SuSanA - Forum Kunena Site Syndication Wed, 26 Oct 2016 19:12:11 +0000 Kunena 1.6 SuSanA - Forum en-gb Discussion on incorporating the science of habit into behaviour change programmes - by: kurich
Here is a link to the recording, as well as a page that highlights resources that were mentioned during our discussion.

We wanted to expand the conversation to a broader group for the next couple of weeks. This is a two part question:
1. How can we practically incorporate the Science of Habit into behaviour change programmes on the ground, in a way that is usable to field users?
2. How can we strengthen an emphasis on habit formation into our existing behaviour change programmes?

Please feel free to address these questions above and/or post your own!

Health issues and connections with sanitation Thu, 20 Oct 2016 18:41:25 +0000
Swacch Awards to Promote Sanitation in India - by: deepakshandilya
Samhita is a social enterprise that collaborates with companies to develop impactful corporate social responsibility (CSR) initiatives. It has worked with leading companies across India to shape their social good strategies, facilitate program implementation, and assess on the-ground impact. Samhita also works with international and domestic donor agencies and foundations on the development of high-impact social programmes, which may involve capacity building, research, event management and fundraising campaigns.
Samhita is working with the India Sanitation Coalition to help attain the national goal of an Open Defecation Free India as envisaged under the Swacch Bharat Mission. The two will organise the National Swachh Awards to recognise good work in the field of Sanitation & that have been sustainable and at scale. This will identify noteworthy practices and players, honor their efforts, and showcase these practices and models at a national scale to influence faster and efficient change in the sanitation ecosystem.

The Awards
These will provide several incentives to the awardees and the sector.
• In addition to a monetary prize, the awardees will also receive non-financial resources, for instance, mentoring support from domain experts, access to capacity building programmes, etc.
• This programme ushers in the opportunity to build a national platform for collaboration between like-minded institutions, domain experts, and also between cross-sector agencies to create a multiplier effect.
• The programme will help bring out compendium of best practices accessible to all relevant stakeholders.
• This will serve as a breeding ground for cross pollination of ideas and expertise.
This initiative is unique as it will recognize exemplary work across the sanitation value chain, from design and planning, construction, operations and maintenance, to solid and liquid waste management and behaviour change. The idea is to felicitate grassroots organisations working in the remotest areas and also aims to appreciate other institutions that belong to this ecosystem, like micro-finance institutions, corporates that have adopted a holistic approach, etc. It will be broader in scope than existing awards that look at only ODF as a result, ignoring the processes involved in getting there.

A pivotal component of these awards will be the creation of a marketplace that will bring the following functions and services under one roof:
• Collation of best practices in the field of sanitation & hygiene
• Case studies showcasing successful models of complete projects or at the level of various stages in the lifecycle of a sanitation program
• Discussion forums, newsletters, recent news and updates, etc.
• Classified search of credible stakeholders in the ecosystem
• Pool of shortlisted organisations with demonstrated excellent work

This marketplace will be leveraged to benefit the awardees/nominees by displaying their profiles on the dedicated portal providing them greater recognition, visibility, and opportunities for funding and collaboration with the public as well as private sector.

Samhita will conduct the Swachh India Awards in collaboration with the India Sanitation Council (ISC), given their considerable experience of comprehensively supporting sanitation and hygiene programs in India by bringing together all actors in this space to drive the sustainable sanitation agenda. It will enhance ISC’s work of identification and dissemination of best practices and provide greater visibility on a national level.

Given the above context, Samhita will manage the end to end execution of this initiative, undertaking the following tasks, which will be further scoped out in consultation with the partner:
• Co-creation and design of the framework of the awards
• Leverage its network to reach out to corporates to support this initiative
• Reach out to relevant players in the sector to gain access to their network of institutions and sector experts, wherever relevant in this program
• Assist in building capacity of the nominees/awardees
• Help the program develop linkages with government, corporates and other stakeholders wherever relevant
• Collate sector best practices to put up on the marketplace
• Help identify and reach out to domain experts to constitute the jury and also to mentor nominees/awardees
• Co-design standardised parameters to judge participants

We are seeking inputs on the design of the Awards along the following lines:
1. What kind of organisations, and why, should be considered for the Awards
2. How can these be selected and their claims verified
3. What time period should be considered for evaluating their work

Priya Naik/Deepak Shandilya]]>
Health issues and connections with sanitation Sun, 16 Oct 2016 15:05:55 +0000
The Ebola Crisis and Innovative WASH Solutions: Webinar recap - by: BijanFHI360
Sustaining long-term water, sanitation, and hygiene (WASH) practices are essential for strong public health systems which are influential in preventing the resurgence of diseases such as Ebola and preventing future outbreaks. For this reason, the Global Public-Private Partnership for Handwashing hosted a webinar in collaboration with Global Communities, UNICEF, and the U.S. Centers for Disease Control and Prevention (CDC) exploring how innovative WASH and social behavior change (SBC) solutions were critical in halting the West Africa Ebola crisis and how their programs are supporting the recovery process and promoting ongoing community health and wellbeing.

Global Communities Program Development Manager, Alice Urban, and WASH Specialist, Franky Li assessed the impact of community-led total sanitation (CLTS) interventions on helping contain and prevent the spread of Ebola in Liberia. They also described how CLTS engagement in other health-related activities has raised government awareness about the need for more targeted support to the community-level health system and demonstrates a low-cost, sustainable option. CLTS can be more than just a tool for sanitation promotion. Community momentum should be leveraged to promote other community health and development objectives.

Learn more about the CLTS methodology used in Liberia here and a report on the community-led response here.

Gaelle Fohr, a sanitation and hygiene consultant who worked as a specialist between 2014 and 2016 for UNICEF’s West and Central Africa program (WCARO), delivered a presentation on the impact of hygiene kits that were distributed in schools when they reopened in early 2015. Together with handwashing promotion, these kits helped form new norms and improved knowledge of handwashing with soap. Ultimately, hygiene kits became part of the safe school protocol. UNICEF continues to incorporate lessons learned from the Ebola response into their approach towards other infectious disease outbreaks. Programs, such as this, can lead to a stronger evidence base when projects have efficient knowledge management guidelines that work in conjunction with the monitoring and reporting processes.

Read how UNICEF launched global response to the Ebola outbreak in West Africa here and WCARO’s efforts here.

CDC’s Infection Prevention & Control program (IPC) was described by Dr. Nora Chea, Medical Epidemiologist. Dr. Chea demonstrated how improved WASH interventions in healthcare settings drove the success of IPC in Sierra Leone and how key results might be replicated in response to future outbreaks. IPC interventions—which include providing clean water, improving environmental cleaning and environmental waste management practices, and proper disinfection of medical equipment—can have a greater impact when technical guidance and evidence-based knowledge are provided at the regional and global levels and information management systems are supported. Integration is a current hot topic in development, and it is applicable in this context, too. Clearly defining cross-sectoral monitoring between sectors and response clusters can reduce gaps or duplicity between IPC and WASH programs. Dr. Chea concluded his presentation by emphasizing that IPC programs within healthcare structures must integrate improved WASH practices at all levels. WASH is critical in healthcare settings—both for IPC and for promoting public health.

Information about CDC’s ongoing IPC work may be found here. CDC has also produced Ebola outbreak communication resources, available here.

Learn more about key takeaways from these programs by accessing the webinar recording and downloading the presentation slides here. If you’d like to learn more about how handwashing with soap can help prevent Ebola virus transmission, read our one-page summary here.]]>
Health issues and connections with sanitation Wed, 05 Oct 2016 14:57:45 +0000
Re: US-FDA bans many common antimicrobial soap ingredients - by: Mwesige
On many occasion, Least Developed Countries have benefited from such information for better health promotion. For me, who works in a standard setting organization, such information becomes vital when research has been conducted on such ingredients.

Health issues and connections with sanitation Mon, 26 Sep 2016 19:00:54 +0000
Re: US-FDA bans many common antimicrobial soap ingredients - by: mwaniki
This piece was reported in the Africa Water, Sanitation & Hygiene Sept – Oct 2016 Vol.11 No.5 page 34 early this month but from a different source and entitled “FDA Bans 19 Chemicals Used in Antibacterial Soaps”. If you wish to view the version you could kindly visit the link at:

Best regards / Mwaniki]]>
Health issues and connections with sanitation Sun, 25 Sep 2016 03:08:03 +0000
URGENT APPEAL FOR PUBLIC HEALTH SUPPORT - by: wini According to official sources, currently we are week 5 of the epidemic in Sudan

We are witnessing with great concern a rapidly growing number of cases of acute watery diarrhea around the country, first reported in mid- August 2016 in Blue Nile State (ElRoseiris and ElDamazine cities).At the moment, cases are being reported from 7 States: Blue Nile, Sinnar,Kassala, River Nile, ElGezira and ElGadaref, as well as the State of Khartoum, where the capital city of Khartoum is. Sinnar and Blue Nile States currently host a number of refugees from South Sudan.With the recent floods from the rainy season, the abundance of stagnant water, human waste and active vectors in the environment, compounded with limited capacity of the health system in Sudan, we are noticing high morbidity and mortality among affected individuals. Hence, the situation can be characterized as grave.......please continue the rest of the report in the attached PDF
Health issues and connections with sanitation Sat, 24 Sep 2016 01:05:14 +0000
US-FDA bans many common antimicrobial soap ingredients - by: JKMakowka

Companies will no longer be able to market antibacterial washes with these ingredients because manufacturers did not demonstrate that the ingredients are both safe for long-term daily use and more effective than plain soap and water in preventing illness and the spread of certain infections.

This is for me a very welcome move, as those have become quite ubiquitous while probably doing more harm than good.

And supporting study here:

Results There was no significant difference (P > 0.05) in bactericidal activity between plain soap and antibacterial soap at either test temperature. However, antibacterial soap showed significantly greater bactericidal effects after 9 h. These results suggest that although triclosan-containing soap does have antibacterial activity, the effects are not apparent during the short time required for hand washing.

Conclusions Antibacterial soap containing triclosan (0.3%) was no more effective than plain soap at reducing bacterial contamination when used under ‘real-life’ conditions.

Edit: Sorry, forgot to choose the correct category about hand-washing. Can it be maybe moved by a moderator? Thanks!]]>
Health issues and connections with sanitation Thu, 22 Sep 2016 07:18:05 +0000
Webinar Announcement: “The Ebola Crisis and Innovative WASH Solutions” - by: BijanFHI360 September 28 at 10:00 am EDT.

In 2015, Sierra Leone, Liberia, and Guinea began to enter periods of Ebola-free recovery. We know that innovative water, sanitation, and hygiene (WASH) interventions, specifically handwashing behavior change programs, played a critical role in halting the crisis and promoting ongoing community health. Now, we must ask ourselves “What’s next?” How can we ensure that the lessons learned from this crisis are incorporated into how the WASH sector promotes sustained behavior change? Can the response to the Ebola crisis frame how the world responds other to infectious disease outbreaks?

Experts from the U.S. Centers for Disease Control and Prevention and Global Communities will share key takeaways on the impact of infection prevention and control programs, community-led total sanitation approaches, and WASH interventions in schools.

Join the Global Public-Private Partnership for Handwashing for this interactive webinar on to discuss these questions and more.

Confirmed Speakers
U.S. Centers for Disease Control and Prevention
Global Communities

Please register here

Health issues and connections with sanitation Wed, 21 Sep 2016 15:25:49 +0000
Seminar: Hygiene Promotion and Behaviour Change, 13/ 14 of January in Berlin - by: GTO

- The meaning of hygiene measures
- Special challenges
- Overview of the most important and effective hygiene practices
- Influencing factors for hygiene behaviour (FOAM)
- Overview: hygiene approaches and methods (PHAST, CHAST, Community Health Clubs, Community- Led Total Sanitation, WASH in Schools etc.)
- Hygiene promotion in humanitarian emergency aid
- Online forums, networks, further information

Following the seminar, participants should have
- basic knowledge of various hygienes measures
- an overview of different approaches in hygiene education and behaviour change
- an understanding of the importance of hygiene-software measures in the field of WASH and its challanges

For more information, please click here.
Please be aware that all courses are held in german.]]>
Health issues and connections with sanitation Fri, 16 Sep 2016 12:39:06 +0000
Who Delivers without Water? A Multi Country Analysis of Water and Sanitation in the Childbirth Environment - by: neilpw
Who Delivers without Water? A Multi Country Analysis of Water and Sanitation in the Childbirth Environment


Access to water and sanitation during childbirth is poor across low and middle-income countries. Even when women travel to health facilities for childbirth, they are not guaranteed access to basic WATSAN infrastructure. These indicators should be measured routinely in order to inform improvements.

Citation: Gon G, Restrepo-M?ndez MC, Campbell OMR, Barros AJD, Woodd S, Benova L, et al. (2016) Who Delivers without Water? A Multi Country Analysis of Water and Sanitation in the Childbirth Environment. PLoS ONE 11(: e0160572. doi:10.1371/journal.pone.0160572

Full text here:]]>
Health issues and connections with sanitation Tue, 30 Aug 2016 18:18:36 +0000
Re: Human fecal and pathogen exposure pathways in rural Indian villages and the effect of increased latrine coverage - by: bowenarrow Ross]]> Health issues and connections with sanitation Sun, 26 Jun 2016 00:33:36 +0000 Re: Human fecal and pathogen exposure pathways in rural Indian villages and the effect of increased latrine coverage - by: JKMakowka
For example a tube-well can hardly be considered "improved" if Giardia is still found (this is a large protozoa that should be very effectively filtered by the soil, indicating that the tube-well did not have a functioning sanitary seal at the top to prevent surface water intrusion).

The latrine findings are also not that surprising if one looks at the overall coverage, with was only 10% vs 38%, meaning high levels of open-defecation even after the intervention and thus obviously no impact could be found (the summary is a bit misleading in that regard).
However later they mention that there is also evidence of an increase in contamination of ground water due to the pour-flush pit-latrines used, which again is a well known fact that these lead to higher groundwater contamination if installed in areas with high ground-water tables.

So while this study is certainly very interesting, the conclusions made are somewhat misleading as there seems to have been neither really improved tube-wells nor an appropriate sanitation technology used in the area.]]>
Health issues and connections with sanitation Wed, 22 Jun 2016 04:15:11 +0000
Human fecal and pathogen exposure pathways in rural Indian villages and the effect of increased latrine coverage - by: campbelldb Sanitation Updates

Human fecal and pathogen exposure pathways in rural Indian villages and the effect of increased latrine coverage. Water Research, Volume 100, 1 September 2016, Pages 232–244.

Authors: Mitsunori Odagiri, Alexander Schriewer, et al.


- Application of Bacteroidales MST to evaluate improved sanitation impacts
- Widespread human and animal fecal contamination detected in homes.
- Pathogens detected in drinking sources associated with subsequent child diarrhea.
- Public ponds used domestically were heavily contaminated with multiple pathogens.
- No decrease in human fecal or pathogen contamination from increased latrine coverage.

In conclusion, the study demonstrates that

(1) improved sanitation alone may be insufficient and further interventions needed in the domestic domain to reduce widespread human and animal fecal contamination observed in homes,
(2) pathogens detected in tubewells indicate these sources are microbiologically unsafe for drinking and were associated with child diarrhea,
(3) domestic use of ponds heavily contaminated with multiple pathogens presents an under-recognized health risk, and
(4) a 27 percentage point increase in improved sanitation access at village-level did not reduce detectable human fecal and pathogen contamination in this setting.]]>
Health issues and connections with sanitation Tue, 21 Jun 2016 15:46:09 +0000
Re: SaniPath - Assessment of Fecal Exposure Pathways in Low-Income Urban Settings (Emory University, USA) - and appeal to SuSanA members for input - by: karobb
Thanks so much for your message and apologies on the delay in getting back to you!
Thanks for bringing up the important point regarding wastewater irrigation and health. One of the key findings from the in-depth SaniPath study in Accra was that the dominant pathway of exposure to fecal contamination for young children was through the food supply. This has important implications for the WASH sector – that typically ignores food safety. As you point out, urban agriculture is a key contributor to the food supply in many cities, and wastewater irrigation is a common practice. Our study demonstrates that this pathway for exposure combines high frequency of exposure and high “doses” of fecal contamination – making it a high-risk pathway that should be a priority for intervention. We’ve recently submitted a manuscript by Wang et al. detailing this finding to the American Journal of Tropical Medicine and Hygiene and we can send you a copy once it’s published. We also conducted a sub-study lead by a PhD student at the London School of Hygiene and Tropical Medicine, Prince Antwi-Agyei. The results of that work can be found in a journal article entitled “A Farm to Fork Risk Assessment for the Use of Wastewater in Agriculture in Accra, Ghana” (

Regarding your question about applying SaniPath in rural or peri-urban areas, we’ve put some thought into this in the past but don’t currently have plans to develop a version of the tool for rural areas. However, we do have plans to apply the tool in peri-urban areas and smaller towns where sanitation investments are planned through a partnership with EAWAG.

We've also recently circulated a policy brief on public toilets based the SaniPath study in Accra, Ghana ( that may be of interest.

We really value you taking the time to contact us and for sharing your insights! Please do keep in touch!


Katharine Robb, MPH
Associate Director, Research Projects
The Center for Global Safe WASH
Emory University
This e-mail address is being protected from spambots. You need JavaScript enabled to view it ]]>
Health issues and connections with sanitation Tue, 07 Jun 2016 17:37:18 +0000
Re: Link between poor sanitation and higher risk of Adverse Pregnancy Outcome - by: jbr
"While it is intuitive to expect that caste and poverty are associated with poor sanitation practice driving APOs, and we cannot rule out additional confounders, our results demonstrate that the association of poor sanitation practices (open defecation) with these outcomes is independent of poverty. Our results support the need to assess the mechanisms, both biological and behavioural, by which limited access to improved sanitation leads to APOs."

We feel that this study gives a fresh perspective on the link between WASH and Health. Tdh uses WASH to support maternal newborn and child health (MNCH) programming, focusing on girls and women of reproductive age. Although we try to influence delayed pregnancy, among the most significant factors in terms of readiness for motherhood are nutritional status, psycho-social well-being, level of education and status within the family. Since we monitor hundreds of girls and women in our protection/health programmes, this puts a new research angle on our radar.

For example, it would be interesting to explore the relationship between age, open defecation and adverse pregnancy outcome.]]>
Health issues and connections with sanitation Wed, 11 May 2016 19:11:16 +0000