WASHplus Participates in Panel on Behavior Change to Facilitate Clean Cooking

On Tuesday April 21, the USAID Translating Research into Action Project (TRAction) held a panel discussion at the National Press Club in Washington, DC to discuss behavior change strategies for clean cooking. The event highlighted lessons from a recently published special issue of the Journal of Health Communication, Advancing Communication and Behavior Change Strategies for Cleaner Cooking.

Household air pollution (HAP), caused by the indoor burning of wood, crop residue, and other solid fuels, causes millions of premature deaths every year. Correct and consistent use of clean cooking technologies and fuels can reduce household air pollution, but adoption requires significant changes to existing cooking behaviors. The special issue of the Journal of Health Communication presents findings on methods to promote the adoption of clean cooking technologies and fuels, and aims to advance our understanding of behavior change related to technology, the enabling environment, and demand creation.

Julia Rosenbaum, USAID/WASHplus Project Deputy Director, and Elisa Derby, the WASHplus Indoor Air Pollution Specialist, co-authored an article in the Journal of Health Communication titled “Behavior Change Communication: A Key Ingredient for Advancing Clean Cooking.” On April 21, Julia joined several guess editors and authors of the special issue to discuss lessons learned and next steps for behavior change in the clean cooking sector. This panel discussion on “Behavior Change for Clean Cooking: Current Knowledge and Next Steps” featured Jay Graham from George Washington University, Sumi Mehta from the Global Alliance for Clean Cookstoves, Nigel Bruce from the University of Liverpool, Anita Shankar from Johns Hopkins University, and Jessica Lewis from Duke University.

During her presentation, Julia emphasized that behavior change is possible by showing examples from the water and sanitation, HIV, and nutrition sectors. She highlighted the need for comprehensive strategies including but not limited to, communication tactics, researching a range of actors on the values chain, and systematically understanding what motivates a particular target group to perform a behavior. One cross cutting approach to changing clean cooking behaviors is to identify small doable actions that are feasible and can have a significant health impact.

View a recording of an interview with Julia below. See her presentation: “Behavior Change Approaches to Facilitate Clean Cooking and Reduced Household Air Pollution” (download presentation slides).

Celebrating World Health Day: Why Food Hygiene Matters

You are what you eat

It is estimated that 2 million deaths occur every year from contaminated food or drinking water. Diarrheal disease alone kills an estimated 1.5 million children annually, and most of these cases are attributed to contaminated food or drinking water, according to the World Health Organization (WHO). 

In Uganda, the WASHplus project worked closely with USAID implementing partners including Community Connector, SPRING, STAR-SW, FANTA, and others to integrate WASH and aspects of food hygiene, among other interventions, into HIV care and support. WASHplus developed a series of job aids to support outreach workers and clinical counselors to integrate WASH into their home-based and clinical practice. The job aids are available in English, and two local languages, Rukiga and Rufumbira. Also, notable in WASHplus’s work in Uganda is the application of the small doable action approach to food hygiene to address local challenges of keeping food safe.

Resources developed by WASHplus are provided below.

Integrating Safe Water, Sanitation, and Hygiene into Infant and Child Nutrition Programmes. A Training Resource Pack for Uganda, 2014.

Integrating Safe Water, Sanitation, and Hygiene into Infant and Child Nutrition Programmmes

In Uganda, the WASHplus project is integrating WASH into to Nutrition and Feed the Future Programming. Integrating WASH into nutrition focuses on the importance of improving household sanitation and nutritional needs in a child’s first 1,000 days. By building capacity of implementing partners and district focal and community resource personnel, WASHplus facilitated the integration of WASH into clinical nutrition assessment, home visits with householders of small children and families affected by HIV, and through community mobilization campaigns. For example, Community Connector now not only includes WASH as part of the model homes in its 1,000 days campaign, the project included WASH in its community drama initiatives, radio talk show, behavior change communication materials, and field day exhibition, which emphasized the integration of nutrition, agriculture, income, and WASH. Integrating WASH into the District Nutrition Coordination Committees further emphasized the importance of WASH and nutrition integration during the budgeting process, implementation, and supervision of district efforts to fight undernutrition.

Small Doable Actions for Improving Household Water, Sanitation, and Hygiene Practices. Job Aids for Village Health Teams, Peer Educators, and their Supervisors (English, RufumbiraRukiga), 2104.

Small Doable Actions for Improving Household Water, Sanitation, and Hygiene Practices -Job Aids for Village Health Teams_Peer Educators_Supervisors

Small Doable Actions for keeping food safe

Working with SPRING, WASHplus created the first-ever job aids promoting small doable actions for food hygiene, based on the World Health Organization’s “Five Keys to Safer Food.” The job aids address issues of food safety during preparation, serving, and related to storage. This initiative directly addressed the contribution of poor food handling in spreading contamination that leads to diarrhea. Other job aids highlight safe disposal of infant and animal/poultry feces, which may be significant contributors of undernutrition and inhibitors of growth according to a growing evidence base. Feces from these sources find their way to a child’s mouth through food or water contamination or through direct ingestion, causing diarrhea, enteropathy, and contributing to the excessive growth stunting documented in the region.

Additional WASHplus Resources

You Are What You Eat: Why Food Hygiene Matters for Child Growth. Julia Rosenbaum, FHI 360/Deputy Director of the USAID funded WASHplus Project, and Merri Weinger, USAID/Bureau for Global Health/Environmental Health Team leader. A presentation at the USAID Mini-University, March 2015.

Why WASH Matters for Improved Child Health, Nutrition & Growth: A Knowledge Sharing Event. Julia Rosenbaum, FHI 360/Deputy Director of the USAID funded WASHplus Project, June 2014.

Hygiene Intervention Reduces Contamination of Weaning Food in Bangladesh, Islam et. al. Tropical Medicine and International Health, Volume 18, no 3, pages 250–258, March 2013.

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!

Multisectoral Approaches to Improve Child Growth through WASH, Nutrition and Early Childhood Development: A Webinar

On January 8, WASHplus collaborated with the CORE Group Nutrition and Social and Behavior Change working groups to host a one-hour webinar on multi-sectoral approaches to improve child growth and development; with a focus on improving the community knowledge of practice and sharing efforts for early childhood development, nutrition and WASH integration.

The Clean, Fed & Nurtured community of practice explained why water, sanitation and hygiene, nutrition, and early childhood development should be integrated. During the webinar, WASHplus’ Renuka Bery discussed the evidence for integrating these three sectors – WASH, Nutrition and Early Childhood Development – and the evolution of the Clean, Fed & Nurtured community of practice.

The webinar slides and recording are available for download.

WASHplus Presents at USAID Global Infrastructure Conference 2014

In December 2014, the USAID/Washington E3 Bureau invited Jonathan Annis to present learning from his experiences supporting public-private partnerships in Madagascar on day two of USAID’s Global Infrastructure Conference. The session was well attended by a diverse mix of domestic and overseas USAID staff working on WASH, infrastructure, and environmental compliance.

View Jonathan presentation here: http://www.washplus.org/sites/default/files/annis-fsm3_conference2015.pdf

Hand Washing and the Science of Habit: A Webinar

Hand Washing and the Science of Habit: A Webinar

On December 4, WASHplus and the global Public Private Partnership for Handwashing (PPPHW) co-hosted a webinar with David Neal, Ph.D., from Catalyst Behavior Sciences and the University of Miami. Dr. Neal is a social psychologist specializing in behavior change and the advanced measurement of human decision making.  He discussed the usefulness of habit theory for health programming targeting households. Although he emphasized ways to apply the basic science of habit and behavior change to real world health interventions and program delivery, with a focus on behavior change for handwashing with soap, his ideas are relevant to anyone working on behavior change activities. The webinar was well attended by nearly 200 participants from 15 countries with more than 1,000 subsequent views. The countries included: Bhutan, Cambodia, Canada, India, Nepal, Pakistan, the Philippines, Uzbekistan, and Zambia. A recording of the webinar and slides are available here.  

WASHplus Uganda Project Transitions to Local Actors

Three girls sew their own menstrual pads.
Girls take menstrual hygiene management into their own hands as they make reusable menstrual pads, one of the many small doable actions WASHplus helped to promote in Uganda.

In November 2014 WASHplus concluded a busy year and a half of work in Uganda (May 2013–November 2014) to reduce diarrhea and improve the health and resilience of key populations in three districts—Kabale, Kisoro, and Kanungu. This multidisciplinary initiative focused on integrating water, sanitation, food hygiene, and hand washing into nutrition and Feed the Future activities as well as community and clinically based HIV activities. WASHplus also worked to strengthen the capacity of local districts to plan, budget, implement, and monitor water, sanitation, and hygiene (WASH)–related activities. A WASH forum was held in collaboration with USAID implementing partners December 2 to celebrate project accomplishments and mark the official transition to district actors. The project produced a number of publications and materials for field use that are now available, including training and resource packages on Integrating Safe Water, Sanitation, and Hygiene into HIV Programmes and Integrating Safe Water, Sanitation, and Hygiene into Infant and Child Nutrition Programmes, and job aids/assessment cards in English and two local languages—Rufumbira and Rukiga (available on the WASHplus website). Districts will reproduce these materials in even larger quantities using their USAID WASH grants. An end-of-project review is also available here.