3. Health & Hygiene Approaches Integrated with other livelihood activities PHHE and Health Clubs training NGO partners, community facilitators, EHTs, school health masters, local leadership Formation of health clubs Village, school PHHE Index Impact Assessment and Planning tool
4. PHHE Index Tool & Design Assess hygiene practice in & around the home Rural & Urban tools developed Administered by community members Proxy formula derived from weighted scores Poor (0-37) Medium (38-74) Good (75 – 89) Very Good (91- 112) 6 monthly follow ups (N= 2300+ )
11. Lessons Learnt Monitoring in rural communities can be done effectively by the communities themselves Certain unhealthy behaviours were common among communities e.g. household water treatment not a norm To the community, distance to water was more important than quality. Results revealed a significant impact on adoption of healthier behaviours and reduction in diseases
21 questions based on the F-diagram:Water -Treatment, transportation, storage, usageKitchen/personal -Cleanliness, waste disposal, personalSanitation -Use of, cleanliness, hand washingEnvironment-Litter/faecal matter, stagnant waterWas translated into 3 vernacular languages
R1 – 2010R2- 2011Overall R2 average slightly higher than R1 – NOT to be seen as longitudinal - different respondents in R1 and R2 – including some additional districts in R2From now on we will be doing longitudinal – i.e. comparisons over time to assess impact. Evidence of peer influence These scores showNo differences across HH sizeSlightly better scores in R2
Data can be mapped to see the spatial distribution – hygiene risk map