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Creating demand for sanitation and hygiene through Community Health Clubs: A cost-effective intervention in two districts in Zimbabwe.

Waterkeyn, J.; Cairncross, S.;
Soc Sci Med, 2005; 61(9):1958-70
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pub_id
15927329
pubmedid
15927329
ISI
232063900009
reference_type
author
Waterkeyn, J.; Cairncross, S.;
title
Creating demand for sanitation and hygiene through Community Health Clubs: A cost-effective intervention in two districts in Zimbabwe.
secondary_title
Soc Sci Med
ISBNISSN
0277-9536
volume
61
number
9
pages
1958-70
year
2005
abstract
Unless strategies are found to galvanise rural communities and create a demand for sanitation, we cannot achieve the United Nations Millennium Development Goal of halving the 2.4 billion people without sanitation by the year 2015. This study describes an innovative methodology used in Zimbabwe--Community Health Clubs--which significantly changed hygiene behaviour and built rural demand for sanitation. In 1 year in Makoni District, 1244 health promotion sessions were held by 14 trainers, costing an average of US dollars 0.21 per beneficiary and involving 11,450 club members (68,700 beneficiaries). In Tsholotsho District, 2105 members participated in 182 sessions held by three trainers which cost US dollars 0.55 for each of the 12,630 beneficiaries. Within 2 years, 2400 latrines had been built in Makoni, and in Tsholotsho latrine coverage rose to 43% contrasted to 2% in the control area, with 1200 latrines being built in 18 months. Although Zimbabwe has historically relied on subsidies to stimulate sanitation, this intervention shows how total sanitation could be achievable. The remaining 57% of club members without latrines in Tsholotsho all practised faecal burial, a method previously unknown to them. Club members' hygiene was significantly different (p<0.0001) from a control group across 17 key hygiene practices including hand washing, showing that if a strong community structure is developed and the norms of a community are altered, sanitation and hygiene behaviour are likely to improve. This methodology could be scaled up to contribute to ambitious global targets.
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tertiary_author
tertiary_title
edition
date
type_of_work
subsidiary_author
alternate_title
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custom_1
WOS OK
custom_2
Unknown
custom_3
custom_4
10.1016/j.socscimed.2005.04.012
custom_5
Subscription Required
custom_6
10
label
2016-10-19
notes
Journal Article
url
author_address
London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. juliet.waterkeyn@lshtm.ac.uk
library
S0277-9536(05)00175-9 10.1016/j.socscimed.2005.04.012 15927329
date_accepted
date_online
created
2005-06-03 11:38:10
modified
2016-07-08 00:00:00
library

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<ArticleId IdType="doi">10.1016/j.socscimed.2005.04.012</ArticleId>
<ArticleId IdType="pubmed">15927329</ArticleId>