The document summarizes a webinar presentation about a manual on access and behavioral outcome indicators for water, sanitation and hygiene programs. The manual was developed through an evidence-based process involving major organizations in the WASH field. It includes essential indicators for measuring access to water and sanitation facilities and behaviors related to handwashing, water treatment and safe excreta disposal. The presentation discusses how the manual can be used to select appropriate indicators for programs, set targets, and modify interventions based on whether targets are met. Limitations and plans for further development are also addressed.

1. March 2, 2010 Welcome to HIP’s Webinar on Access and Behavioral Outcome Indicators for Water, Sanitation, and Hygiene Presenter: Orlando Hernandez , HIP monitoring and evaluation specialist If you have any technical issues during this presentation, contact [email_address] , tel. 202-884-8358

7. What does the manual include? Table 1 : List of Access and Behavioral Outcome Indicators (Essential Indicators) Hygiene Content Area Indicator Access to Water Supply and Use of Household Water Treatment Technologies and Safe Storage WA1. % of households that use an improved drinking water source (urban and rural) WA8. % of households practicing correct use of recommended household water treatment technologies WA10. % of households storing treated water in safe storage containers Hand Washing with Soap at Critical Moments HW2. % of households with soap and water at a hand washing station commonly used by family members HW3. % of households with soap and water at a hand washing station inside or within 10 paces of latrines Access to and Use of Sanitary Facilities for the Disposal of Human Excreta SAN 1. % of households with access to an improved sanitation facility (urban and rural) SAN 5. % of households using the available (improved) sanitation facility SAN8. # of communities achieving open defecation free status

8. What does the manual include? Hygiene Content Area Indicator Access to Water Supply and Use of Household Water Treatment Technologies and Safe Storage WA1. % of households that use an improved drinking water source (urban and rural) WA2. % of households with access to improved drinking water sources from a recommended provider WA3. % of households spending up to 30 minutes to collect drinking water from an improved source WA4. % of respondents who agree that their drinking water needs to be treated at home WA5. % of respondents who believe others treat drinking water at home WA6. % of respondents that feel confident they can improve the quality of their drinking water WA7. % of respondents who know at least one location where they can obtain recommended household water treatment product(s) WA8. % of households practicing correct use of recommended household water treatment technologies WA9. % of households practicing sustained use of recommended household water treatment technologies WA10. % of households storing treated water in safe storage containers WA11. % of households with negative test for E. coli in drinking water at the point of use WA12 . % of households with positive chlorine residual in drinking water treated with a chlorine product

9. What does the manual include? Hygiene Content Area Indicator Hand Washing with Soap at Critical Moments HW1. % of respondents who know all critical moments for hand washing HW2. % of households with soap and water at a hand washing station commonly used by family members HW3. % of households with soap and water at a hand washing station inside or within 10 paces of latrines HW4. % of households with soap or locally available cleansing agent for hand washing anywhere in the household

10. What does the manual include? Hygiene Content Area Indicator Access to and Use of Sanitary Facilities for the Disposal of Human Excreta SAN1. % of households with access to an improved sanitation facility (urban and rural) SAN2. % of households with reliable access to sanitary facilities SAN3. % of households spending less than 10 minutes to travel to public or shared facilities SAN4. % of children <36 (or 60) months whose feces were disposed of safely SAN5. % of households using the available (improved) sanitation facility SAN6. % of households with sanitary facilities that practice adequate cleanliness to encourage use SAN7. % of households with sanitary facilities that practice adequate maintenance to keep them operational SAN8. # of communities achieving open defecation free status SAN9. % of communities that are maintaining their open defecation free status

12. CONTENT : ACCESS TO WATER SUPPLY USE OF HOUSEHOLD WATER TREATMENT TECHNOLOGIES STORAGE Indicator WA3: % of households spending up to 30 minutes to collect water from an improved source Rationale/Critical Assumptions for Indicator: The amount of time spent fetching water will have implications for the amount of water that a household makes available to its members. The longer the time invested in fetching water, the less chance a family has to acquire enough water to satisfy household water per capita needs. UNICEF and WHO (2008) suggest that when the time invested in going to the source, collecting water, and returning to the household is between three and 30 minutes, the amount of water collected may vary between 15 and 25 liters per person per day. This range is considered suitable for a person to meet basic needs. The international community assumes that if the time invested in fetching water is longer the less time families take to fetch water, the better. Data Source: Household survey Data Analysis : Analysis may be done by geographic area (urban and rural) or by administrative unit of interest (region, district, and municipality). Issues/Limitations: The sense of time may vary from culture to culture and the concept of minutes may not be commonly used among informants. Example of Target Setting: Results Data Baseline Year 1 Year 2 Year 3 Year 4 Planned 45% Actual 50% 55% 65% Questions that may be used to measure the indicator include the following: WAQ6. How much times does it take on average to go to the drinking water source, get water and come back? 30 minutes or less………1 31 to 60 minutes………..2 61 to 180 minutes………3 More than 3 hours……...4 Does not know………….5 Indicator Calculation : Numerator : # of households providing an Answer 1 to Question WAQ6 Denominator : # of households with answers 1 through 3, 7 to 10, 12 and 16 to Q WAQ1

14. How can I use this manual? Access to sanitation, Madagascar P e r c e n t

15. How can I use this manual? Handwashing supplies at commonly used station/device, Madagascar P e r c e n t