UNICEF/Malawi: CLTS Triggering Tools: How to Trigger for Hand Washing with Soap

UNICEF/Malawi: CLTS Triggering Tools: How to Trigger for Hand Washing with Soap, March 2013.

An Excerpt: The tools outlined by this document were developed based on actual field research in testing, done as a collaborative effort between UNICEF and Salima District Council. Salima was selected for the research and testing of new hand washing triggering tools because they already had experience attempting to incorporate hand washing into their triggering process, and also have data showing high numbers of new hand washing facilities being built after CLTS. Also, Salima was selected because they implement CLTS continuously as part of their routine extension staff work.

Nine different tools were tested for how well they instilled a realization of the importance of hand washing with soap (HWWS). When these tools were used, hand washing practice increased by 69% and soap availability at hand washing facilities increased by 15%, compared to when CLTS didn’t include specific
tools to trigger HWWS. However please take these guidelines with a grain of salt, as they are based on a small sample size, overall only a few villages.

THE 10 FIELD-TESTED HAND WASHING TRIGGERING TOOLS OUTLINED IN THIS DOCUMENT:

  • Anal Cleansing Materials
  • Shit and Shake
  • Cassava/Egg Demonstration
  • Charcoal
  • Smelly Hands
  • Charcoal Smearing
  • Scratch & Smell
  • Wall Contamination
  • Food Sharing
  • Dirt Under Fingernails

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