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The results of a three-country hygiene cost effectiveness study make interesting reading.

  • Hygiene is the missing link in WASH – essential to gain the full health and social benefits of clean water and safe sanitation
  • Hygiene promotion is more effective when integrated as part of water and sanitation improvements
  • The life-cycle costs approach (LCCA) methodology can be used to monitor hygiene outcomes against the costs of interventions
  • Sustainable change demands that hygiene promotion is targeted and repeated and that results are regularly monitored
  • An investment of US$ 5 per person per year in Mozambique saw improvements in latrine use, handwashing & drinking water management
  • Hygiene promotion integrated with water and sanitation provision in Ghana led to better drinking water management and a 40% increase in the purchase...
  • Essential good hygiene practices are latrine use and faecal containment, handwashing with soap at critical times and safe management of drinking wat...
  • The WASHCost hygiene ladder is a tool to identify behaviour change before and after hygiene promotion interventions
  • Hygiene practices need to be monitored to assess how hygiene promotion interventions impact on behaviour change
  • Hygiene promotion is best delivered as a public health or environmental health service
  • The benefits of hygiene promotion are not prioritised and the costs are poorly understood – budgets fail to reflect the importance of this essential service

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