The big 3 - Hand hygiene and personal hygiene, safe disposal of faeces, safe storage of water.
Hygiene is most closely linked to MDG 4. Under five mortality rate...this has been declining steadily which is the good news.
MDG-4 is not likely to be met.
Maldives, Sri Lanka ..will definitely achieve this though.
Vietnam and Phillippines are well ahead...
Challenges to achieve MDG -4 and better hygiene practices
Cultural differences and context
Inappropriate institutional arrangements
lack of financial transparency
Lack of political will
Political instability
Natural disasters
Measure of success of WASH programmes- Should it be cost effectiveness based or rights based?
Issues for discussion
How to convert knowledge to practice?
Scaling up
Transparency-cost effectiveness
Linkage between hygiene and other sectors
Awareness of menstrual hygiene management
Who should carry out the intervetions?
Govt. NGO's both...??
Resource constraint is a huge challenge - ...from BRAC
Morbidity , especially among children, is a huge underlying iceberg below the sea...the tip is mortality ...intervention from Pakistani delegate
Sustainability of behaviour change...how is that to be monitored and understood...Richard Carter
It is also difficult to isolate the benefits of hygiene promotion...exclusively, as opposed to say nutrition improvements...that is a challenge before WASH practitioners...
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