SEPTEMBER 2006 42979 SOAPBOX The Public Private Partnership for Handwashing Newsletter UPDATES FROM THE COUNTRY PROGRAMS Vietnam In Vietnam, the first "In Safe Hands" marketing Partnership building and fundraising continues. The training conducted by Unilever Marketing Academy Ministry of Health, the Lead Agency, has taken an and financially supported by the Lifebuoy soap active role in spearheading the initiative, providing brand was successfully conducted in Vietnam from valuable technical inputs to the consumer May 16-19, 2006. The workshop was well attended research/baseline survey and program design. by public and private sector partners including Private firms participating in the PPP Vietnam now representatives from the Ministry of Health, the include Unilever, Lix, a local soap company, and Women's Union, various INGOs, UNICEF, a WSP Mindshare, one of the largest media firms in the staff member from Laos and a consultant to the region. The HW Coordinator will continue to work handwashing activities in Indonesia. to expand the number and variety of private sector partners. For more information on the Vietnam Handwashing Initiative, please contact Nga Nguyen at NNguyen4@worldbank.org Peru The Peru HW Initiative launched its communication program in October 2005. Since then activities have not stopped. To date, 77 workshops have been implemented and 3500 health and education professional have been trained and provided with communication material enabling them to best promote the handwashing practice to In Safe Hands Marketing Masterclass: Brainstorming about motorcycle helmet campaign in Vietnam (Photo: Nga Nguyen/WSP) close to 175,000 mothers and children. National mass media coverage, through a combination of The workshop introduced participants to the conventional and non-conventional channels, has private sector's approach to marketing, including an lasted 5 months and experienced a new boost as the immersion session in the field to interview Ministry of Health decided to finance a re-launch of consumers and group work that enabled public and the campaign during the months of June and July private partners to work together. As part of the 2006. workshop, representatives from Unilever's primary creative agency worked with participants to develop An institutional video has been produced to show two handwashing campaigns: one targeted at the communication process during the first year of mothers of children under five and one for primary implementation, and better explain the role of school children. The workshop generated partners at national and local level. significant momentum and support for the HWI and participants from the MOH voiced enthusiasm The Initiative's strategy for the period that started in applying marketing approaches to future in July, seeks to widen the scope of the behavior change communication programs. communication efforts to reach 20 of the 24 regions of the country. The starting point is to 1 identify local institutions and existing networks to 6 After having contact with excreta, more than establish synergy links with the HW Initiative. The half of the cases of handwashing were done Initiative will reach out to new regions through using soap. At critical times involving food, partnerships with local public and private less than one third of those observed washing institutions, building the capacity of members of their hands used soap. existing networks, and a communication program to promote handwashing among school children. In addition to the consumer study, the following For more information on the Peru PPPHW, please contact activities were carried out in Phase 1: Rocio Florez RFlorezp@worldbank.org ˇ The model of the partnership was shared with Colombia representatives from public and private entities The Public-Private Partnership for Handwashing in interested in participating. Colombia has now finished the preparation phase ˇ A steering committee was formed with and has entered the development phase. During the representatives from the public sector, private first stage of the program, a behavior and baseline sector, NGOs, multilateral organizations, and study was carried out to develop a deeper communication media and a good working understanding of the hygiene practices in the areas relationship was established. of Colombia, where diarrheal incidence is high. ˇ The Colombia PPPHW worked on guidelines of the action plan and formation of specialized The study sought to determine the incidence of work teams (to review the study process; to handwashing among mothers and other caretakers prepare the strategy and business plan, among of children less than five years of age, and to others.) understand their motivations and barriers to adopting the desired behavior. As part of the study, ˇ The Terms of Reference were finalized for the a survey was carried out to establish ­ among other task of creating and designing of a program of things ­ the frequency of diarrheal diseases in social sensitization, communication and children less than five years of age, the availability education to promote Handwashing with soap of water and soap, and the media channels most in Colombia. Contracting of a communications frequently heard and watched by the population. agency to undertake this task is underway. The survey was carried out in 500 households belonging to social-economic category 1 (having The Colombia PPPHW is planning to have the unsatisfied basic needs) with at least one child campaign strategy ready in December, 2006, and to under five years of age. The 500 households were begin the media campaign by early 2007. The distributed among the main geographical regions of PPPHW in Colombia is working to partner with Colombia, covering both urban and rural areas. key players in children's broadcasting, hoping to benefit from their expertise in designing messages The following are among the key study conclusions: for children and their extensive reach among this audience. 1 10% of children under five years of age presented symptoms of diarrhea the day For more information on the Colombia HW Initiative, please before the survey contact Amparo Araujo at lavamaraujo@hotmail.com 2 22% of children under five years of age presented symptoms of diarrhea two weeks Ecuador before the survey Funding of US$1 million over four years for the 3 In 20.7% of cases was handwashing at critical Public-Private Partnership for Handwashing in times observed. Ecuador was secured with the approval of the Rural and Small Towns Water Supply and Sanitation Project II 4 Only in 38% of the cases was handwashing (PRAGUAS II) in June, 2006. The efforts of the done using soap. Ecuador PPPHW are being led by the 5 The frequency of handwashing is significantly Sub-Secretariat of Water, Sanitation, and Solid higher at critical times involving excreta Waste, Ministry of Urban Development and (32.2%) than at critical times involving food Housing. The Ecuador PPPHW is currently (17.5%). finalizing the Terms of Reference for the consumer 2 research and baseline studies. It is expected that a (SHEP) Coordinators, Schools Circuit Supervisors consultant firm will be hired to carry out the task by and Ghana Education Services Training Officers. end October. The National TV Station has been contacted to integrate children's program on PPPH in a national Over the coming months, key efforts will focus on TV Children's Channel Program. the implementation of the consumer research study For more information on the Ghana PPPHW, please contact and the consolidation of the public-private alliance. Theodora Adomako at theovaness@yahoo.com A presentation of the partnership is planned for October 2006 and will involve key organizations in Senegal the WSS, health, and education sectors. The Senegal Public-Private Partnership for Handwashing (PPPHW) will be launching its For more information on the PPPHW in Ecuador, please activities in October. The President of the contact Lene Jensen at LJensen@worldbank.org Republic, who will be the Official Patron of the Benin handwashing campaign, will chair the launch The Embassy of The Netherlands has provided ceremony, raising the profile of the campaign and funding for the first phase of a handwashing the PPPHW. promotion program in Benin. The efforts of the Benin Handwashing Initiative will be led by the Activities for the preparation of the launch are Directorate of Hygiene and Sanitation under the already completed under the supervision of the Ministry of Health. In the coming period, the lead Hygiene Department (DPIC) of the Ministry in agency will focus on the recruitment of a national charge of Hygiene. Financing for the ceremony was handwashing coordinator, contracting and secured by the National Office of Urban Sanitation implementation of the consumer research survey (ONAS), the water companies (SONES, SDE), and and handwashing baseline studies, and the a number of other public and private entities. establishment of a Steering Committee involving key public and private partners. Phase one of the In terms of preliminary activities, the training of the Benin Handwashing Initiative is set to focus on trainers in handwashing promotion (social partnership building and promotion of marketing) is completed. More than 400 trainers handwashing through mass media channels. were trained in the regions (Dakar, Thies, Diourbel, Vélingara), where the campaign will be piloted. For more information on the Handwashing Initiative in Benin, please contact Sylvain Adokpo at SAMigan@worldbank.org Fundraising efforts have been ongoing, with requests sent to many partners, including UNICEF, Ghana AGETIP, Belgium Technical Cooperation (BTC), District level activities have been strengthened. and Luxembourg Cooperation. Their contributions Over the past six months, the emphasis has been made it possible to ensure a good start to the on mainstreaming of handwashing promotion into activities. An agreement has been signed by all water and sanitation projects and activities of the UNICEF for the financing of activities in Velingara PPPH partners. Among other things, a module on and the production of the TV spots. UNICEF will PPPH has been developed and integrated in the also finance some media airtime. training of stakeholders at regional and district levels. Launches in 28 newly established districts are For more information on the Ghana PPPHW, please contact Ali Diouf at ppplm.senegal@gmail.com ongoing. One hundred and fifty eight Female water and sanitation committee members have been trained. In two regions, radio talk shows on East Africa handwashing with soap were organized. Forty-five WSP and Unilever are collaborating to provide latrine artisans have been given orientation on technical assistance to handwashing programs in handwashing with soap. East Africa, starting with the Uganda formative research. On October 23, Unilever-Lifebuoy and The preparation for the schools handwashing WSP are hosting a MARKETING EXPO in program is far advanced. There will be Training of Nairobi for regional stakeholders to review state of Trainers for School Health Education Program the art behavior change models. East African country teams will then participate in a three and 3 half day IN SAFE HANDS marketing training inputs to the development of the TORs. WSP and conducted by Unilever's Marketing Academy. the Ministry of Health are currently interviewing candidates for the coordinator position and are in Tanzania the process of requesting proposals to carry out the Building on the consumer research work conducted formative research. in the last year, the Tanzania Public-Private Partnership for Handwashing (PPPHW) has For more information, please contact Jason Cardosi at formed a Steering Committee as a sub-component JCardosi@worldbank.org of the national Sanitation Working Group. The Steering Committee consists of representatives Uganda from Ministries of Water and Health, the soap Mr. Chris Nsubuga-Mugga has been appointed as industry, toilet manufacturers, UNICEF, WaterAid, the handwashing coordinator from August 1, 2006. WSP, World Bank, and faith-based organizations. He effectively coordinated and managed the Tanzania has also applied to the EU for funding for National Hygiene and Sanitation Week celebrations handwashing as part of an East African of March 2006. Handwashing Initiative. Interest for the PPPHW is getting stronger and Danida has availed funds for the initial phase of the campaign until the end of 2007. In addition, Unilever, Discovery Channel and UNICEF have formed a partnership to carry out a handwashing initiative in primary schools in Uganda. The Uganda PPPHW is currently finalizing the procurement of services for the consultant to carry out the formative research. Next steps for the initiative will include getting the formative research underway and procuring a marketing agency to prepare the campaign strategy and concept development. Tanzania: Handwashing facility (Photo: Nat Paynter/WSP) For more information on the Initiative in Uganda, please contact Chris Nsubuga at chrismugga@yahoo.co.uk The Initiative hopes to build on regional economies of scale in the promotion of handwashing. At present, the Group is actively recruiting a handwashing coordinator for Tanzania. The Tanzania PPPHW is drafting a Request for Proposals for the engagement of a creative agency to develop the campaign strategy and concepts. For more information on the Tanzania PPPHW, please contact Nat Paynter at NPaynter@worldbank.org Kenya The Water and Sanitation Program (WSP) presented the framework for the handwashing program during a recent Environmental Sanitation Working Group meeting at WHO, chaired by the Ministry of Health. Terms of Reference have been developed for the handwashing coordinator position and a formative research study. Stakeholders, including UNICEF, Colgate- Palmolive, and Unilever, contributed technical 4 NEW PUBLICATIONS diarrhea, it is estimated that 94 percent of the 1.7 million annual deaths due to the disease could be Handwashing Handbook ­ Now available in prevented through better environmental French and Spanish! management. The report identifies better hygienic The Handwashing Handbook has been translated measures as one of six preventive measures which into French and Spanish. The translated versions of could be taken now to reduce the environmental the Handbook are available in electronic format at disease burden. The report can be downloaded www.globalhandwashing.org. Hardcopies of the from the WHO website at www.who.int publications can be requested by contacting LJensen@worldbank.org CAPACITY-BUILDING, OUTREACH, & ADVOCACY NEWS IN BRIEF University of Handwashing Handwashing Remains a Big Problem in Washington DC ­ May 1-2, 2006 Schools The Global PPP for Handwashing held its annual According to a recent assessment of the School University of Handwashing in Washington DC, May 1- Sanitation and Hygiene Education (SSHE) country 2, 2006. The workshop was attended by global pilot project (2002-2004) ­ involving local partners PPPHW member organizations, country in six countries as well as UNICEF and IRC coordinators, and sector specialists to share and International Water and Sanitation Centre ­ the discuss successes, challenges, and next steps. The availability and use of soap remained a major workshop report and presentations can be problem in most of the participating program downloaded from the Global Handwashing website schools. While facilities to provide water were still at www.globalhandwashing.org available and in working order in 80% of program schools 12 to 18 months after the project had Handwashing 101 ­ Consultants' Training finished, non-availability of soap continued to Washington DC ­ May 3-5, 2006 present a barrier to establishing good handwashing More than 40 participants from four regions practices. Given the very significant health benefits attended the three-day training workshop, of using soap, the assessment recommends that Handwashing 101, hosted by the Secretariat for the more efforts go into finding solutions to ensure that global Public-Private Partnership for Handwashing students can wash their hands with soap. An (PPPHW), May 3-5, 2006, in Washington DC. The electronic copy of the report can be obtained from purpose of the workshop was to provide technical the IRC International Water and Sanitation skills training in topics where ongoing and future Resource Centre website at www.irc.nl PPPHWs will need support, including: Nearly a Third of All Disease in Developing ˇ Handwashing evidence base Regions Caused by Environmental Exposure ˇ Strategic marketing According to the report Preventing Disease through ˇ The `Handwashing Project Cycle" Healthy Environments ­ Towards an Estimate of the ˇ Country assessments Environmental Burden of Disease released by the WHO in June 2006, nearly one-third of death and disease ˇ Partnership building in developing regions can be attributed to ˇ Fundraising environmental exposures. The report singles out ˇ Procurement training children under the age of five as being particularly vulnerable to environmental exposures and PPPHW partner, Unilever contributed to the estimates that preventing environmental risks could workshop with a one-day training seminar on save up to four million children's lives per year. The marketing. The training was prepared and delivered report identifies the four main diseases influenced by Unilever's Marketing Academy. Participants in by the environment as being diarrhea, lower the workshop included independent consultants, respiratory infections, various forms of PPPHW country coordinators, PPPHW partners, unintentional injuries, and malaria. In the case of and government representatives. Copies of the 5 workshop report and presentations can be obtained by contacting the Secretariat for the Global PPP for Handwashing at LJensen@worldbank.org PPPHW Exhibits at the Global Health Council's Annual Meeting Washington DC ­ May 30-June 2, 2006 The Secretariat for the Global Handwashing Partnership exhibited at the Global Health Council's annual meeting May 30 ­ June 2, 2006 in Washington. The handwashing message was positively received by conference participants. Interest in the PPPHW's Handwashing Handbook was strong with more than 150 copies disseminated. UPCOMING EVENTS Global PPPHW to Exhibit at APHA For a second consecutive year, the Secretariat for the Global Handwashing Partnership is organizing a PPPHW exhibit at the Annual Meeting of the American Public Health Association, November 4 ­ 8, 2006 in Boston, U.S. Again this year, interest in the Initiative is expected to be strong. Global PPPHW Steering Committee to Meet Members of the global PPPHW Steering Committee are scheduled to meet later this fall to discuss the past year's progress and achievements as well as the new challenges ahead. The date for the meeting is currently being determined based on member availability. We encourage and welcome your comments and contributions to SoapBox. Please send them to Lene Jensen at Ljensen@worldbank.org Want to learn more about the global Public-Private Partnership for Handwashing with Soap? Visit our website at www.globalhandwashing.org 6