Devine, J. (2009). Introducing SaniFOAM : a framework to analyze sanitation behaviors to design effective sanitation programs. (Learning to scale up. Working paper). Washington, DC, USA, Water and Sanitation Program. 28 p.
SaniFOAM is a conceptual behaviour change framework that can be used both in community-led and in sanitation marketing approaches. It is designed to help program managers and implementers to promote sanitation at all stages of their interventions, from program design through implementation to monitoring and evaluation.
The paper describes the four elements of the framework and provides examples from formative research findings and field-based experiences.
The elements of SaniFOAM are:
F for Focus: What are the desired sanitation behaviors,
and who is the target population?
O for Opportunity: Does the individual have
the chance to perform the behavior?
A for Ability: Is the individual capable
of performing it?
M for Motivation: Does the individual want to perform
it?
SaniFOAM is one of the tools being developed in the Global Scaling Up Sanitation Project, implemented by the Water and Sanitation Program (WSP). The project is currently applying SaniFOAM in three countries: Tanzania, Indonesia and India. Most notably, in East Java, Indonesia, the SaniFOAM framework has been used to design qualitative and quantitative surveys, develop communication materials supporting community-led efforts aimed at eradicating open defecation and design a strategy aimed at strengthening the supply of sanitation products and services.
The USAID Hygiene Improvement Project has prepared a “Water, Sanitation, and Hygiene Improvement Training Package for the Prevention of Diarrheal Disease” which provides information for organizations worldwide that seek to add WASH activities to their current programs or to start a diarrhea reduction program. It is intended to support the training of local outreach workers and their work in communities to promote improved WASH practices to reduce diarrhea.
The Training Package consists of three separate parts:
(1) a step-by-step “Guide for Training Outreach Workers,”
(2) an “Outreach Worker’s Handbook” for community outreach workers to use during and after training, and
(3) a “Collection of Resource Materials” to use as a source for visual aids.
This WASH training package is available on CD and online at http://www.hip.watsan.net/page/3396.
To request free copies of the CD send an e-mail to h...@aed.org.
There is a feisty old woman in every village. In Maparanhanga, a remote village in Mozambique, reached by a several-hour-trip through potholes held together by scraps of road, the feisty old woman didn’t stand out at first. She sat alongside her female neighbors in a circle divided by age and gender — men standing on one side, women sitting in another group, children closing the circle — watching with some horror as a young man, unknown to her before today, asked her to eat some nice meat and rice.
It was considered high-class food in this rural area where meat stew is a luxury and two months of the year around harvesting are known as “the hunger period.” And still she said, no way, her face showing nothing but disgust. Why not? Because the nice meat and rice had been placed next to some human feces, carefully arranged on a piece of paper, and she had watched, along with the rest of the village, as flies happily flew from shit to food and back again.
This cannot have been a new event: as is the case in 80 percent of villages in Mozambique, and countless others worldwide, the only latrine available to villagers was bushland. Left in the open, the shit would surely have come back into the village on flip-flops and feet and fingers; on chicken claws and dog paws. That was how it had always been. Nothing wrong with it. But seeing the shit and food together was a revelation. There were gasps, screams, embarrassed laughter. The children covered their mouths; the old woman looked outraged. She was seeing her living environment with fresh eyes, and with those fresh eyes had come disgust.
And with disgust comes change — or so goes the theory of Community-Led Total Sanitation (CLTS). CLTS, a methodology aimed at improving the parlous state of global sanitation, was developed ten years ago by the Indian agricultural scientist Kamal Kar. Community-Led, because it’s not supposed to be about instruction but revelation. Total Sanitation, because that’s the goal: there’s little point in 90 percent of villagers having a latrine when the other ten percent are still tramping shit back into the living environment.
The need for this theory, and the change that comes with it, are more significant than one would assume. The idea of defecating in the open air to a toilet may seem unthinkable (though it’s the reality of four in ten people on the planet, or 2.6 billion), but it is a curious fact that even if someone has a latrine, they may not choose to use it despite the obvious and less obvious risks. Human excrement can carry up to fifty communicable diseases. Diarrhea, 90 percent of which is caused by food and water contaminated by excrement, kills a child every fifteen seconds. That’s more than AIDS, malaria, or measles, combined. Human feces are an impressive weapon of mass destruction.
Some 16,000 volunteers will take to the streets of Juba, the capital of southern Sudan, next month in a United Nations programme to tackle health hazards caused by public dumping of waste in a rapidly growing metropolitan area that has endured repeated fatal outbreaks of cholera, water-borne diseases and malaria.
The project is part of a £20 million United Kingdom-funded project to improve the sustainable use of natural resources in Africa’s largest country, to be carried out by the UN Environment Programme (UNEP) over the next three years. UK Minister of State for International Development Gareth Thomas was visiting Juba to launch the segment that aims to establish long-term waste management capacity in Southern Sudan.
The clean-up, which will be replicated in the nine states of southern Sudan, will be coupled with a sustained awareness-raising campaign to encourage the citizens of Juba to adopt an environmentally friendly attitude towards the disposal of waste in the city.
UNEP’s country-wide programme seeks to help the people of Sudan, a country ravaged by several current and recent conflicts, to achieve sustainable peace, recovery and development by improving the management of natural resources.
The recently established UNEP office in Juba will also provide technical support to the Government to manage its forests and other valuable natural resources in a sustainable manner, and work to build the capacity of Government ministries to tackle environmental issues.
After a peace agreement in 2005 ended two decades of war between the Government in Khartoum, in the north, and southern Sudanese rebels, UNEP conducted a post-conflict environmental assessment, making 85 recommendations and outlining a detailed US$ 120-million action plan over three to five years.
Source: UN News Centre, 16 Oct 2009
Dr. Jack Colford, professor of epidemiology at UC Berkeley’s School of Public Health, will coordinate the project, working with the International Centre for Diarrheal Disease Research, Bangladesh (ICDDR,B) and Innovations for Poverty Action (IPA).
An estimated 2.2 million children under the age of 5 die from diarrheal diseases each year, according to the World Health Organization. Most of these diseases are thought to be preventable with improvements in sanitation, water quality and hygiene.
Due to the high cost of developing and maintaining large infrastructure projects, such as networked water, there is now a movement toward simpler, alternative methods to improve health in rural areas. However, there is almost no evidence that allows direct comparison of the health benefits or cost effectiveness of these simpler interventions, such as improved latrines, household water treatment and hand washing with soap.
The goal of the new project is to determine how sanitation interventions, delivered alone or as part of combined intervention packages, impact child health and well-being. In addition to improved sanitation, the intervention packages will include drinking water improvements and hand washing solutions. The results have the potential to influence how billions of dollars are directed towards long-term improvements in health and economic outcomes for millions of children each year, said Colford.
“Increasingly, foundations, governments, the World Bank and development agencies such as the MCC (Millennium Challenge Corporation) are demanding evidence of effectiveness when awarding development funds,” said Colford. “Right now, it is unknown whether single interventions are as cost effective as combinations of these interventions. This grant will fund the first large-scale, randomized impact evaluation designed to gather rigorous evidence about this question.”
The study will test the impact of these sanitation, water and hygiene interventions using a large-scale, randomized impact evaluation in Bangladesh and Kenya. These two countries are representative of the two regions that account for the majority of the world’s gastrointestinal disease burden: Southeast Asia and sub-Saharan Africa. The researchers expect to enroll a total of 23,000 children in the trials, which will be monitored by several institutional review boards.
Of the $10.9 million, about $7.9 million will be subcontracted out to the two field sites. Dr. Stephen Luby, head of the Programme on Infectious Diseases and Vaccine Sciences with ICDDR,B, and Michael Kremer, Ph.D., a research affiliate with IPA, will lead the trials in Bangladesh and Kenya, respectively. They will be joined by a team of experts from various disciplines, including public health, economics, behavioral change, nutrition, cognitive development and tropical enteropathy.
The Sustainable Sanitation Alliance (SuSanA) is a loose network of organizations, NGOs, research institutions and individuals which contribute to the achievement of the MDGs by promoting sanitation systems which take into consideration all aspects of sustainability.
This special seminar convened by SuSanA will focus on Organizational co-learning for up scaling sustainable sanitation in Sub-Sahara Africa. The main aim is to share experiences, trends, challenges and knowledge, as well as formulate five key messages for the 2nd Africa Water Week. Other co-conveners are Water and Research Commission (WRC) South Africa, GTZ and SEI. Furthermore SuSanA will organize an exposition stand at the official AWW area as a joint effort of SuSanA partners (WRC, SEI, GTZ, etc.).
Dan Campbell, Web
Manager
Environmental Health at USAID
1611 North Kent St., Suite 300
Arlington, VA 22209
Ph:
703-247-8722
Email: dcam...@usaid.gov
Environmental Health at USAID: http://www.ehproject.org
Indoor Air Pollution Updates: http://iapnews.wordpress.com
Sanitation Updates: http://sanitationupdates.wordpress.com
Urban Health Updates: http://urbanhealthupdates.wordpress.com
Cholera Google Group: http://groups.google.com/group/cholera-control
Household Water Treatment Google Group: http://groups.google.com/group/household-water-treatment