WASHplus Year Five Annual Report, October 2015

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In its Year Five Annual Report, WASHplus has stories to tell, results to share, events to celebrate, and studies that add to the evidence base. WASHplus activities serve as the backdrop for many stories: the Zambian school girl who has access to privacy and menstrual supplies when she needs them, the Malian household that can now build an improved latrine on their rocky soil, the mother in Bangladesh who understands the importance of a feces-free environment, the Nepali home breathing cleaner air as it trials an improved cookstove. And perhaps more compelling than the individual stories are the results the project is beginning to record through endline data collection in Kenya and formative research on school enrollment and in Zambia. Providing water, sanitation, and hygiene (WASH) infrastructure to schools is having a notable impact on enrollment. Community-led total sanitation (CLTS) may be inoculating communities exposed to cholera. Numbers also tell the story of the project’s impact. Look for a snapshot of those figures throughout the report.

The conclusion of field activities in Uganda and Zambia this year provided opportunities to reflect, celebrate accomplishments through end-of-project (EOP) events, and share lessons learned. Several articles were published this year in peer-reviewed journals and others submitted on topics ranging from consumer preferences and willingness to pay for improved cookstoves to habit formation and costing of handwashing. WASHplus also played a key role in preparing the joint document on WASH and nutrition for publication and distribution.

WASHplus’s focus on integrating WASH into other development initiatives enabled the project to get in on the ground floor on subjects that are gaining traction at USAID and globally, such as WASH and nutrition, neglected tropical diseases, and MHM. This integration focus dovetailed nicely with the project’s mandate to serve a technical leadership role, and project staff had many opportunities this year to share its work and lessons from the field on a global stage, strategize with partners on important advocacy issues, inform policy, and develop guidance in multiple countries. Also toward that end, WASHplus launched its first two learning briefs on small doable actions and WASH and nutrition. This series details the variety of approaches WASHplus uses to improve WASH and household air pollution (HAP) across its portfolio of countries.

And finally, it’s been an exciting year for innovation with pilot projects underway in Ethiopia and Bangladesh focusing on sanitation marketing and sand envelopment. These two efforts will add to WASHplus’s body of knowledge on sanitation innovation and aligns closely with USAID’s global interest on the topic. WASHplus is also documenting its fecal sludge management work in Madagascar to tell the next chapter in that story.


Changing WASH Practices in Southwest Bangladesh– One Small Doable Action at a Time

WASHplus’s Julia Rosenbaum co-presented a paper on “Changing WASH Practices in Southwest Bangladesh– One Small Doable Action at a Time” at SACOSAN 6 in Dhaka in January 2016. An abstract for the paper is provide below. Read the paper here.

Abstract: The global USAID WASHplus Project successfully increased access to water, sanitation and hygiene by applying a comprehensive and innovative approach in hard-to-reach areas of southwest Bangladesh. Rather than promoting ideal water, sanitation and hygiene (WASH) infrastructure and behavioral improvements, households were encouraged to take ‘small doable actions’ – feasible yet effective improvements – that moved toward the ideal practice. Through taking this approach, the project met and surpassed all project targets before the end of the project period. Project implementers worked with community members to develop age-specific behaviors for safely disposing infant and child feces and also for patching leaky latrines that dump feces back into the environment.

Citation: Rosenbaum, Hussain, Ferdous, and Islam, January 2016, Changing WASH Practices in Southwest Bangladesh– One Small Doable Action at a Time, FHI 360/Bangladesh, WASHplus Project, WaterAid/Bangladesh,  SACOSAN 6, Dhaka, Bangladesh.


When ODF is Not Enough: Presentatgion on at SACOSAN 6

When ODF is Not Enough: Using a Small Doable Actions Approach to Complement CLTS
and Get Faeces out of the Environment in Southwest Bangladesh,” Presentation by Julia Rosenbaum, Khairul Islam, Muhammad Faruqe Hussain, and Selina Ferdous, SACOSAN 6, January 2016, Dhaka, Bangladesh. See the presentation slides here.

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See the presentation slides here.

Small Doable Actions: Simple Steps That People Can Take to Improve WASH

Small doable actions are simple steps that people can take to improve WASH in their communities!

Mali—CLTS in Tough Conditions

 Men building a latrine.

Before WASHplus, the national community-led total sanitation (CLTS) strategy in Mali suggested that implementers avoid areas with difficult soil conditions when applying the subsidy-free approach. Many of the WASHplus target communities, selected because of their high rates of undernutrition (primarily stunting) in children under 5, are located in areas where construction of traditional pit latrines is difficult—rocky, sandy, and flooded areas. To address this constraint, the WASHplus project team, in partnership with other local stakeholders (district technical staff working for the Ministry of Health and local masons), developed innovations for the building of improved latrines in each of these challenging environments. Working through local masons to propagate the innovative construction techniques among communities, this initiative resulted in thousands of latrines being built in areas long seen as off limits for a subsidy-free approach.

UNICEF invited WASHplus to share these experiences with stakeholders during a national workshop on CLTS in September 2014. As a result of the workshop, the national guidelines for CLTS in Mali were revised to include WASHplus’s solutions for building latrines on difficult soils.