This final report presents the institutional and technical context within which SPLASH was conceived and executed, and reviews the implementation of each task area, including achievements, lessons learned, and assesses the cross-cutting areas that supported the main interventions. splash_final-report
More than 1 billion people worldwide suffer from one or more painful, debilitating tropical diseases that disproportionately impact poor and rural populations, cause severe sickness and disability, compromise mental and physical development, contribute to childhood malnutrition, reduce school enrollment, and hinder economic productivity. Three of these diseases are directly linked to water, sanitation, and hygiene practices.
WASHplus designed and implemented a model integrated WASH-NTD program that was tested as a small pilot effort in Burkina Faso from 2015–2016. The objectives in Burkina Faso were to:
1. Promote coordination within government among sectors related to WASH-NTD integration
2. Develop a comprehensive implementation activity in several villages in one district
3. Share experience and lessons learned with other partners who may be able to advance or further develop this activity
4. Provide a toolkit for Burkina Faso and global partners to use
This toolkit is the result of the WASHplus project in Burkina Faso and has the following components.
- WASH-NTDs Presentations
- Guide for Engaging Participants
- Counseling Cards
- Card 1, Card 2, Card 3 Card 4, Card 5, Card 6, Card 7, Card 8, Card 9, Card 10, Card 11, Card 12, Card 13, Card 14, Card 15, Card 16, Card 17, Card 18, Card 19, Card 20, Card 21, Card 22, Card 23, Card 24, Card 25, Card 26, Card 27
- Carte 1, Carte 2, Carte 3, Carte 4, Carte 5, Carte 6, Carte 7, Carte 8, Carte 9, Carte 10, Carte 11, Carte 12, Carte 13, Carte 14, Carte 15, Carte 16, Carte 17, Carte 18, Carte 19, Carte 20, Carte 21, Carte 22, Carte 23, Carte 24, Carte 25, Carte 26, Carte 27
- Card 1, Card 2, Card 3, Card 4, Card 5, Card 6, Card 7, Card 8, Card 9, Card 10, Card 11, Card 12, Card 13, Card 14, Card 15, Card 16, Card 17, Card 18, Card 19, Card 20, Card 21, Card 22, Card 23, Card 24, Card 25, Card 26, Card 27
- Radio Scripts
- Baseline Indicators (WASH-NTD_Indicators)
- Baseline Questionnaire
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.
This short, educational, animated video from Generation Nutrition explores the links between sanitation and nutrition. The video has been translated into English with funding from the USAID WASHplus project.
WASHplus is working on integrating WASH and Nutrition programming not only by improving water, sanitation and hygiene (WASH) in places where we work but also by working towards a fuller integration of WASH, health and nutrition programming. Learn more about WASHplus’s work in WASH-Nutrition Integration.
@wasplusinfo’s Renu Bery presents a poster on integrating into at 2015 ASTMH Meeting!
In October 2015, WASHplus presented a poster at the American Society of Tropical Medicine and Hygiene Annual Meeting on the current situation, intervention design, behavior change plan, and expected results of its Burkina Faso WASH and neglected tropical disease (NTD) pilot activity, called “How Can Integrating Sanitation and Hygiene into an NTD Control Program Accelerate Reduction in NTDs?” View the poster here.
A SPLASH staffer displays MHM materials at the end of project event. Hygiene Behavior Change Technician Mayombo Mandevu displays SPLASH menstrual hygiene management products, accomplishments, and stories at the end-of-project event.
WASHplus’s Schools Promoting Learning Achievement through Sanitation and Hygiene (SPLASH) project ended its four-year program with an event held on August 20 in Lusaka. The half-day event was designed to showcase the different activities that SPLASH carried out to deliver a truly comprehensive school WASH program, what was learned in the process, and most importantly, to advocate for WASH (water, sanitation, and hygiene) to be adopted nationally by the Ministry of Education (MOE) as a key element of quality education. To this end, SPLASH invited every provincial chief of the MOE to attend, along with a range of stakeholders from the WASH and education sectors. The 80 attendees were divided into groups and made the rounds to eight themed stations designed and manned by SPLASH and Government of Zambia partner staff. Each booth showcased a SPLASH intervention with its key activities, achievements, and lessons learned displayed on a poster. A flurry of publications were finalized for the event, including A Teacher’s Guide to Integrating WASH in Schools, School WASH Facilities Operations and Maintenance Guidelines, and two new stories from the field on integrating WASH into existing government programs and infrastructure and school enrollment.
To respond to the project objective of improving learning outcomes, SPLASH undertook a longitudinal study for three terms in 124 intervention and control schools. Results of this analysis by school term indicate a statistically significant effect of the intervention for all indicators tracked: student absenteeism (roll call and two-week recall), teacher absenteeism, and student-teacher contact time. It shows that WASH improvements in schools can reduce student absenteeism by up to 50 percent.