July 2016 — The WASHplus end of project report provides a summary of the key cross-cutting themes from this six-year (2010–2016) project. WASHplus supported healthy households and communities by developing and delivering interventions that improved water, sanitation and hygiene (WASH) and household air pollution. The project used at-scale programming approaches to reduce diarrheal diseases and acute respiratory infections, the two top killers of children under age 5 globally. FHI 360, in partnership with CARE and Winrock International, led this project, which was funded through the U.S. Agency for International Development’s Bureau for Global Health.
Integrating Sanitation into Services for People Living with HIV and AIDS
July 2012 — Globally, more than 33 million people now live with HIV or AIDS (UNAIDS 2009). This epidemic has dramatically changed patterns of disease in developing countries. In addition, previously rare opportunistic diseases have become more common. High rates of morbidity and mortality from endemic conditions such as tuberculosis (TB), diarrheal diseases and wasting syndromes — formerly confined to the elderly and malnourished — are now common among young and middle-aged people in many developing countries. This guide outlines quick, easy ways to integrate sanitation into existing U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) programs and the rationale for such integration. This document also provides examples of how countries have integrated sanitation into their HIV programming. Guidelines and tools are available as annexes.
Field Review of USAID’s Approaches to WASH in Madagascar: Success Factors and Lessons Learned
August 2012 — Partners in Madagascar are implementing four U.S. Agency for International Development (USAID)-supported approaches, innovative in this country’s context, to improve water and sanitation without major subsidies: community-led total sanitation, public WASH blocks, village savings and loan associations, and sanitation marketing. The review highlights how these approaches are operating cost-effectively and sustainably. Presented are the findings from an independent review in May 2012 in which a review team assessed approaches applied by USAID partner projects to improve water and sanitation. The team identified and documented factors contributing to and hindering program success and sustainability, as well as key lessons learned.
WASH and HIV/AIDS Integration: Resources for Planning, Programming and Assessing
2010 — The set of publications in this kit provides a one-stop resource for anyone seeking guidance on HIV/AIDS-water, sanitation and hygiene (WASH) integration. This resource kit will be useful for program managers seeking information on expanding or creating an integrated program, for home-based care organizations seeking to integrate WASH into their household and community level interventions, for U.S. Government representatives seeking a strategy for planning and justifying supporting integration and for any other audience seeking to learn more about this critical intersection.
Water, Sanitation and Hygiene (WASH) Considerations for Accelerated PMTCT Programming
2012 — To improve the quality and effectiveness of interventions for prevention of mother-to-child transmission (PMTCT) of HIV and basic diarrhea in children, it is important to ensure that mothers and HIV-exposed and -infected children have access to safe water, handwashing, safe feces disposal and food hygiene, in both household and facility-based care settings. This briefing note provides an overview of the rationale for including specific WASH interventions into PMTCT programming, as well as background data and recommendations for the delivery of integrated programming.
What Do Cooks Want? What Will They Pay? A Study of Improved Cookstoves in Bangladesh
March 2014 — As the evidence base linking improved cookstoves with positive health and energy impacts grows, so does attention on how best to influence household uptake and consistent and correct use. The WASHplus project conducted a comprehensive assessment to better understand consumer needs and preferences in Bangladesh. This brief summarizes the full report.
Understanding Consumer Preference and Willingness to Pay for Improved Cookstoves in Bangladesh
August 2013 — As the evidence base linking improved cookstoves with positive health and energy impacts grows, so does attention on how best to influence household uptake and consistent and correct use. This study uses qualitative and quantitative methods that draw from social marketing and social science to explore consumer perceptions of five of the most promising improved cookstoves potentially available for distribution in Bangladesh. The study complements other efforts by a range of stakeholders to strengthen market‐based approaches and consumer choice for improving household air quality and reducing the environmental impacts associated with dependence on biomass fuels.
Cooking Should Nurture, Not Kill (fact sheet)
2014 — The use of clean, reliable, affordable, efficient and safe home cooking practices reduces exposure to household air pollution, and today a range of technologies and solutions exist to improve the health of the more than 3 billion people in the developing world who cook food and heat their homes using traditional cookstoves or open fires. This fact sheet outlines the challenge and solutions.
Integrating WASH into HIV Interventions and Advancing Improved Sanitation Uptake: WASHplus Kenya End of Project Report
September 2014 — What started as an activity to integrate sanitation and hygiene practices into HIV/AIDS care and support programs has grown over the years into a holistic approach to prevent diarrhea among households at risk. The WASHplus project, funded by the U.S. Agency for International Development, helped communities and households in Kenya make the connection between improved sanitation, healthy hygiene habits and positive outcomes for people living with HIV and AIDS, their families, children, the elderly and other vulnerable households. This report highlights the innovation, flexibility and commitment to working closely with the government that proved to be crucial to the project’s success. With the government’s adoption of the project’s signature approach, small doable actions are likely to continue to resonate with many audiences long after the WASHplus transition.
Small Doable Actions: A Feasible Approach to Behavior Change (learning brief)
August 2015 — The WASHplus project, funded by the U.S. Agency for International Development, incorporates a small doable action approach to change water, sanitation and hygiene (WASH) and household air pollution practices in its global and country-level activities. The project’s behavior change approach, described in this brief, identifies and addresses the most influential factors in improving the WASH practices of communities, families and individuals.
Small Doable Actions: Integrating WASH and Nutrition (learning brief)
June 2015 — The WASHplus project, funded by the U.S. Agency for International Development, has been engaged since 2010 at the global and country levels in stimulating the discussion on and improving the evidence base for integrating water, sanitation and hygiene (WASH) into nutrition programming. This brief shares our experiences with and approaches to integrating the two sectors.
