29. What Factors Affect Sustained Adoption of Safe Water, Hygiene and Sanitation Technologies? A Systematic Review of Literature

This review is relevant to development specialists, public health practitioners and environmental engineers. These findings will be relevant to efforts to decrease communicable disease and increase basic access to a safe, healthy living environment. Among the exciting advances in water, sanitation, and hygiene (WASH) programmes and policies, sustainability counts as a renewed and crucial area of focus for implementers, scientists, policy makers, and donors alike. To further the understanding of the barriers and facilitators to sustained adoption and use of water and sanitation technologies, a systematic review of studies concerning both initial and sustained adoption of WASH interventions at the individual, household and community levels in low- and middleincome countries was conducted. The review was built on previous ones regarding handwashing and point of use water treatment, with a comprehensive effort that is dramatically larger and broader in scope than previous studies. It is the only known review that includes a range of WASH interventions and factors associated with adoption. (Link)


Hulland, K.; Martin, N.; Dreibelbis, R.; Valliant, J. D.; Winch, P. 2015. What Factors Affect Sustained Adoption of Safe Water, Hygiene and Sanitation Technologies? A Systematic Review of Literature. UKAID, Johns Hopkins Bloomberg School of Public Health, International Initiative for Impact Evaluation (3ie), Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI Centre), Social Science Research Unit, UCL Institute of Education, University College London. 169 p.

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