Hygiene Improvement Project (HIP)
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Why Hygiene?• Diarrhea accounts for
20% of childhood deaths globally
• Improved hygiene practices each can reduce diarrhea prevalence by 30-40%
• Low cost, high impact interventions exist to prevent diarrhea
Why HIP?• Builds on USAID’s
30-year experience in hygiene programming
• Starts by working at scale
• Focuses on improving key hygiene practices
Key Hygiene Practices• Safe feces disposal• Hand washing with
soap or equivalent substitute (e.g. ash)
• Safe storage and treatment of water at the point of use
Key HIP Tasks• Implement hygiene improvement at scale
in at least five countries • Integrate hygiene considerations into
existing health/non-health programs• Share USAID’s global experience and
knowledge in the field and advocate for hygiene improvement
• Provide support and capacity strengthening to PVOs, NGOs and networks in the field.
Characteristics of a Scale Effort
• Systems approach
• Behavior First• Multiples• Hygiene
Improvement Framework
• Coverage
Systems Approach
Examine:• The WHOLE• Relationships• Degrees of
freedom• Mainstreaming• Patterns• Commonalities• Opportunities
Emphasize:• Relationships and
patterns of behavior
• That a small event in one sector can have tremendous impact elsewhere
• Key influence points
Behavior First
• Focus on improving key individual hygiene practices
• Identify, promote and facilitate improved practices
Behaviors that people are both willing and able to practice
• Design interventions that motivate and facilitate these improved practices
Multiples• Multiple
stakeholders• Multiple levels• Multiple
interventions• Multiple options
Hygiene Improvement Framework
(HIF)
• Communication• Social mobilization• Community participation• Social marketing• Training
HygienePromotion• Water Supply
• Sanitation systems• Available Household
Technologies and Materials
Access to Hardware
• Policy improvement• Institutional strengthening• Financing and cost-recovery• Cross-sectoral coordination• Partnerships
Enabling Environment
Hygiene Improvement
Diarrheal Disease Prevention
Coverage
Ensure Large Scale through:
• Health impact realized
• Total population covered and/or
• Geographic areas covered
Ensure Sustainability by:
• Intervention concentration
• Activity saturation• Systems
interaction• Critical mass
behavioral impact
Illustrative HIP assistance
• Design, plan, implement and monitor HI programs at scale
• Integrate HI into other programs, e.g. HIV/AIDS, education, nutrition
• Assure and use the right mix of approaches and interventions
• Build coalitions and develop capacity of interested stakeholders
• Engage private sector partners to improve hygiene practices
How HIP operates
1. HIP identifies countries interested in long-term collaborative HI efforts at scale and offers modest start-up funding.
2. HIP partners with PVOs, NGOs and private commercial organizations to strengthen hygiene behavior change capacity and hygiene programs and to share knowledge.
How HIP operates (2)
3. HIP forges collaborative relationships with other agencies and institutions in this sector to exchange information and collaborate.
4. HIP creates working relationships with other health and non-health programs where HI can enhance the goals of these sectors.
HIP PartnersAcademy for Educational Development
with• ARD, Inc• The Manoff Group• International Water and Sanitation
Centre (IRC), the Netherlandsand
Resource partners: Aga Khan Foundation, Hindustan Lever, International Rescue Committee
Contact Information
Hygiene Improvement Project (HIP)
Academy for Educational Development
1825 Connecticut Avenue, NW
Washington, DC 20009 USA
202-884-8700