6. Guidelines for Assessing the Enabling Environment Conditions for Large Scale, Effective and Sustainable Handwashing with Soap Projects

The purpose of these guidelines is to provide guidance to programmatic staff in the water supply and sanitation (WSS), health, and other sectors on how to carry out an assessment of the enabling environment for large-scale, effective, and sustainable hand washing programming. In early 2007, the Water and Sanitation Program (WSP) – The World Bank started preparations to implement the Bill and Melinda Gates Foundation funded Scaling up Hand Washing Behavior Change Project. The project tests whether innovative promotional approaches can generate large-scale, effective, and sustained increases in hand washing with soap at critical times among the poor and vulnerable in Peru, Senegal, Tanzania, and Vietnam. As part of the preparatory work, the project carried out assessments of the enabling environment for large-scale handwashing programming in each of the project countries. These guidelines present the background to the study, conceptual framework, methodology, and tools used to carry out the assessments. The project team sees these guidelines as a work in progress rather than a definitive framework and approach to understanding or assessing a countries enabling environment for large-scale and sustainable effective hand washing with soap program. (Link)


Cogswell, L.; Jensen, L. 2008. Guidelines for Assessing the Enabling Environment Conditions for Large Scale, Effective and Sustainable Handwashing with Soap Projects. Water and Sanitation Program (WSP) – The World Bank, Bill & Melinda Gates Foundation. 45 p.

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