MARCH 2006 SOAPBOX 42978 The Public Private Partnership for Handwashing Newsletter Note from the editors We are happy to share with you this new issue of SoapBox. As always, SoapBox provides updates on PPPHW developments at global and country level, key events, new research and publications in the area, and much more. Since our last issue, we have seen the seeds for new initiatives be planted in Nigeria, Ecuador, Paraguay, and Benin, and the PPPHW in Peru ­ a flagship initiative ­ move into full blossom with the launch of the national campaign in October 2005. We are happy to report that handwashing message is spreading. Today, the interest in and support for the promotion of handwashing with soap is now stronger than ever and growing. UPDATES FROM ONGOINGPROGRAMS discussed with invited guests. The program is estimated to have reached 350,000 to 400,000 Peru women in the country. The Public Private Partnership for Handwashing in Peru launched its campaign in the fall of 2005. The The radio mass media campaign is being supported campaign, still in progress, takes advantage of by an alternative communication strategy, e.g., multiple media channels. At the core of has been a making use of non-conventional private mass media national radio mass media campaign, centered channels, such as internal bank and bus TV circuits, around a ten-episode radio soap opera entitled "Las handwashing promotion by the door-to-door sales burbujas de tu amor" (translation: The bubbles of force of a national cosmetics company, and scouts your love). The show was aired by the national and Peace Corp volunteers. In addition, three radio station, Radio Programas Peru, every Sunday regional promotion events have been organized during October and November, and each episode with the purpose of bringing the campaign closer to of the soap opera was followed by a talk show the audience. Parades, handwashing trials, and where specific topics were poster contests were included in the programs. School delegations, army bands, authorities, and local families joined the celebration. The events received extensive press coverage. As a complement to the mass media campaign, the Peru PPPHW has carried out Training of Trainers workshops in five regions, with the aim of integrating handwashing promotion into the work of health professionals Lavate los manos con jabón. Antes de comer. Después de ir al baño and educators. In the coming months, the Peru (translation: Wash your hands with soap. Before eating. After going to the toilet). Peru PPPHW handwashing poster. PPPHW will continue the roll-out of this component, adding activities in another six regions. In total, 3,500 health professionals and educators will be trained during a first phase eight-month period reaching 117,500 mothers and 53,000 1 children directly. Scale-up efforts aim to double the the Colombian context. The study is expected to be impact of this component during 2006. complete in March 2006. In addition to the behavioral study, a market survey is currently being undertaken. A draft business plan and communications strategy has been developed based on information obtained from organizations related with the HW Initiative. Once the findings of the behavioral study become available, they will be discussed with the National Executive Committee of the Colombian HW Initiative. Finally, a full-time handwashing coordinator is expected to come on board in March 2006. For more information on the Colombia HW Initiative, please contact AArmstrong@worldbank.org Peru PPPHW: Handwashing competition at regional launch event. Nepal Despite the challenging political and civil In the next phase, another interpersonal environment, the activities of the Handwashing communication component will be added to the Initiative in Nepal continue, with a strong emphasis HW program in the form of a Schools Program on community-level handwashing promotion. financed jointly by Fondo de las Americas and Funding for the Initiative has been provided by private sector partners. USAID until early 2007. For more information on the Peru PPPHW, please contact Rocio Florez at RFlorezp@worldbank.org During the fall of 2005, over 2,000 community level workers were trained in Handwashing promotion. Colombia The training was coordinated by the Handwashing In the fall of 2005, the new Colombian Initiative and implemented by partner NGOs and Handwashing Initiative was started up. The District Water Supply and Sanitation offices. Colombia Initiative is housed in the Ministry of Following this, the workers have started Environment, Housing and Territorial implementing the social mobilization efforts at the Development and is being supported by the household and school level. Among other things, recently signed Sustainable Development Investment Loan members of child clubs were trained in the month provided by the World Bank to the Government of of November immediately after the festival season. Colombia. The Initiative is currently active in four districts: An interim coordinator of the Colombian HW Dang, Kapilvastu, Panchthar and Parsa. Additional Initiative came on board at the beginning of funds are being pursued to bring the handwashing November 2005. As part of the strategy directed to message to a greater number of districts. build up a Public Private Partnership, the interim For more information about the Nepal Handwashing Initiative, coordinator took the first steps towards identifying please contact Siddartha Shrestha at sidshrestha@unicef.org and raising awareness of handwashing amongst key national decision-makers. The process is expected Ghana to culminate in the formation of a National With district level activities ongoing, the Ghana Executive Committee for the Colombian PPPHW re-launched Phase I in the fall of 2005. In Handwashing Initiative in early 2006. December, the television ads of the "Truly Cleans Hands" campaigns were re-aired with funding from A behavioral study is being carried out in five DANIDA. The ads will run until March 2006. regions of the country. The study will document current handwashing practices in the regions and As of early 2006, preparations for Phase II of the identify motivators and drivers for handwashing in "Truly Clean Hands" campaign were underway, 2 including a review of existing media materials. Steadman Tanzania, completed the consumer Phase II is anticipated to be 18 months in length research and submitted preliminary findings for and aims to consolidate handwashing behavior review in early 2006. The government, WSP, and change. With funding from DANIDA, Phase II will local partners are developing the program strategy implement an intensified handwashing program for and business plan and will request expressions of schools. Phase II will see enhanced emphasis on interest from creative agencies in the first half of integration and district-level activities; among other 2006. The handwashing program will be linked to things featuring launches in 28 newly established the sanitation and hygiene promotion component districts. of the National Rural Water Supply and Sanitation For more information on the Ghana PPPHW, please contact Program. Lene Jensen at LJensen@worldbank.org For more information on the Tanzania PPPHW, please contact Nat Paynter at NPaynter@worldbank.org Senegal Interest for the PPPHW continues to be strong Vietnam among public and private partners in Senegal. The The Vietnam National Handwashing Initiative has Belgian Technical Cooperation and the Embassy of moved into a new phase with the appointment of Luxembourg to Senegal have expressed their Nga Kim Nguyen as Handwashing Coordinator. support for the initiative and are committed to Ms. Nguyen came on board January 2, 2006. Prior providing financial assistance. On the private sector to joining the Vietnam National Handwashing side, the national telephone company Sonatel has Initiative, she has worked in social marketing and committed to support the campaign with in-kind behavior change communication throughout the advertising contributions and support of a similar East and South East Asia region. kind is being discussed with a national level transportation company. A first stakeholder meeting for the Vietnam National Handwashing Initiative was held on The implementation of a handwashing baseline February 15, 2006. The event was widely attended study was among the key PPPHW activities in the with over 30 representatives from the Ministry of fall of 2005. The study, which had been delayed due Health, the Vietnam Women's Union, WHO, to recurrent cholera outbreaks, was finalized in UNDP, DANIDA, NGOs, Unicef, WSP, and December. The findings showed that handwashing World Bank staff. Val Curtis from the LSHTM was rates are low among target groups (school-age there to present on the initiative globally and Nga children, mother, and other caretakers of children). Nguyen presented on the initiative in Vietnam. The For example, only 16.3% of mothers and other Ministry of Health was announced as the Lead caretakers of children wash their hands with soap Agency and many organizations offered their after having cleaned a baby's bottom. A mere 3.8% support for the initiative. of mothers were found to wash their hands with soap prior to feeding a child. Next steps for the Initiative will include continuing the dialogue with public and private organizations, The Senegal PPPHW is currently finalizing the fundraising, and getting the consumer research procurement of services and goods for the Direct underway. Consumer Contact component of the handwashing For more information on the Vietnam Handwashing Initiative, campaign. The firm EDE has been selected to carry please contact Nga Kim Nguyen at NNguyen4@worldbank.org out training of trainers. Handwashing promotion training of trainers is expected to get underway in the second quarter of 2006. NEW HANDWASHING PROGRAMS For more information on the Senegal PPPHW, please contact Ali Diouf at ppplm.senegal@gmail.com Benin Tanzania The Embassy of the Netherlands in Benin has In the fall of 2005, a consumer research study was confirmed that funding will be made available for undertaken with funding from the Government of the establishment of a Public-Private Partnership Ireland. TMS International, in partnership with for Handwashing in Benin. A detailed proposal for 3 funding was prepared and submitted to the of the initiative. The handwashing consultant is Embassy by the Government of Benin in the fall of expected to make a first trip to Nigeria in the spring 2005. The government received technical inputs of 2006. from the Water and Sanitation Program and the For more information, please contact Kate Tulenko at Handwashing Secretariat in the process. KTulenko@worldbank.org For more information on the Benin PPPHW, please contact LJensen@worldbank.org Paraguay The Government of Paraguay has expressed Ecuador interest in the establishment of a public-private A public-private partnership to promote alliance to promote handwashing. Preparations for handwashing is being planned as a component of a handwashing initiative are currently underway. the upcoming Rural and Small Towns Water Supply and The initiative would be part of the upcoming Fourth Sanitation Project II (PRAGUAS II). In January 2006, Water Supply and Sanitation Project. the Ministry of Urban Development and Housing For more information on the Initiative in Paraguay, please appointed Mariana Acosta as Coordinator for the contact Lene Jensen at LJensen@worldbank.org Ecuador Handwashing Initiative. Priority activities in the past and coming months include establishing a dialogue with private and public sector PUBLICATIONS & RESEARCH counterparts, forming a partnership steering committee, drafting a detailed business plan and partnership strategy, and preparing and launching a Handwashing Handbook ­ Coming Soon in consumer research study. The Ecuador French and Spanish! Handwashing Initiative is expected to be fully up The Handwashing Handbook has been translated and running in the summer of 2006. into French and Spanish. The translated versions of the Handbook will be available electronically on the For more information, please contact Lene Jensen at Global PPP for Handwashing website by March LJensen@worldbank.org 2006. The translated Handbooks are expected to be available in hardcopy in April 2006. Copies of the Indonesia translated publication can be requested by Preparations are underway for a large scale contacting the Handwashing Secretariat at Handwashing Initiative as part of the Indonesia globalhandwashing@worldbank.org. Sanitation Sector Development Program (ISSDP). Electronic copies can be downloaded from the ISSDP is a joint initiative of the Government of Global PPP for Handwashing website at Indonesia and WSP-EAP, supported by Dutch www.globalhandwashing.org funding. The ISSDP team will be working in close consultation with the existing HWWS programs High Retention of Handwashing Knowledge in and partners in Indonesia, building on the existing Rural Kenya research and approaches to extend and develop the A new study by Parker et al. demonstrates high HWWS program in to a Nation-wide Campaign. handwashing knowledge retention rates among ISSDP will start in April 2006 and over the next 12- clients, who received handwashing education during 18 months looks forward to working with existing their visits to a Maternal and Child Health clinic in and new donors, NGO's, Government agencies and Nyanza Province, Kenya. The education was private sector partners to achieve the widest provided by nurses, who had received instruction possible hand washing with soap in Indonesia. on handwashing using a six-step technique: (1) use soap and water; (2) rub hands together for 10-15 s; For more information on the Handwashing Initiative in Indonesia, please contact KTulenko@worldbank.org (3) rub between fingers; (4) clean under nails; (5) rinse; and (6) air dry, if no clean towel is available. Nigeria Two weeks after the health clinic visit, 41% of A Handwashing Initiative is currently being planned clients were able to perform all handwashing steps as a component of a forthcoming health sector correctly. After one year, 34% of clients were able project, with financing from the World Bank. to demonstrate all six handwashing steps correctly. Unilever has agreed to provide funding for a Source: Parker, A. A. et al. (2006). Sustained high levels of stored drinking water treatment and retention of hand-washing handwashing consultant to support the preparation 4 knowledge in rural Kenyan households following a clinic-based intervention. Epidemiology and Infection, January 2006. Global PPPHW Exhibiting at the Annual APHA Meeting In Vietnam, Mothers' Handwashing Habits The Secretariat for the Global Handwashing Key to Diarrhea in Children Partnership exhibited at the American Public Findings from research on diarrhea in children Health Association Meeting in Philadelphia, under the age of five living in Hanoi, Vietnam, December 11 -14, 2005, with our newly designed point to the crucial role that mothers' handwashing Handwashing Partnership display. habits play in preventing diarrhea. The Hanoi study compared 587 children with diarrhea with 249 age- The handwashing exhibit drew considerable interest matched healthy controls, among other things, to and overwhelmingly positive reactions from assess the main epidemiological factors contributing domestic and international participants. Over 150 to diarrheal disease in children. Overall, the study meeting participants signed up to receive the Global findings revealed that more children got diarrhea in Handwashing Partnership's newsletter, SoapBox. (i) poor families; (ii) families where piped water and a latrine were lacking; (iii) families where mothers washed their hands less often before feeding the children; (iv) families where mothers had a low level of education; (v) families where information on health and sanitation less often reached their households. Source: Vu Nguyen, T. et al. (2006). Etiology and epidemiology of diarrhea in children in Hanoi, Vietnam. International Journal of Infectious Disease, February 1, 2006. NEWS IN BRIEF Global PPPHW Steering Committee Meeting, Fall 2006 Handwashing Secretariat staff, Kate Tulenko (right) and Lene The Steering Committee for the Global PPPHW Jensen (middle), talk with one of the many interested participants at the APHA Meeting in December 2006. met on October 26 and November 10, 2005. The meeting included updates from partners and the Handwashing Secretariat, as well as progress reports Unilever-PPPHW Collaboration on Marketing for ongoing and new national handwashing Training initiatives. Additional issues discussed during the Unilever's Marketing Academy will be building the meeting included HW in the context of avian flu, capacity of PPPHW staff with a marketing roles and responsibilities of steering committee masterclass. The course will be designed to raise the members, and co-branding. Among the outcomes level of marketing understanding and knowledge of the meeting was the establishment of an M&E among the PPP members, country coordinators, working group. and beyond. A pilot marketing masterclass is planned for Vietnam in May 2006. Handwashing and Avian Flu The Global PPPHW recognizes the important role Handwashing Clinic, WSP Training Week that handwashing with soap can play in the March 7, 2006 prevention of Avian Flu. In recent months, the In connection with the Water and Sanitation Handwashing Secretariat has worked in with, Program's training week, the Secretariat hosted a among others, the World Bank's Africa region two-hour Clinic focusing on the `how-tos' of team, Centers for Disease Control, the World introducing Handwashing into national policy Health Organization, and World Bank task dialogue, and starting and managing a national managers to integrate handwashing into Avian Flu Handwashing initiative. The training event was well prevention plans. attended and took place at the World Bank headquarters in Washington DC, March 7, 2006. 5 UPCOMING EVENTS University of Handwashing Washington DC ­ May 1-2, 2006 The Global PPP for Handwashing will be holding the annual University of Handwashing in Washington DC, May 1-2, 2006. The workshop will bring together global PPPHW member organizations, country coordinators, and sector specialists to share and discuss successes, challenges, and next steps. wb256731 Handwashing 101: Consultants' Training C:\Documents and Settings\wb256731\My Documents\Global Washington DC ­ May 3-5, 2006 Handwashing Initiative\Communication\SoapBox\Fall 2005\Soapbox Draft5 022306.doc The Secretariat for the global Public-Private Partnership for Handwashing (PPPHW) will be hosting 03/01/2006 7:01:00 PM Handwashing 101, a three-day consultants' training workshop, May 3-5 2006, in Washington DC. As recent years have seen a globally expanding number of public-private partnerships for handwashing (PPPHW), the workshop seeks to provide technical skills training in the topics where ongoing and future PPPHWs will need support. The technical areas covered by the workshop include: · Handwashing evidence base · Strategic marketing of Handwashing behavior · The `Handwashing Project Cycle" · Country assessments · Partnership building · Fundraising The workshop is tailored to consultants with previous experience in any of the following areas: hygiene promotion, social marketing/behavior change communication, public-private partnerships in health, monitoring and evaluation. Workshop participation is free of charge, and breakfast and lunch will be provided. Participants are expected to cover all other costs associated with participation. Consultants with an interest in participating, should send a C.V., two personal references, and a short paragraph (max. 200 words) outlining the purpose of their participation to Globalhandwashing@worldbank.org Global PPPHW Exhibiting at Global Health Council's Annual Conference, May/June 2006 As part of an effort to heighten the awareness of the power and benefits of handwashing with soap, the Global PPP for Handwashing will be hosting an exhibit at this year's Global Health Council Conference. Each year, the Conference brings together leaders and practitioners in the field of international health. The conference takes place in Washington DC, May 30 ­ June 2, 2006. 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