Training for Hygiene Promotion. Part 2: Useful to Know

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    Training for Hygiene Promotion

    Part 2: Useful to Know

    PowerPoint

    Best practice materials produced through the Global WASH Cluster Hygiene Promotion project

    (Water, Sanitation and Hygiene), 2009 c/o UNICEF

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    Water & Sanitation Related

    Diseases

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    Transmission of Diarrhoeal Disease

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    The Sphere Project

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    Sphere Overview

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    Sphere Standards

    Example Standards for Hygiene

    Promotion

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    Hygiene Promotion Standard 1:Programme Design and Implementation

    All facilities and

    resources provided reflect

    the vulnerabilities, needs

    and preferences of the

    affected population.

    Users are involved in the

    management and

    maintenance of hygienefacilities where

    appropriate

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    Water supply standard 3

    Water use facilities and goods

    Indicators:-

    Each household has at least two drinking water containers of 10-20litres, plus enough clean water storage containers to ensure there isalways water in the household

    Water collection and storage containers have narrow necks and/orcovers, or other safe means of storage, drawing and handling andare demonstrably used

    There is at least 250g of soap available for personal hygiene perperson per month

    People have adequate facilities and supplies tocollect, store and use sufficient quantities of water fordrinking, cooking and personal hygiene, and to ensurethat drinking water remains safe until it is consumed.

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    Introduction to Gender

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    What is Gender?

    The socially defined roles and responsibilitiesattached to being a man or a woman. These

    change according to time and place

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    Disaggregation of data

    0

    20

    40

    60

    No. of cases

    Sex

    Sex Distribution

    No. of cases 34 58

    M F

    Sex distribution of cholera cases,Kiryandongo Refugee Camp, Masindi 2002 - IRC

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    Practical gender recommendations

    Identify gender-disaggregated needs of the target population.Plan your activities based on those needs.

    Ensure privacy, safety and dignity of sanitation facilities(latrines, bathing areas and laundry facilities).

    Ensure proportional provision of facilities

    Ensure facilities and appropriate NFIs to address menstrualneeds.

    In societies that practice purdahor gender segregation,identify women field workers as well as men.

    Ensure gender-balanced teams. Women sometimes find iteasier to express their views to other women and vice versa.

    Involve men in hygiene promotion activities (hygiene can notbe seen as an issue related only to womens sphere).

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    Community Participation

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    ParticipationLadder

    Empowerment

    Information

    Partnership

    Consultation

    Involvement

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    Common Standard 1: Participation

    Indicators

    Women and men of all ages from the disaster affected and wider local

    populations, including vulnerable groups, receive information about the

    assistance programme and are given the opportunity to comment to

    the assistance agency during all stages of the project cycle

    Written assistance programme objectives and plans should reflect theneeds, concerns and values of disaster-affected people, particularly

    those belonging to vulnerable groups, and contribute to their protection

    Programming is designed to maximise the use of local skills and

    capacities

    The disaster affected population actively participates

    in the assessment, design, implementation,

    monitoring and evaluation of the assistance

    programme.

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    Activities to promote participation

    Listen to men and women separately and analyse

    their different perspectives and needs

    Identify those who might be vulnerable (e.g. women,young children, elderly, those with disabilities,

    minority or excluded groups) and ensure access tofacilities, information and education

    Feed back information to those affected (e.g. from

    surveys or meetings)

    When possible, allow people to set their ownobjectives for action and to determine the success

    of the intervention

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    Behaviour Change

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    Health Action Model(from Hubley, J. 1993)

    Predisposing

    Factors

    Reinforcing

    factors

    Behavioural

    IntentBehaviour

    Change

    Enabling factors

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    Positive Deviance

    Why do some peoplemanage to pursue positivehealth actions despitedifficult conditions?

    Examine the reasons forthis

    Use this to inform healthpromotion initiative

    www.positivedeviance.org

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    Provide Facilities

    Remove Barriers

    Educate and Provide Skills

    Individual & Community

    Action

    Existing Networks

    Opinion Formers

    Lead by example

    Be consistent

    Recognition

    Reward Schemes

    Penalties (where necessary)

    HYGIENE PROMOTION

    Adapted from Defra 2005

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    Source: OXFAM

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    Using Visual Aids

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    Visual Literacy

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    Visual Literacy

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    Perspective

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    Other Promotional

    Approaches and Methods

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    Communication Approaches

    Child to Child

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    Communication Approaches

    PHAST?

    Faster PHAST

    CHAST

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    Social Marketing?

    Campaigns

    Peer Education

    Communication Approaches

    C i ti M th d

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    Communication Methods

    Games

    Mapping

    Drama

    Pocket chart voting

    Three pile sorting

    Discussion groups

    Home visiting

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    Communication Methods

    Radio Programmes

    TV/Video

    Leaflets/Posters/Notice boards

    Puppets

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    Introduction to Baseline Survey

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    Baseline survey timeline

    Situation C Situation B Situation C

    Secondary information(Information referred to thesituation before the disaster)

    Situation B registered byassessment data

    &

    baseline survey data

    Follow up survey

    Disaster Response

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    Response Time line

    Initial rapidassessment:

    Provides

    generalinformationabout needs,

    possible

    interventiontypes and

    resource

    requirements

    Rapid WASHassessment:

    Provides moredetailed /sectorialinformationabout needs,

    possibleintervention types

    & resource

    requirements

    Hours/ Days

    Ongoing assessment,monitoring and finetuning of response

    Process whereby

    information is continually

    updated.

    Pre Disaster Post DisasterImmediate Impact

    Post DisasterAcute

    Post DisasterStabilized

    Post DisasterRecovery

    Days/ Weeks Weeks Months

    Detailed fieldassessment

    Establishbaseline,design

    monitoring

    system

    Developresponse, focusoninfrastructure &service delivery,start monitoringsystem

    Co-ordinate,address priorityproblems

    Consolidateimprovements,focus oncapacitybuilding,prepare forhandover

    S li

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    Sampling

    Purposive sampling

    Used to explore particular issue in depth withparticular group

    Used for FGDs etc.

    Sample to redundancy

    Random Sampling

    Allows us to use the few to describe the whole

    If done well, results can be as reliable as a

    census

    Used for questionnaire or KAP survey

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    Simple Random Sample

    Use sample size of approximately 100

    units

    Represents a good enough approach

    for a social survey in an emergency

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    Malaria Control

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    MalariaTransmission Cycle

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    Human Malaria Cycle