Changes

While the evidence for the effectiveness of traditional health promotion approaches is limited, social marketing may provide a fruitful alternative in the promotion of household environmental health. Indeed, the marketing approach to the promotion of hand-washing with soap is taking off internationally as indicated by the development of national and state-wide hand-wash marketing programmes (via [[Public Private Partnerships – PPP | public private partnerships]]) in Ghana, Peru, Senegal, South Africa, Indonesia, Madagascar, Nepal, and Ethiopia among others (see e.g. [http://www.globalhandwashing.orgglobalhandwashing.org]).