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Promoting handwashing and sanitation behaviour change in low-and middle-income countries: a mixed-method systematic review (3ie, 2017)

March 18, 2018

Promotional approaches can be effective in terms of handwashing with soap, latrine use, safe faeces disposal and open defecation. No one specific approach is most effective, however, several promotional elements were shown to induce behaviour change. Different barriers and facilitators which influence the implementation of promotional approaches should be taken into careful consideration when developing new policy, practice, or research projects regarding handwashing or sanitation.

The studies were conducted across 24 low- and middle-income countries. This included 28 studies from Sub-Sahara Africa, 26 from South Asia, 8 from South East Asia and Oceania and 2 from East Asia. We identified only 6 studies conducted in Central or Latin America. For most countries in Central or Latin America we identified few or no studies. It is also notable that evidence is mainly coming from 12 low-income countries (Bangladesh, Cambodia, Ethiopia, Haiti, Kenya, Malawi, Mali, Nepal, Nigeria (until 2007), Somalia, Tanzania, Thailand, Uganda, Vietnam (until 2008) and Zimbabwe) and 10 lower middle-income countries (China (until 2010), El Salvador, Guatemala, India, Nigeria (from 2007), Pakistan, Papua New Guinea, Peru (until 2008), South Africa, Thailand, Vietnam (from 2009) and Zambia) and is rather occasionally derived from 2 upper middle-income countries (China (from 2010) and Peru (from 2008)).

Promotional approaches targeting handwashing and sanitation behaviour are complex programmes based on several promotional elements, and adapted to the context of the environment where they are implemented. This could be confirmed in the studies included in this review. From the quantitative findings we conclude that there is not one promotional approach that is more effective than another.

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Filed Under: Publications (published in print and/or online), Research Communication & Uptake, WASH (Water, Sanitation and Hygiene) Tagged With: Behaviour change, Handwashing

What drives behavior? Key factors for handwashing in Bangladesh (Alive & Thrive Case Study 2015)

November 5, 2016

Designed for practitioners, trainers, and students of behavior change or social marketing, this case study shows how to take the guesswork out of two critical decisions:

  • What behavior will you promote?
  • What key factors will you address to motivate people?

Use the case study kit to teach or learn about methods for behavior change and view A&T’s final TV spot on handwashing + child feeding.

Click here for full details.

Filed Under: Bangladesh, Behaviour Change Communication, Case Studies, Health, Nutrition, WASH (Water, Sanitation and Hygiene) Tagged With: Complementary Feeding, Handwashing, Infant and Young Child Feeding (IYCF)

Handwashing with Soap Toolkit (WSP 2014)

October 16, 2016

Improving handwashing with soap practices can save children’s lives by reducing preventable diseases like diarrhea and acute respiratory infections. Despite its effectiveness in reducing disease, handwashing with soap is uncommon in many countries. The Water and Sanitation Program (WSP) conducted research with local partners in Peru, Senegal, Tanzania, and Vietnam to understand the factors that affect an individual’s decision to practice handwashing with soap.  The research informed the implementation of handwashing project activities in the four countries. Following national and local government implementation, WSP and its partners gathered valuable lessons, which inform this handwashing with soap toolkit. The toolkit, intended for practitioners interested in behavior change, is organized into four modules, each with reports and presentations about the lessons learned from the projects, as well as mass media, direct consumer contact, and interpersonal communication tools used throughout the project.

Click here for full toolkit.

Filed Under: *INTER-PERSONAL ROUTES, Behaviour Change Communication, Health, Peru, Publications (published in print and/or online), Senegal, Tanzania, Vietnam, WASH (Water, Sanitation and Hygiene) Tagged With: Handwashing, Mass Media, Monitoring, Soap, Sustainability

Global Hand Washing Day Social Media Toolkit (The Global Public-Private Partnership for Handwashing 2015)

August 26, 2015

Updated for 2015, this social media toolkit has sample messages, blog ideas, and resources to help celebrants and handwashing champions spread the word about the annual Global Handwashing Day (15 October).

Filed Under: Advocacy, Awareness Raising, Behaviour Change Communication, Education, Health, Publications (published in print and/or online), Social Behaviour Change Communication (SBCC), Social Media, WASH (Water, Sanitation and Hygiene) Tagged With: Handwashing, Social Media, Toolkit

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