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
