View source for Hygiene and Health focused promotion

{{#ev:youtube|zAFu70gSO8M|200|right|<center>HYGIENE - THE WAY OF LIFE:<br>A Plan India supported animation film<br>on "WASH" (in Hindi)</center>}}

Hygiene and Health-focussed promotion refers to promotional activities which take the hygiene and the health of the user as the main focus in promotion activities, as contrasted to, for example, increased status from the use of a branded product, multiple use promotion, or appealing to emotions such as disgust, as in the case of [[Community-Led Total Sanitation]]. Hygiene and Health-focused promotion is in many places the conventional approach to promote better sanitation and water services and to stimulate demand for improved services.  
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Hygiene is behaviour which serves to prevent illness. Hygienic behaviour also helps to keep people and their environments clean, ordered and attractive. Three practices have been shown to be particularly effective: handwashing with soap, the removal of sanitation products from the household environment, and the home treatment of drinking water. Each of these interventions has been shown to reduce the incidence of diarrhoeal diseases by about 35% <ref> [http://www.lboro.ac.uk/well/resources/fact-sheets/fact-sheets-htm/hp.htm WELL factsheet - Hygiene promotion]</ref> An excellent overview of Hygiene promotion is available at [http://www.lboro.ac.uk/well/resources/fact-sheets/fact-sheets-htm/hp.htm WELL factsheet - Hygiene promotion at the WELL website], which provides common falacies, key principles and many references.

===Hygiene promotion as a component of a complete package===
Hygiene promotion is most effective in combination with improved, affordable, and accepted water and sanitation interventions <ref>[http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN14%20van%20Wijk.pdf The value of hygiene promotion, WELL background study]</ref>. One reason for this is that although hygiene promotion can also improve health in the absence of improved facilities, it is often the improvements  in sanitation and water facilites, such as a pit latrine instead of open defecation, or a tippy tap for hand washing, which enable the new hygienic behaviour.  

For this reason, priority should be given to making hygiene promotion a separate component of a complete water and sanitation programme. This can also be reversed: improvements in The Hygiene Improvement Framework <ref>[http://www.ehproject.org/PDF/Joint_Publications/JP008-HIF.pdf The Hygiene Improvement Framework - a comprehensive approach for preventing childhood diarrhea. Produced by EHP, USAID, Worldbank/WSP, WSSCC]</ref>, for example, uses a combined approach consisting of Access to Hardware (water supply systems, improved sanitation facilities, etc.), an Enabling Environment (Policy improvements, community organization, financing, etc), and Hygiene Promotion (Communication, Social mobilization, community participation, etc.).

=== Hygiene as part of broader health campaigns=== 
Focus on health promotion for water, sanitation and hygiene to stimulate improved services and practices can also be combined with broader health campaigns. A good example is the  'Blue Star' ('Estrella Azul') campaign developed in Nicaragua, in which the local ministries of Health, Education and the National Water Supply agency, worked together with many local NGO's, and with technical support from USAID's Environmental Health Project and John Hopkins University<ref>. [http://www.jhuccp.org/la/nicaragua/blue_star.shtml#2]</ref>, <ref>[http://www.m-mc.org/mmc_search.php?page=1&kwm_connect=and&adv=mat&se=Blue+star Blue Star multimedia materials on the information on the Media/Materials Clearinghouse] </ref>

===Behavioural change and the private sector===
Changing behaviour is very difficult. Companies are very succesful at changing behaviour, as the very succesful efforts to get soap in almost every household around the world show. Therefore, knowledge sharing between the public sector, the private sector and NGO's can be very beneficial, and Public-Private Partnerships are a good possibility here. This type of cooperation has been the basis of the Global Public-Private Partnership for Handwashing<ref>[http://www.globalhandwashing.org Global Public-Private Partnership for Handwashing website]</ref>.  

===Field experiences===
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|[[Image:rsr 769.jpg|thumb|none|120px|<font size="2"><center>[http://rsr.akvo.org/project/769/ RSR Project 769]<br>Life-WASH</center></font>|link=http://rsr.akvo.org/project/769/]]

|[[Image:rsr 787.jpg|thumb|none|120px|<font size="2"><center>[http://rsr.akvo.org/project/787/ RSR Project 787]<br>MWA-LAP: Guatemala</center></font>|link=http://rsr.akvo.org/project/787/]]

|[[Image:rsr 703.jpg|thumb|none|120px|<font size="2"><center>[http://rsr.akvo.org/project/703/ RSR Project 703]<br>MWA-LAP: Mexico</center></font>|link=http://rsr.akvo.org/project/703/]]

|[[Image:rsr 1349.jpg|thumb|none|120px|<font size="2"><center>[http://wandelenvoorwater2014.akvoapp.org/en/project/1349/ RSR Project 1349]<br>Safe water for Wajir</center></font>|link=http://wandelenvoorwater2014.akvoapp.org/en/project/1349/]]

|[[Image:rsr 819.jpg|thumb|none|120px|<font size="2"><center>[http://wandelenvoorwater2014.akvoapp.org/en/project/819/ RSR Project 819]<br>Water, Food & Sanitation for School + Community</center></font>|link=http://wandelenvoorwater2014.akvoapp.org/en/project/819/]] 
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|[[Image:rsr 790.jpg|thumb|none|120px|<font size="2"><center>[http://wandelenvoorwater2014.akvoapp.org/en/project/790/ RSR Project 790]<br>WASH program in Rural Bangladesh</center></font>|link=http://wandelenvoorwater2014.akvoapp.org/en/project/790/]]

|[[Image:rsr 644.jpg|thumb|none|120px|<font size="2"><center>[http://wandelenvoorwater2014.akvoapp.org/en/project/644/ RSR Project 644]<br>Rwenzori Integrated School WASH Project</center></font>|link=http://wandelenvoorwater2014.akvoapp.org/en/project/644/]]

|[[Image:rsr 600.jpg|thumb|none|120px|<font size="2"><center>[http://wandelenvoorwater2014.akvoapp.org/en/project/600/ RSR Project 600]<br>Community-led WASH and Safe Motherhood</center></font>|link=http://wandelenvoorwater2014.akvoapp.org/en/project/600/]]

|[[Image:rsr 467.jpg|thumb|none|120px|<font size="2"><center>[http://wandelenvoorwater2014.akvoapp.org/en/project/467/ RSR Project 467]<br>Community Water and Sanitation Project</center></font>|link=http://wandelenvoorwater2014.akvoapp.org/en/project/467/]]

|[[Image:rsr 340.jpg|thumb|none|120px|<font size="2"><center>[http://wandelenvoorwater2014.akvoapp.org/en/project/340/ RSR Project 340]<br>Water training centre in Malawi</center></font>|link=http://wandelenvoorwater2014.akvoapp.org/en/project/340/]]
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===External links===
*[http://lboro.ac.uk/well/resources/fact-sheets/fact-sheets-htm/hp.htm WELL factsheet - Hygiene Promotion]
*[http://www.lboro.ac.uk/well/resources/fact-sheets/fact-sheets-htm/Handwashing.htm WELL factsheet - Health impact of handwashing with soap]
*[http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN14%20Hygiene.htm WELL Briefing Note - Making hygiene promotion cost effective]
*[http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN14%20van%20Wijk.pdf Background report to WELL Briefing Note on Making hygiene promotion cost effective]
*[http://www.m-mc.org/topics/water_sanitation/index.php Media/Materials Clearinghouse - a resource for health communication materials. Safe Water Communication section]
*[http://www.hygienecentral.org.uk/ Hygiene Central – the website of the Hygiene Centre at the London School of Hygiene & Tropical Medicine]
*[http://www.globalhandwashing.org/Publications/Handwashing_Handbook.pdf Scott, B., Curtis, V., Cardosi, J. (2005) The handwashing handbook: a guide to developing a hygiene promotion programme to increase handwashing with soap. World Bank, Washington]

===References===
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