Thanks for this Peter,
Good to see - although on the other hand I'm not sure this segregation of the "holy trinity" ro reduce diarrhoeal diseases is useful. I completely agree that hygiene improvement is an essential, and much too often neglected, element in the fight to reduce diarrhoeal diseases, but to say “without change in hygiene behaviour, we get none of the benefits of water, none of the benefits of sanitation” is clearly inaccurate. The benefits are less than they would be without hygiene promotion but there are benefits nonetheless.
Of course it is not ideal, and of course improvements are maximised when the trinity is used as a complete package - but I don't think its any more helpful to be purely hygiene oriented than it is to be only water supply oriented or sanitation infrastructure oriented. The full package is what is needed, a rounded approach. And if we don't present the entire package as a package, then how can we expect donors, or people from outside the sector to get it right?
 
 
All the best,
Patrick

   
________________________________
 From: PeterJ Bury <b...@irc.nl>
To: WASHsanitation Googlegroup <washsanitation@googlegroups.com>
Sent: Thursday, March 15, 2012 1:42 PM
Subject: [washsanitation:931] Fwd: World Hygiene Programme Newsletter

Sorry for cross posting, Peter

From: World Hygiene Programme <m...@whp.org.in> Date: Thu, Mar 15, 2012 at 04:49Subject: World Hygiene Programme Newsletter To: profb...@gmail.com
      
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The hygiene story    

Hygiene is by far the weakest of the water, sanitation and hygiene family and World Hygiene Programme want to change that.  The enormity of our challenge has been underlined by a recent WHO/UNICEF Joint Monitoring Programme report on the progress towards Millennium Development Goal (MDG) 7c, to halve the number of people without sustainable access to safe drinking water and basic sanitation by 2015.  Water, sanitation and hygiene (WASH) go hand in hand, with each relying on the other in their effort to improve public health and reduce preventable disease.  Yet in this 66 page report hygiene is mentioned only five times.  
Being overlooked is not unusual and demonstrates the road to improved hygiene on a global scale will be long and hard.  We understand the report is about MDG 7c, therefore water and sanitation is of course the focus, but we also know that “without change in hygiene behaviour, we get none of the benefits of water, none of the benefits of sanitation” (Dr Val Curtis, Director of the Hygiene Centre at the London School of Hygiene and Tropical Medicine).  This was one of the messages delivered at the WASH Conference 2011 and it is a message that continues to go unheeded.

Hygiene’s impact is currently underrated and does not receive adequate attention from the international public health and development communities.  The result is that hygiene’s potential for reducing preventable diseases remains untapped.  But why is hygiene so important? Well, here’s the story (in short):
        * Around 2.5 billion people live in situations where they are surrounded by sh!t (because they have no toilet or latrine).
        * When you live around sh!t, you cannot live hygienically and you cannot avoid diarrhoea.
        * Diarrhoea kills more children than AIDS, malaria and measles combined (WHO, WaterAid).
        * In the past ten years it has killed more children than all wars since WWII (WSSCC).
        * Safe water supply can reduce diarrhoea by 21% (charity: water).
        * When clean water is combined with good sanitation and hygiene, diarrhoea is reduced by up to 65% (WHO).
        * Hygiene promotion is THE most cost-effective public health intervention (Dr Val Curtis).
        * And without hygiene promotion we get none of the benefits of water and sanitation.  In spite of this, many water and sanitation projects continue to overlook hygiene, which only receives around 10% of the funding in WASH . This is madness.  It makes us angry.  We want to change it. More people need to hear this story and hygiene must receive the attention and the resources it deserves.  

We are looking for partners to help us to spread our message, so if you or your organisation would like to join the WHP community please contact mark.eddles...@whp.org.in.  Your ideas and support will be crucial in the long journey to having hygiene promotion delivered alongside all water and sanitation projects.

Good health!
The WHP team
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