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TitleGlobal scaling up handwashing project : scaling up handwashing behavior : findings from the impact evaluation baseline survey in Senegal
Publication TypeMiscellaneous
Year of Publication2011
AuthorsOrsola-Vidal, A, Yusuf, A
Secondary TitleTechnical paper / WSP
Paginationx, 61 p.; 2 boxes; 2 maps; 43 tab.
Date Published2011-06-01
PublisherWater and Sanitation Program - West and Central Africa (WSP-WCA)
Place PublishedS.l.
Keywordshand washing, hygiene, personal hygiene, sdihyg, senegal, toilet hygiene
Abstract

In december 2006, in response to the preventable threats posed by poor sanitation and hygiene, the Water and Sanitation Program (WSP) launched Global Scaling Up Handwashing and Global Scaling Up Rural Sanitation to improve the health and welfare outcomes for millions of poor people. Local and national governments implement these large-scale projects with technical support from WSP. Handwashing with soap at critical times—such as after contact with feces and before handling food—has been shown to substantially reduce the incidence of diarrhea. It reduces health risks even when families do not have access to basic sanitation and water supply. Despite this benefit, rates of handwashing with soap at critical times are very low throughout the developing world. Global Scaling Up Handwashing aims to test whether handwashing with soap behavior can be generated and sustained among the poor and vulnerable using innovative promotional approaches. The goal of Global Scaling Up Handwashing is to reduce the risk of diarrhea and therefore increase household productivity by stimulating and sustaining the behavior of handwashing with soap at critical times in the lives of 5.4 million people in Peru, Senegal, Tanzania, and Vietnam, where the project has been implemented to date. In an eff ort to induce improved handwashing behavior, the intervention borrows from both commercial and social marketing fields. This entails the design of communications campaigns and messages likely to bring about desired behavior changes and delivering them strategically so that the  target audiences are “surrounded” by handwashing promotion via multiple channels. One of the handwashing project’s global objectives is to learn about and document the long-term health and welfare impacts of the project intervention. To measure magnitude of these impacts, the project is implementing a randomized-controlled impact evaluation (IE) in each of the four countries to establish causal linkages between the intervention and key outcomes. The IE uses household surveys to gather data on characteristics of the population exposed to the intervention and to track changes in key outcomes that can be causally attributed to the intervention. In Vietnam, the handwashing project is carried out in 540 communes across 56 districts in 10 provinces. Underway since 2006, Phase 1 of the intervention has reached a total of 1.8 million people. Phase 2 of the intervention aims to reach an additional 30 million people through interpersonal communication (IPC), community marketing events, and mass media, and is being evaluated through a randomized controlled  impact evaluation. This technical paper describes the baseline findings from Senegal, and is part of a series of technical reports summarizing baseline findings from similar surveys conducted in each of the Scaling Up project countries. [authors abstract]

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