Hygiene promotion in Bhutan: does it work and at what cost?

The Hygiene Cost Effectiveness Study in Bhutan aims to analyse and compare the costs and outcomes of hygiene promotion interventions. It is based on IRC's WASHCost methodology, designed to help determine the costs and efficacy of WASH-related hygiene promotion interventions.

In Bhutan, it is part of SNV Bhutan's Sustainable Sanitation and Hygiene for All Programme, which provides technical support to the Ministry of Health for the further development and scaling up of the national Rural Sanitation and Hygiene Programme (RSAHP) with support from the Australian Government.

IRC supports in terms of performance monitoring, knowledge and learning.

The hygiene cost-effectiveness study includes:

• Capturing behaviour change using the effectiveness ladder;
• Capturing costs of hygiene interventions;
• Comparing costs against behaviour changes.

This poster shares the results of the study; how data was collected; which costs were captured and what the costs are of the three behaviours. It was developed as a contribution to the 2015 Water and Health Conference, University of North Carolina, Chapel Hill, USA.