www.brac.net

Asia Regional Sanitation and Hygiene Practitioners WorkshopDhaka, Bangladesh (31st January-2nd February, 2012)

The BRAC WASH programme: Core operational approaches,

monitoring, evaluation and some results

Fazlul Karim, Tahera Akter, Nepal C Dey, Milan K Barua

RED & WASH Programme, BRAC

www.brac.net

BRAC WASH I

programme

intervention in 150 of

482 upazilas

www.brac.net

• Reasons for selecting the intervention upazilas

- Poor sanitation coverage

- High poverty rate

- Arsenic contamination in ground water

• Phase 1 (50 upazilas): 2.74 million HHs

• Phase 2 (50 upazilas): 2.68 million HHs

• Phase 3 (50 upazilas): 2.64 million HHs

www.brac.net

Study focus

• Operational approaches of the programme to facilitate water, sanitation and hygiene targets

• Change in water safety practices, sanitation and self-reported water-related disease prevalence at household level

www.brac.net

Core approaches

• Formation of Village WASH Committee (VWC)

• Capacity building of stakeholders

• Diffusion approach to inform WASH messages

• School sanitation and hygiene education

Other approaches

• Programme component-specific (e.g. water, sanitation and hygiene)

• Quality control

Operational approaches

Drawing social map

Cluster meeting

Demonstration of hand washing

School sanitation

www.brac.net

Study sample

Quantitative • 30,000 households randomly selected from 50 upazilas to assess sanitation coverage and water-related disease prevalence•6,600 households randomly selected from 11 upazilas to assess water safety practices

Data collection tools•Household questionnaire and spot checks

www.brac.net

Some results: water safety practices

www.brac.net

Ownership of sanitary latrines by economic status

www.brac.net

Transition of sanitary latrine users (2007 - 2011)

• 73.3% of the HHs using sanitary latrines in 2007 continued the practice in 2011

• 19.6% of them removed water seal from the latrines

• 7.1% of them shifted to other unsanitary practices, e.g., open defecation, pit latrines, etc.

Transition of unsanitary latrine users (2007 -2011)

• 52.4% of latrines without water seal converted to sanitary latrines through water seal installation

• 46.5% of unsanitary latrines converted to sanitary latrines

www.brac.net

Water-related disease prevalence

www.brac.net

Conclusions • Hygiene behaviour about household water safety practices

improved, but sustainability is an issue

• Ownership of sanitary latrines increased across the economic groups, while major changes happened in the ultra poor

• Shift to sanitary latrines was higher than shift to unsanitary practices, but removal of water seals still remains a challenge

• Prevalence of water-related diseases reduced in all groups, but reported diseases among children under-five was relatively higher

www.brac.net

Thank you