Dear sanitation enthusiasts.
There is a sanitation issue I have been struggling with for some time:

We are involved in WASH programs in East Africa. Very often those programs contain hygiene and sanitation promotion components, by which our local Red Cross volunteers and local health workers would advocate for healthier environments and behaviour. However, I feel that these attempts are somewhat undermined by the fact that local health offices and indeed our own field offices very often have dirty toilets or no toilet at all.

What are your experiences in this respect?
Do you know of any evidence that the presence/absence or cleanliness of institutional sanitation facilities influences the sanitation situation or success of sanitation interventions in the wider community? Or any evidence to the contrary?


Best regards,
Alexander Oeze
Austrian Red Cross