• Save the Children

• Solomon Island Red Cross

• Caritas Solomon Islands

• World Vision Solomon Islands

• Rural Development Program

• French Red Cross

• Targeted schools

• Community leaders

• Children and communities

• Targeted celebrities and performing artists

PROPOSED APPROACH:

1. Component A (late 2015 – late 2017). Develop and implement a detailed SHC micro-plan for the proposed campaign (with central ‘brand’ applicable across all partner efforts) focused on reframing social norms around hand washing and increasing access to handwashing facilities with water and soap for children aged 6-12 years in targeted fourteen (14) school catchment areas of Guadalcanal and Honiara in the initial phase (year 1-2).

2. Component B (2017 onwards). Evaluate and draw on lessons learned from Component A and scale up to other regions and issues as appropriate.

MANAGEMENT AND COORDINATION

Overall coordination will be through RWASH, with support from the Research and Training Unit, Health Promotion Department, and UNICEF.

Production of IEC materials (design, pre-testing, printing) will be through UNICEF and the Health Promotion Department.

Implementation of activities, and the distribution of IEC materials will be managed through Education Authorities, provincial government departments (Environmental Health, Health Promotion, Women’s Desk), NGOs, and Faith-based organisations (eg. Mother’s Union).

Monitoring and evaluation will be managed by a variety of WASH stakeholders (see M&E Plan).

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AVAILABLE BUDGET

Source 2015 2016 2017 UNICEF USD$70,000 - TBD MHMS RWASH (DFAT, EU) SBD$450,000 SBD$1,198,010 TBD

FOR FURTHER INFORMATION

Contact:

Marcel Gapu, Sanitation Manager, MHMS – EHD (RWASH) at [email protected]

Alice Clements, Communications Specialist, UNICEF Pacific at [email protected]

Vika Waradi, C4D Officer, UNICEF Pacific at [email protected]

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ANNEXES

ANNEX 1: PROPOSED CAMPAIGN BRAND: “DIRTY HANDS? YUCK!”

Target Audience: School-aged children between 6 to 12 years of age (in and out of school)

Campaign approach: The campaign slogan “Dirty Hands? Yuck!” aims to reframe norms around hand washing, positioning it as a desirable behaviour. The slogan is what a peer, teacher, coach, religious leader or parent might say to a child who has failed to wash their hands, indicating social disapproval. This approach draws on the lessons learned from the Community-Led Total Sanitation (CLTS) approach, which uses ‘disgust’ as a powerful motivator for change. The slogan is intended to be used in a light-hearted way but nonetheless conveys social disapproval for failure to wash ones hands.

The slogan is applicable to all ages within the target group but will be communicated through different age and situation-appropriate means as outlined below.

SAMPLE PROPOSED ACTIVITIES BY TARGET GROUP

A. Group 1 & 2 [Blue and Dark Orange] – Children 6-12 years in school & Children 6-12 out of school

i. Interactive activity books (series), such as storybooks and colouring books, suitable for inclusion in school curricula and informal / faith-based classes:

Topics could include: Meet Betsy; Meet Bubbles and Bobby; Learning about hand washing (when to wash hands/key times); Making hand washing fun!; Pass the soap! Not the germs!; etc

ii. Stickers and Badges

iii. Radio jingles and songs

iv. Skits/Drama Groups/Mobile Theatres for school and/or community outreach activities

v. Just Play Football/Soccer Festivals

vi. International/Global Day events/celebrations

NB: Existing “Makem Laef Helti” multi-media package will be used with a focus targeted towards adult influencers. Suggest message dissemination through media, NGOs and FBOs.

B. Group 1 [Blue] – Children 6-12 yrs in school

i. Supporting roll out of existing Health Promotion Lessons in new school curriculum

ii. School-focused activities and competitions

1. Children 6-12 yrs out of school

1. Children 6-12 yrs in school

Individual school aged

child

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ANNEX 2: TARGET SCHOOL CATCHMENT AREAS WITH POPULATION DATA

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Constituency School Education

Authority Primary School Enrolment

Community Population (Total)

Closest Clinic

Guadalcanal 2677 4881 Central GP Betivatu PS SSEC 260 Betivatu School 7 Konga

Bokorade 56 Bubulonga 7 Kaimomosa 82 Kavoki 21 Malachinge 21 Malatoha 84 Mataruka 1 51 Mataruka 2 8 Mataruka 3 58 Namohoai 28 Namoraoni 96 New Komate 19 New Salavota 33 Pamphylia 71 Sungina 76 Valechela 32 Valechimea 56 Valehoai 9

North GP Nguvia PS GP 462 Bebe 25 Grove Komubeti 41 Ngalimera 82 Ravu 2 33 Samba 48 Sopapera 112 Toghasui 22 Veuru 35

North East GP

Numbu PS GP 416 Kili 9 Numbu Komunikoki 24 Numbu School 45 Numbu VGE 232 Papaga 63 Pui 1 55 Pui 2 51 Tenaghachoga 14 Tenakea 25 Tenapari 99 Tutumu 12

Ruavatu PS GP 248 Antioch 1 22 Ruavatu Antioch 2 156 Balosara 6 Loreto 98 Ngalivovo 155 Ruavatu C. Mission 7 Ruavatu Plantation 7

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Constituency School Education Authority

Primary School Enrolment


Closest Clinic

Ruavatu S/School 12 Samaria 188

North West GP

Aruligo SDA Adventist 225 Aruligo Fibre 6 Kohimarama Bolitola 7 Tohunaovo 53 CBSI Centre 25 Horobau 147 Duidui 132 Veralevuga 41 Vatukulau 35 Vatukulau Farm 101 Aruligo Plantation 51

St Francis Vaturanga

ACOM 428 Hamosa 2 17 Selwyn Koigori 14 Kokamau 66 Konda 6 Lambukulila 22 Laovavasa 91 Loke 14 Maravovo 1 24 Marovovo 2 43 Marovovo 3 86 Ngalikoko 17 Ngautu 1 12 Ngautu 2 24 Ngautu 3 16 Ngautu 4 53 Paru 1 24 Paru 2 22 Paru 3 13 Popo 2 19 Taburiu 16 Tachou 22 Vaturanga School 39 Veralevuha 55 Veratabalo 54 Vura 150

Tamboko PS GP 392 Rurusia 36 Tamboko Tamboko 241 Tapua 245 Umasani 8

Visale PS GP 246 Boremuatana 15 Visale Chohe 14 Lagarauna 21 Piudava 89 Reivotu 14 Savaolu 55

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Constituency School Education Authority

Primary School Enrolment


Closest Clinic

Vanahobuli 43 Vilamaria 24 Visale Mission 15 Visale School 58

Honiara 3341 27057 West Mbokona PS HCC 460 Rove 2613 Mbokona

Red Cross Development School Red Cross

102 Ngossi 10062 Rove

Central Mbokonavera PS HCC

740 Vavaya 6996 Mbokonavera

Tuvaruhu PS HCC 540 Mataniko 4343 Mataniko East Mercy

Learning Centre SSEC

869 Burns Creek 1208 Lunga

St Nicholas ACOM 630 Kukum 1835 Kukum .

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ANNEX 3: MICRO WORKPLAN FOR PILOT 2015 2016 2017

Activities J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N PLANNING Draft Communication Plan with WASH Stakeholders

Formative focus group discussions with key target groups (children, teachers community leaders) and WASH Stakeholders

Campaign committee meets Development M&E Plan & ethics approval Design IEC materials Pre-testing IEC materials Finalise and get approval for Communication Plan IMPLEMENTATION J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N Notify schools / Education Authorities of campaign Campaign Launch – Global Handwashing Day Radio programs (eg. Youth talkback, Radio Health) Media releases Radio bursts Launch & Distribution of IEC materials Meet with SINU to plan for Teacher Training Teacher Training – Handwashing promotion (TBD) Meet EAs & Head Teachers - explain year program Competition – children (TBD) Competition - school Social mobilisation / Community outreach (TBD) Sponsorship of community events MONITORING & EVALUATION J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N Diarrhoea data analysed - HIS Surveys (Household, student, teacher) HPU Data Collection Sheet analysed Analysis & reporting

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ANNEX 4: MONITORING AND EVALUATION PLAN Sampling Methodology For student and household surveys, sample size was calculated based on total primary school enrolment (2015), and total community population (taken from census, 2009). It was decided that the sample size would be determined using a confidence level of 95% and a margin of error of 10%. While a margin of error of 5% is preferred, this created sample sizes that were considered to be too big to be manageable for our small team. As a result, the margin of error of 10% was chosen. Stratified sampling, using proportional allocation (where the sample is distributed according to the size of the school / community), was the sampling mechanism chosen. This method is useful when the population is small and non-homogeneous. Each school catchment area was considered one stratum, to ensure that every person in the target area would fall into one stratum, but not be in more than one stratum, thereby ensuring equal chance of being selected. Random sampling will be applied to each stratum. For teacher surveys, it was decided to do a simple survey of the head teacher at each school within the target area, plus one additional teacher per school, randomly selected. The final sample sizes are:

Consti-tuency

School Catchment Area

Student Pop

% total students

Student Sample: 95

Teacher Sample: 28

Catchm-ent Area Pop

% Total Pop

HH Sample: 96

Central GP Betivatu PS 260 4% 4 2 815 3% 2 North GP Nguvia CHS 462 8% 7 2 398 1% 1 NE GP Numbu CHS 416 7% 7 2 629 2% 2

NE GP Ruavatu PS & PSS 248 4% 4 2 651 2% 2

NW GP Aruligo SDA PS 225

4% 4 2 598 2% 2

NW GP St Francis Vaturanga 428 7% 7 2 919 3% 3

NW GP Tamboko CHS 392 7% 6 2 530 2% 2 NW GP Visale PS 246 4% 4 2 348 1% 1 West Honiara Mbokona PS 460 8% 7 2 2613 8% 8

West Honiara

Red Cross Development School 102 2% 2 2 10062 31% 30

Central Honiara

Mbokonavera PS 740 12% 12 2 6996 22% 21

Central Honiara Tuvaruhu CHS 540 9% 9 2 4343 14% 13 East Honiara St Nicholas 630 10% 10 2 1835 6% 6 East Honiara

Mercy Learning Centre 869 14% 14 2 1208 4% 4

6018 100% 95 28 31945 100% 96

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M&E Plan Target Data source How often?

(Collect) How often? (Analyse)

Sample Who will collect? Who will analyse, store, disseminate?

Impact: Reduction in the incidence of diarrhoea among children aged 6-12 years by 2017 15% reduction in diarrhoea prevalence in nearby clinics* (clinic catchments larger than school, based on 33% reduction with universal hygiene)

MHMS HIS Quarterly Quarterly (from Nov 2015)

14 clinics HIS - Ntnl (Baakai) RWASH Sanitation Mgr

Reduced prevalence of children aged 6-12 experiencing diarrhoea during 72 hours (3 days) preceding the interview

HH survey Every 6 months

Every 6 months (from Nov 2015)

96 HHs from 14 school catchment areas

RWASH / R&T Coord GP (EHD & HPU) HCC (EHD & HPU)

RWASH Sanitation Mgr

Outcome (Behaviour): Proportion of children aged 6-12 years in fourteen (14) selected school catchment areas (urban and rural communities) in Guadalcanal and Honiara consistently washing hands with soap and water after going to the toilet and before eating, by end of 2017. % of children aged 6-12 years washing hands with soap and water after toilet / before eating at school

School survey (Observation)

Every 6 months


95 students from 14 schools



% of children aged 6-12 years / parents who report washing hands with soap and water after toilet / before eating at home & school

HH survey Student survey

Every 6 months





Outcome (Access / Practice): Proportion of households and schools with handwashing facilities that have soap and water, by end of 2017. % of households with HWF with soap & water DHS

HH survey (Observation)

Every 7 yrs Every 6 months

Every 7 years Every 6 months (from Nov 2015)


NSO NSO

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Target Data source How often? (Collect)

How often? (Analyse)


% of primary schools with minimum standard of HWF with soap & water (1:100) that are easy to access (within 5m of toilet, kitchen, classrooms, as appropriate)

School survey (Observation)

Every 6 months





Outcome (social norms): Hand washing after toilet and before eating becomes internalised as a desirable social norm. % children aged 6-12 who perceive HW after toilet and before eating, as desirable

Student survey Teacher survey

Every 6 months





% children aged 6-12 who think their peers / parents / teachers / community leaders consistently wash their hands after toilet and before eating

Student survey Teacher survey HH survey

Every 6 months





% children aged 6-12 who report that their peers / parents / teachers / community leaders expect them to wash their hands after toilet and before eating


Every 6 months





Outcome (Process) % children aged 6-12 / HHs / teachers reporting seeing / hearing campaign messages (Where, what message)


Every 6 months





% children aged 6-12 / HHs / teachers that can recall campaign messages


Every 6 months





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Target Data source How often? (Collect)

How often? (Analyse)


Output # IEC materials designed & approved

HPD Data collection sheet

As completed

Quarterly (from Nov 2015)

N/A UNICEF (Atenia) Health Comms Unit Manager (Peter Kafa)


# IEC materials printed - Posters - Brochures - Others

HPU Data collection sheet

As completed


N/A UNICEF (Atenia) Health Comms Unit Manager (Peter Kafa)


# IEC materials distributed - Province - Source (HPD / Prov team / other) - Type (poster / brochure / other)


As completed


N/A GP & HCC (HPD) Ntnl Social Mobilisation Coord (Beverly)


# outreach events - Province & Location - Type (school / community / work / church /other)


As completed


N/A GP & HCC (HPD) Social Mobilisation Coord (Beverly) School principals


# people / 6-12s who attended outreach events - gender & age - province & location - type (school / community / work / church / other)


As completed


N/A GP & HCC (HPD) Social Mobilisation Coord (Beverly) School principals


# media releases produced & distributed HPU Data collection sheet

As completed


N/A Media Officer (Dian) UNICEF (Atenia)

Sanitation Mgr

# media stories published / broadcast - Print - Radio


As completed




# radio programs produced & broadcast - HPD Radio Health / Radio spot / Talkback show - Other


As completed




Documents

151125 Handwashing Communication Plan