Woreda resource book for community-led total behaviour change in hygiene and sanitation

This resource book outlines the step by step processes of behaviour change in hygiene and sanitation in rural communities of Ethiopia. It outlines twelve key steps and suggests a range of tools. It is intended for use by committed personnel in the Woreda particularly from the health, education, agriculture, and rural development and water sector offices. Although this resource book was developed through “learning by doing” in the Amhara region of Ethiopia, it has been designed as a template for adaptation by other regions and/or the federal ministries.

The twelve steps outlined reflect key elements laid out in the National Hygiene and Sanitation Strategy and Protocol, the Health Extension Workers Manual, and the Amhara Regional Behavior Change Strategy. They cover the following topics:

• Pre-planning
• Capacity building
• Baseline Data Collection and Analysis
• “Whole System in the Room” Multi-Stakeholder Meet
• Develop a Plan and Budget
• Kebele Ignition and Action
• Gott Ignition and Action
• Promoting a Range of Technology
• Wash Institutional Ignition
• Multiplying the Message through Communication and Media
• Supportive Supervision, Monitoring, & Reporting
• Evaluation and Rewarding