HANDWASHING WITH SOAP AT CRITICAL TIMES

SOME OF THE CRITICAL HANDWASHING WITH SOAP TIMES

• ToprovideknowledgeandskillsonhandwashingwithsoappracticetoCaregiverssothattheycanprovidenecessarycaretochildrenandpreventDiarrhoealdiseasesBytheendofthismodule,participantsshouldknow:1. whatdiseasecausingorganismsareandhowtheycanbespread2. ThetransmissionroutesofDiarrhoeacausingorganisms3. Handwashingwithsoapcriticaltimes4. Benefitsofhandwashingwithsoap5. Outcomesofnotwashinghandswithsoap6. Stepsofhandwashingwithsoap7. Typesofhandwashingfacilities

Aim of the module

FIRST CLUSTER MEETING

Activity1:Paintgame-DiseasespreadMaterialsneeded• Atinofwaterpaint(anybrightcolor)• Soap• Jugandbasinwithwater• Aplate• Spoon• Anyfruit(ieMango)Procedure• Askcaregiverstodiptheirrighthandinatinofpaintandletthewholegroupknowthat(paintwillsymbolizepathogenicfaecalmatter)• Askthecaregiverstowanderaroundtheroomshakinghandswithfellowcaregiversanddosomethingstheyusuallydointheirdailylife(touchingplates,touchingthenose,child’shand,spoonetc.)

DISEASE CAUSING ORGANISMS

• Thisactivityshouldnottakemorethan5minutes• ThenaskcaregiversthefollowingquestionsQuestions• Whatdoyouthinkwashappening?• Whatdoyouthinkdiseasecausingorganismsare?• Whathaveyouobservedregardingdiseasetransmission?• Howarediseasesspread?• HowquicklycandiseasesspreadSummaryEmphasizethefollowingissuesinadditiontowhattheyhavesaid:Whatarediseasecausingorganisms?• Manyinfectionsanddiseasesarecausedbymicroorganisms• Theyareverysmallorganismsthatcannotbeseenbynakedeyesbutcausesillnesswhentheyenterandinfectthesusceptiblehost.• Therearemanymicroorganismsintheenvironmentthatcausesdiseases.ForexampleabacteriumcalledVibriocholeracausesCholera.Diarrhoeaiscaused

byvariousorganisms.Typesofdiseasecausingorganisms• Askparticipantsfirstiftheyknowanytypeofdiseasecausingorganisms?• Fromtheirresponsesemphasizethefollowing:o Diseasesarecausedbyvariousorganismssomeoftheminclude:

TRANSMISSION OF DISEASE CAUSING ORGANISMS

• Germs• Worms• Remember:Microorganismscannotbeseenwithnakedeyesratherwithamicroscope.

• WiththeknowledgeandideasobtainedfromActivity1:Paintgame-Diseasespread–applytheminthefollowingactivity• ConducttheactivitybelowwithparticipantsActivity2:DrawingtheFaecal-OralTransmissionrouteMaterialsneeded• Flipcharts• Pentalmarkersofdifferentcolors• Locallyavailablematerials(relatingtotheactivity)-caregiverswillidentifythemselvesastheyaredoingtheactivityProcedure• Gooutsidetheroomwithparticipants• Dividetheminto2groups• Askthefirstgroupofparticipantstogooutsidetheroomanddrawonthegroundthefaecal-OralTransmissionrouteofDiarrhoeacausingorganisms.Tellthemtobefreetouseanymaterialsaroundtopresenttheirideasandtheyshouldreflectonwhattheyhavelearntfromtheotheractivity.

• Askthesecondgroupofparticipantstodrawonflipchartsthefaecal-OralTransmissionrouteofDiarrhoeacausingorganisms.• Remindparticipantstobecreativeenoughanduselocalsimplematerialsaroundthemtorepresentelementsinthepathways• Eachgroupshouldtakemaximumof10minutestodotheactivity• Whenbothgroupsaredone,thewholeteamshouldgoandappreciatetheworkdonebytheoutsidegroupfirst.Askonemembertoexplaintotherestofthegroup.DothesamewiththeothergroupthengobackintheroomQuestions• Whatarethecommonfaecal-oralroutesforspreadingDiarrhoea?• Whatcanwedotopreventspreadingofvariousdiseasecausingorganismsthroughthewayswhichwehavementioned?• Whatcanhappenifyouarenotwashinghandswithsoap?•

Explain this to caregivers to emphasize their responses:

• Thefirststepininfectionisthemicrobeenteringthebody.Diseasecausingorganismscanbespreadindifferentwaysandeachisspecifictothepathogen.• Diarrhoeacausingorganismsarespreadthroughthefecal–oraltransmissionroutewherepathogensinthefaecalparticlespassfromonepersontothemouthofanotherperson.• Thecommonfecal-oralroutesthatdiseasecausingorganismsspreadamongpeople:o Fingersofdirtorunwashedhandso Flieso Unhygienicfoodandunsafewatero Feaceso Eatingunwashedfoodlike:vegetablesandfruits• Anddiseasescausedbyfecal-oraltransmissionincludeDiarrhoea,typhoid,cholera,polioandhepatitis.

Tizilombo toyambitsa matenda tosiyanasiyana timafala kudzera: zala za maja osasamba, ntchentche, kudya chakudya chosasa-malika ndi kumwa madzi osatetezedwa

HANDS WASHING WITH SOAPQuestion:• HowcanwebreakthepathwaysortransmissionroutestopreventdiseaseslikeDiarrhoea?Emphasizetheirresponsesbyexplainingthistothecaregivers:• Handwashingwithsoapisonewayofbreakingthepathwayoftransmis-sionofDiarrhoeacausingorganismsassomeparticlesinthesoapkillsmicroor-ganisms.• Adequatesanitationandhygienepractices• Assuchcaregiversneedtobesensitiveoftheseissuesandputcontrolmeasurestoprotecttheirchildrenandfamilies.Summary• VariousdiseasecausingorganismslikeDiarrhoeacausingorganismscanbespreadthroughhands• Handsareonequickervehicleofdiseasetransmission• Diseasescanbespreadtomanypeopleinashortperiodoftime• WashyourhandswithsoaptoprotectyourchildfromDiarrhoeadiseasesActivity3:Howtowashhandswithsoap

Materialsneeded• Soap• Jugandbasinwithwater

Procedure• Chooseanumberofcaregiverstodemonstratehowtowashhandswithsoapproperly• AskthewholegrouptobeobservantandtakenoteofstepswhichtheyfeellikewerenotdoneproperlyQuestions• Cansomeonebrieflymentionthehandwashingwithsoapstepsthattheyweredemonstrating?• Isthereanystepwhichyouthinktheymissed?Ifsomentionitanddemon-strateit.Summary• Handwashingwithsoapisnotjustrinsinghandsinwater.Thereisatech-niqueofwashinghandswithsoapproperly.

• InthenextclustermeetingwewilllearnmoreabouthandwashingwithsoapActivity4:Handwashingwithsoapcommitment-Paperplatehandpainting• Fromwhatyouhavelearntandthepubliccommitmentyoumadetomakeyourfamilyahygienicfamily,don’tyouthinkcommittingtohandwashingwithsoapisonewayofachievingit?• Askparticipantswhattheyaregoingtobedoingtoachievethis?• Giveeachcaregiverapaperplateandamarker• Askthecaregiverstowriteontheirpaperplatethecommitmentmessagewhichisonthechalkboard.Commitmentmessage“Iwillbewashingmyhandswithsoapalways”• Thenafterwritingaskcaregivertodiptheirhandintothetinofpaintandpasteitonthepaperplate• Thenaskthecaregivertodipthehandoftheirchildinthepaintandpasteitonthesamepaperplate• AskallthemtowashtheirhandswithsoapandmakesurenopaintremainsintheirhandsQuestions• Isthereanymeaningindoingthisactivity?

• Whatisthemeaningofthehandpaintedpaperplate?• Doesitreflectsomething?Summary• HandwashingwithsoapprotectsyourchildfromgettingDiarrhoea• ItisyourresponsibilityandallothercaregiverstopreventyourchildfromhavingDiarrhoea• Washinghandswithsoapatallcriticaltimesbyyouprotectsyourchildfromgettingsick.• Thereforepromisewashyourhandswithsoapalwaysandprotectyourchild.• Thenaskcaregiverstoplacethepaperplateataplacewhereitcanalwaysremindthemofwashinghandswithsoap(kitchen,sittingroom,verandaetc.)Activity5:HandingoutHandwashingwithsoapscorecards• Giveeachcaregiverahandwashingscorecard• Tellcaregiversthatthescorecardwillhelptotracktheirsuccess• Explainhowitwillbeusedo WhenCommunityKeyInformanthasobservedthatthehouseholdhasachievedsomethingasputonthescorecardshewilltickandstampandreporttoGroupcoordina-torwhowilllaterverifyandawardthehousehold.

KHADI KALONDOLONDO NDI KAPAMBANIDWEDWE KA KHALIDWE LOSAMBA M’MANJA NDI SOPO MU NTHAWI ZOFUNIKA

“ Banja la ukhondo umoyo wabwino”

Questions •Doyouthinkyouwillmanagetowashhandswithsoap? •Ifnotwhatwouldbethechallenges?

Assignment •Whenyougobackhomethinkaboutasong,poemetc.whichyouthinkyou canusetoremindyourselfabouthandwashingwithsoapsteps.

Reminders •Thenextclustermeetingison_____________________ •CommunityKeyInformantsVolunteers(CKI)willconducthouseholdsvisit

FIRST HOUSEHOLD VISIT

Community Key Informant (CKI) should visit each caregiver’s household. Make sure it is a surprise visit to avoid behaviour pretense.

Aims of the Household Visit1. Discussionsaimingatfindingchallenges2. Remindandencourageabouthandwashingwithsoap3. Demonstrategoodpractice4. Developingaworkplanonhandwashingwithsoappracticeto ensure each caregiver meets the public commitment (Ask thecaregiverwhattheyaredoingandplantobedoing).

Use the Checklist like the one below to record your observation during the household visit

SECOND CLUSTER MEETING

• Askparticipantstosharewhattheylearntinthefirstclustermeeting• Askparticipantsiftherewereanychallengesinwashinghandswithsoapandhowtheyarego-ingtoaddressthem• RemindthemagainabouttheFaecal-Oraltransmissionpathwaysandhowthepathwayscanbebroken• Bringoutthepathwayswhichcanbebrokenbyhandwashingwithsoapandemphasizethatthemodulewilldwellonthisandotherpathwayswillbeaddressedinothermodules.

QuestionAskparticipantsthefollowingquestionandaftertheyhaveansweredconductthepaintgametoem-phasizehowthetransmissionroutecanbeinterrupted• HowcantheDiarrhoeadiseasetransmissionroutebeinterrupted?Activity6:Paintgameishereagain!!Materialsneeded• Atinofwaterpaint(anybrightcolor)• Soap• Jugandbasin

RECAP OF THE PAST CLUSTER MEETING

HANDWASHING WITH SOAP

Procedure• Askcaregiverstodiptheirrighthandinatinofpaintandletthewholegroupknowthat(paintwillsymbolizepathogenicfaecalmatter)• Askthecaregiverstowanderaroundtheroomshakinghandswithfellowcaregivers• Thisactivityshouldnottakemorethan5minutes• Thenaskcaregiverstowashhandswithoutsoap• Askthemthefollowingquestionsaftertheyhavewashedhandswithoutsoap:o Howdoesitfeelwashinghandswithoutsoap?o Whathashappenedintheirhandswhentheywashedhandswithoutsoap?• Askthemthefollowingquestionsaftertheyhavewashedhandswithsoap:o Howdoesitfeelwashinghandswithoutsoap?o Whathashappenedintheirhandswhentheywashedhandswithoutsoap?o Isthereanydifferencebetweenwashinghandswithsoapandwithoutsoap?o Whichoneisbetter

What is washing hands without soap?

HANDWASHING WITH SOAP

• Involvescleaninghandswithwateronly• Washinghandswithoutsoapisnoteffectivebecauseitdoesnotremovemicroorganisms

Whatishandwashingwithsoapandwhyishandwashingwithsoapimportant?

• Handwashingwithsoapistheactofcleaninghandswithsoapandwaterforthepurposeofremovingsoil,dirt,andmicroorganisms.• WashinghandswithsoapandwateristhebestwaytogetridofgermsandiseffectiveforthepreventionoftransmissionofDiarrhoeapathogens.Keepinghandscleanisoneofthemostimportantstepswecantaketoavoidgettingsickandspreadinggermstoothers.Manydiseasesandconditionsarespreadbynotwashinghandswithsoapandcleanwater.Diarrhoeaisoneofthediseaseswhichisinfluencedbynotwashinghandswithsoap• Washinghandswithsoapandwaterisnecessarybecauseitremovesdiseasescausingorganisms.Washinghandswithsoapwillremovesubstantiallymorediseasecausingorganismsthanwashinghandswithwateralone.

Hand washing with soap critical timesHandswashingcriticaltimesaretimeswhichareextremelyimportanttowashhandswithsoap

toremovegermswhichmightbeavailableinthehands.Therearemanycriticaltimeswhichrequirewashinghandswithsoaptoreducefecal-oraltransmissionofdisease.QuestionsAskcaregiversthefollowingquestionandthendiscusswiththemabouthandwashingwithsoapcriticaltimes• Whatdoyouthinkarethecriticaltimeswhichrequirehandwashingwithsoap?Summary Someofthecriticaltimesrequiredforhandwashingwithsoap:• Afterusinglatrine• Afterchangingachildnappy• Beforefoodpreparation,beforeeatingandaftereating• Beforeandafterfeedingachild• Afterhandlinganimals• ChildrenlikeplacingfingersintheirmouthsoitisnecessaryforchildrentowashhandsregularlyCriticalhandwashingtimesforsickpeoplecaregiversandchildcaregivers• PeoplewhoareHIVpositiveandchildrenareatahighriskofDiarrhoeadiseases• Caregiversforchildrenandsickpeoplearesupposedtowashhandswithsoapasthey

aredoingtheirchores;weshouldpromotehandwashingwithsoapinthesetimes:beforetheygiveanycaretothechildorsickperson,beforefeedingthemandalsoaftergivingcaretothem.

Remember• Itisimportanttousesoapwhenwashinghands.Soapprovidestwofunctions:itisalubricantandmaycontainagentsthatdisinfectorneutralizebacteria.Thelubricantinsoapiswhatwillcausethedirttobeliftedormovedofftheskinwiththehelpofwater.• Washbothhandswithsoapafterusingthetoilet,cleaningthebaby’sbottom,beforefeedingchildrenandbeforehandlingfoodandpreventdiseases,suchasDiarrhoea.

Benefits of hand washing with soap

QuestionAskparticipantsthefollowingquestion• Whatdoyouthinkarethebenefitsofhandwashingwithsoap?

Following their responses share with them the following:Washinghandswithsoapregularlyisveryessential:• Itshowsrespecttoourselvesandothers• Itpreventsspreadingofdiseasewhichcanbetransmittedthroughcontaminatedhandstoourchildren,familyandfriends• Itpreventstheswallowingofvariousdiseasecausingorganismsfromfeacesasweareeating• ItmakeshandsnottohavebadodorConsequencesofnotwashinghandswithsoapQuestion

Ask participants what the following question• Whatdoyouthinkaretheconsequencesofhandwashingwithsoap?

If you do not wash your hands with soap you are putting your child & family at risk of getting sick

Following their responses, discuss with them the following images:

If you do not wash your hands with soap you are putting your child & family at risk of getting sick

If you do not wash your hands with soap you are putting your child & family at risk of getting sick

Questions• HowcanDiarrhoeaaffectthelifeofyourchild?• HowcanDiarrhoeaaffectyourhousehold?• HowcanDiarrhoeaaffectyourcommunity?Summary• Diarrhoealdiseaseisthesecondleadingcauseofdeathinchildrenunderfiveyearsoldbutitisbothpreventableandtreatable.• Itcanleadtothespreadofdiarrhoealdiseaseatahousehold(Children,parentsetc.)• Diarrhoeaisaleadingcauseofmalnutritioninchildrenunderfiveyearsold.• MoremoneyinthefamilyislostaswearehandlingDiarrhoeacases(transportcoststohospital,moretiespentinhandlingcasesandlossoftimeinotherincomesourcingactivities)• Poorcommunitydevelopment• Overcrowdinginhospitals• Notrespectingothersandyourself• Badodorremaininginthehands• Asignificantproportionofdiarrhoealdiseasecanbepreventedthroughadequatesanitationandhygiene.• ThereforepreventDiarrhoeawashhandsatallcriticaltimesprotectyourchild

Ask care givers the following questions

Remember to wash hands with soap every time before you start preparing food

Remember to wash hands with soap before you start feeding a child

Remember to always wash hands with soap after changing baby a nappy

Remember to wash your hands with soap after using the latrine

Remember to wash your hands with soap after handling animals

Activity 7: Hand washing with soap stepsMaterialsneeded:• Soap• Jugandbasin• WaterProcedure• Askanumberofcaregiverstodemonstratehowtheywashtheirhandswithsoap?• AskthewholegrouptoidentifyanddemonstrateifthereareanystepshavebeenmissedThenexplainthefollowingtocaregiverswhileshowingthemtheillustrationbelow:

Hand washing with soap steps

•Rememberinthefirstclustermeetingyouwereassignedtothinkofasongorcreatesomethingwhichcanbeusedalonghandwashingwithsoapprocess. If theyalreadyhaveasongtellthemtosingastheydemonstratehandwashingwithsoap.Ifnotmaytheydevelopone.It’snotcompulsorytocreateasongitcanbeapoemoranythingcreativetoalwaysremindcaregiversthehandwashingprocess.•TellparticipantsthatthesongtheycreatewillbeusedoftenintheirmeetingsActivity9:Assignment•Informcaregiverstopreparetoshareinthenextmeetingthetypesofhandwashingfacilitiesthey have at their household. If they don’t have they can share the types of hand washingfacilitiesavailable in theircommunity?Andalsowhich typesofhandwashing facilities theylikeandwhy?RemindersBeforeclosingthemeetingsinformparticipantsthefollowing:•TheCKIwillconducthouseholdvisitstoempowerthem•Thenextclustermeetingdate•Caregiversshouldcomewiththeirhusbandsandchildinthenextmeeting

Activity 8: Hand washing with soap song

Community Key Informant (CKI) should visit each caregiver’s household. Make sure it is a surprise visit to avoid behaviour pretense.

Aims of the Household Visit5. Identifyingperformers(thosewashinghandswithsoap)byobservingexistingpractices6. Discussionsaimingatfindingchallenges7. Remindandencourageabouthandwashingwithsoap8. Demonstrategoodpractice9. Developingaworkplanonhandwashingwithsoappracticetoensureeachcaregivermeetsthepubliccommitment(Askthecaregiverwhattheyaredoingandplantobedoing)10. Askcaregiverstobringtheirchildtothenextclustermeeting11. Remindcaregiverstocomewiththeirhusbandstothenextclustermeeting

SECOND HOUSEHOLD VISIT

Use the Checklist like the one below to record your observation during the household visit

THIRD CLUSTER MEETING

Recap on previous cluster meeting lesson• Askparticipantstosharewhatwaslearntinthepastclustermeetingandhouseholdsvisit• Askparticipantswhatwaseasyandhardaboutwashinghandswithsoap• Facilitator announces performers as observed during household visits and asks theperformertosharetipstofellowcaregiversonhowtheymanageandalsohowotherscanadoptandmaintainthebehaviour• Remindthemaboutthegroupcommitmentwhichtheymade

Activity 10: Hand washing with soap Dazzy game Materials needed• Water• Jugandbasin• Soap

Procedure • Askallcaregiverstowashhandsfirstwithoutsoap(dependingontimeallcandoitalljustafew)• Andafterthehandsaredry,askthemtowashhandsagainbutnowwithsoap• Theyshoulduseabasinandjugforhandwashing

Questions• Askcaregiverswhattheyfeltafterhandwashingwithoutsoapandafterhandwashingwithsoap?• Isthereadifference?• Askthemtoconcludewhatisbest

Summary • Handwashingwithsoapbringsagoodfeelingapartfromremovingdirtandkillinggerms.WashhandswithsoaptopreventDiarrhoeaandtoprotectyourchildfromDiarrhoea.Afterthisactivityintroducetoday’slesson:HowtowashhandswithsoapproperlyActivity11:HandwashingwithsoapprocessdemonstrationsMaterialsneeded:• Soap• Water• Jugandbasin

Procedure• Ask2or3participantstodemonstrateproperhandwashingwithsoapprocessQuestions• Havetheydonehandwashingwithsoapproperly?

•Ifnotmaytheoneswhorespondedsocorrectwheretheyfeelitwasn’tdoneproperlyActivity12:handwashingwithsoapsongRememberlasttimeyoumadeasong,poemetc.toremindyouofthehandwashingwithsoapprocess.Mayyousingitandifthereisaneedformodifyingitpleasedo.

How to wash your hands with soap properly•Whatdoesitmeantohave“goodhandwashingtechnique”?Asyoumighthaveguessedalready,washingyourhandsmeansmorethanslappingonabitofsoap,latheringupandthenrinsingoff.Anyonecan“washtheirhands”withsoapandwaterandstillcomeawaywithevenmorebacteriathanwhentheystarted.Therealsecrettocleanliness,itseems,isnotonlywhetheryouusesoap,buthowhardyouscrub,andforhowlong.•Thewayyoursoapisstoredanddispensedalsomatters,althoughinpublicenvironments,that’smuchlessunderyourcontrol.•Healthofficialsrecommendwashingforanywherefrom20to30secondsStepstofollowforhandwashingwithsoap

Explain this to caregivers while showing them the image below:• Rinseyourhandswithwater• Applysoapinyourallhandsandallfingers

• Rubyourhands• Rinseyourhandswithwater• Dryyourhandswithacleanwiperifavailableorshakeyourhandssothattheygetdriedwithair.ThismakesyourhandsnottocontaindiseasecausingorganismsEmphasizethehandwashingprocessbyshowingthemthehandwashingstepsbelow:Handwashingwithsoapsteps

Questions•Istheproperhandwashingwithsoapprocesseasytofollow?•reanystepyouweremissing

Summary• handwashingwithoutsoapisincomplete• Handwashingwithsoapisnotjustmakingyourhandswet• Whenwashinghandswithsoapmakesurethatyouhavewashedbothhandsusingbyusingthestepsshowerinthefiguresothatalldiseasecausingorganismsareremoved• Itisverygoodtowashhandswithsoapbecausesoapkilldiseasecausingorganismsandremovedbutodourandalsomakeshandssoft.Itisnotgoodtowashyourhandswithoutsoapbecausedirtanddiseasecausingorganismsarenotremoved.

Ntchito 13: zotsatira za zipangizo zosambira m’manja ndi sopoKumbukani kuti mumkumano wathu wambuyomu tinapatsidwa ntchito yoti tizagawana zazipangizozosambiram’manja

Zipangizo zosambira m’manja

Funsani osamalira ana mafunso otsatirawa:• Perekenimitunduyazosambiram’manjazomwemumagwiritsantchitokapena mukuzidziwandipochimakusangalatsanikapenasichikusangalatsanipazosambiram’manjazondichani?• Perekanimitunduyazosambiram’manjayomwemumagwiritsantchitokapenamumadziwakutizimagwiritsidwantchitomunthawiizi:• Akachokakuchimbuzi• Asanadyetsemwanachakudya• Asanakonzechakudya• Akathakusinthamwanathewera• Awonetsani osamalira ana mitundu ya zosambira m’manja zomwe zilipo ndipo afunsenimafunsopamtunduuliwonsewachosambiramanja:o Ndichosambiram’manjachitichomwemumakonda?Chifukwachiyani?o Nangandichosambiram’manjachitichomwesimukonda?Chifukwachiyani?o Ngatialindimitundu inayazosambiramanjayomweakudziwaafunsenikutiagawanendigulundipoaphunzitsemmeneamapangirachosambiram’manjacho.o Kambirananindiotengambalimitunduyazipangizozosambiram’manjayomweamagwiritsantchitoposambamanjandisopomunthawizonsezofunikirakusambamanja:• Akachokakuchimbuzi• Asanadyetsemwanachakudya• Asanakozechakudzandikusithamwanathewera

Hand washing facilities Activity 13: Hand washing with soap facilities assignment feedback• Rememberinthelastclustermeetingyouwereassignedthattodayyouwillshareabouthandwashingfacilities.• Askcaregiversthefollowingquestions:o Sharethetypesofhandwashingfacilitieswhichtheyuseorknowo Sharethetypesofhandwashingfacilitiestheyuseorknowfor:• Afterlatrineuse• Beforefeedingchild• Beforefoodpreparation• Afterchangingchildnappy• Then show caregivers the existing hand washing facilities and ask them the followingquestionsforeachhandwashingfacility:o WhatdoyoulikeaboutthishandwashingfacilityandWhatdon’tyoulikeaboutthishandwashingfacilityo Iftheyhaveadifferenthandwashingfacilitywhichtheyusetheyshouldsharetothegroupandteachhowtoconstructito Discusswithparticipantstypesofhandwashingfacilitieswhichtheyaregoingtobeusinghandwashingwithsoapinthefollowingcriticaltimes:• Afterlatrineuse• Beforefeedingchild• Beforefoodpreparationandafterchangingchildnappy

Types of hand washing facilities:

Tippy tap

Pail with a tap

Jug and basin

Scooping cup

• Thetippytapisahandsfreewaytowashyourhandsthatisespeciallyappropriateforareaswherethereisnorunningwater• Itisoperatedbyafootleverandthusreducesthechanceforbacteriatransmissionastheusertouchesonlythesoap• Itusesonly40millilitersofwatertowashyourhandsversus500millilitersusingamug• Additionally, the used “waste” water can go to plants or back into the watertable.• AtippytapisnothardtobuildanditrequireslocallyavailableresourcesActivity14:Buildingatippytap• Together with caregivers construct a tippy tap at a latrine near the meetingplacetrineusingthefollowingsteps

• Usetheguidebelow:Materials needed• 2mforkedsticksx2

How to build your own tippy tap

• 1mstraightsticksx2• Toolstodig• Gravel• String• Nail&candle• Soap• Watercontainer

Procedure 1. Digtwoholes18indeepandabout2ftapart2. Placetheforkedsticks,ensuretheyarelevel3. Fillholeswithsoil&rocks,andpacktightly4. Heatthenailandmakeholesinthewatercontainer5. Makeaholeinthesoapandthreadstring6. Hangcontainer&soapandfillwithwater7. Attachstringtowatercontainer8. Andtofootleverstick

9. Usegravelasbasintocapturewater

Questions• Wasthereanythinghardtodoinbuildingourtippytap?• Whatmaterialsarehardtofindhereandwhatalternativematerialswouldweuse?• Arewegoingtobuildatippytapatourhouseholds?

Summary• TheTippyTapisasimpledeviceforhandwashingwithrunningwater• Only thesoap is touchedwith thehands, thedevice isveryhygienic.Agravelbedisusedtosoakawaythewaterandpreventmosquitos• buildyourowntippytapmakehandwashingwithsoapeasyandpreventdiarrhoeal

Guide for building a tippy tap

Zipangizozofunika

M a c h i t i d weake

PLEASE DO NOT FORGET TO WASH YOUR HANDS WITH SOAP IN ALL CRITICAL TIMES

nBeforeclosingthemeetingannounceagainthehandwashingwithsoapperformersandawardthemwitha(jugandbasin)

nAndthenintroducehandwashingfacilityconstructionandusecompetition

nBelowisthedescriptionforthehandwashingwithsoapfacilityconstructionandusecompetitionguideline

nBuildahandwashingfacilityataplacewhichwillhelpeasyhandwashingwithsoapatcriticaltimes

nThosewhowillconstructhandwashingfacilityandusetheirhandwashingfacility

AND REMEMBER HANDWASHING WITHOUT SOAP IS INCOMPOLETE!!!!

REMEMBER!!

THIRD HOUSEHOLD VISIT

TheCommunityKeyInformantsshouldvisiteachhouseholdinthecluster

Aims of the Household visit

• Identify hand washing with soap performers by observing and takingphotographs-UsetheHouseholdvisitchecklist• Remindaboutcostsandbenefitsofhandwashing-Usesomeofthepicturesinthistool• Identifythosewhohaveconstructedhandwashingfacilitiesandtakephotographs-UseHouseholdvisitchecklist• Assesthelevelofknowledgeandskillsregardinghandwashinginfrastructure(constructionofhandwashingfacilityanduseofsoap)andtakeaphotographs-UsetheHouseholdchecklistbelow• Assessthosewhohaveconstructedhandwashingfacilitieswellandarepracticinghandwashingwithsoapandtakephotographs-Usetheobservationchecklistbelow

Third Household Visit Checklist

FOURTH CLUSTER MEETING

• Askparticipantsthisquestion:whatcanwesayabouthandwashingwithsoap?• Remindabouttheimportanceofhandwashingwithsoap• Askcaregiverstoshareexperienceandaskperformerstoalsoencourageothers• Askcaregiversifthereareanyissueswhichtheyneedmoreclarification

Activity 14: Hand Washing with Soap Glo Germ Experiment Materials • Powderorgelthatsimulatesthepresenceofgermsonstudents(GloGerm)• Blacklightorultravioletlight• Handwashingfacility• Soap

Procedure

1. Spreadsomeofthegermsimulatingpowderorgeloncaregiver’shands.Spreaditevenlyoverbothhands,includingthebacksofthehandsandtheskinnext

Recap of the past meetings

toandunderthefingernails.2. ThenplacetheCaregivershandsundertheUVlight.Underthelight,the“germs”willshowup.askcaregiverstodeterminethecleanlinessofthewasher’shand3. Askthecaregiverstowashtheirhandswithoutsoap4. ThenplacetheCaregivershandsundertheUVlight.Underthelight,the“germs”willshowup.Askcaregiverstodeterminethecleanlinessofthewasher’shand.Anyremaininglotionwillshineblue(fluoresce)undertheUVlampandshowtheareasthattheymissedwhentheywashedtheirhands.5. Explainanddemonstratethecorrecthandwashingwithsoaptechnique6. ThenplacetheCaregivershandsundertheUVlight.Askcaregiverstodeterminethecleanlinessofthewasher’s

Questions • Whathaveyouobserved?• Andwhatisyourconclusion?• Doyouthinkhandwashingwithsoapistherightwaytogo?Why?

Summary• Cleanhandsmaynotbesocleanafterall.Microorganismswhichcause

diseaseslikeDiarrhoeacannotbeseenwithnakedeyesandhencethecriticalimportanceofwashinghandswithsoaptopreventDiarrhoea.

Activity 15: Benefits of Hand washing with Soap-VideoMaterials needed1. Projector2. Laptop3. Generator4. UNICEFVideo

Procedure 1. Playthevideoforcaregiverstowatch2. Afterthevideoaskthecaregiversthefollowingquestionsa. Fromthevideo,whatarethebenefitsofHandwashingwithsoap?b. Whatwillhappenifcaregiversandhouseholdsmembersdon’tpracticehandwashingwithsoap?

Questions• Whathaveyoulearntfromthevideo?• HowcanweprotectourchildrenfromDiarrhoea?

• Whatcriticaltimesforhandwashingwithsoaphaveyouseeninthevideo?

Summary• Handwashingwithsoapatcriticaltimesisessential.Itprotectsyourchildandyourfamily.Washyourhandswithsoapatallcriticaltimes.

Activity 16: Clusters Hand washing with soap experience sharing • Eachclustertopresenttheirhandwashingwithsoapprocessmemorysong,poemetc.

• Caregivers from each cluster to share hand washing with soap experience. It can be regarding the following:o Howeasyisittowashhandswithsoap?o Arethereanychallengesofwashinghandswithsoapalways?o Howweretheyareaddressingandhowaretheygoingtodealwiththem?Activity17:makinghandwashingwithsoapstreamers

Materials needed• Plaincolouredpaperstreamers

• Markers• Crayons

Procedure• Giveeachcaregiverastreamerofabout6colouredpapers• Askthemtowritesomethingregardinghandwashingwithsoapwhichtheywanttoalwaysrememberandtheywantthestreamertoalwaysactasareminder• Theycanputmessagesordraw• Askthemtoidentifyaplaceattheirhouseholdwheretheycanhangit

Before closing the session do the following:• AwardHouseholdswhichhaveconstructedhandwashingfacilitiesandarepracticinghandwashingwithsoap–showtheclustermembersthephotographoftheperformers• Askthecompetitionwinner(rolemodels)toencourageothers-emphasizethatrelapsedohappensbuttheyhavetoalwaysgetupwhentheyfall• Caregiversmakeagroupcommitmenttosustainthepracticeofhandwashingwithsoapandprintphotographsofperformers• Awardcaregiverswhohaveachievedrequiredpointsonthescorecard.