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WASH and Health Working Together – a 'How-To' Guide for Neglected Tropical Disease Programmes

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WASH and Health working together A ‘HOW-TO’ GUIDE FOR NEGLECTED TROPICAL DISEASE PROGRAMMES WASH and Health working together A ‘HOW-TO’ GUIDE FOR NEGLECTED TROPICAL DISEASE PROGRAMMES WASH and Health working together: a ‘how-to’ guide for neglected tropical disease programmes ISBN 978-92-4-151500-9 © World Health Organization 2019 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial- ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/ igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation. WASH and Health working together: a ‘how-to’ guide for neglected tropical disease programmes. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use and queries on rights and licensing, see http://www.who.int/ about/licensing. Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solely with the user. General disclaimers. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissions expected, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. Design and layout by Paprika, France. Printed in Switzerland Contents I. What can this toolkit help you achieve? 7 How to use it? 9 How was it developed? 9 Acknowledgements 9 What’s inside 11 II. Context 13 WASH within BEST 15 III. Steps to success 27 1. Setting the program vision 27 2. Building partnership 31 Why should we collaborate with partners? 33 How should we collaborate with partners? 34 How to get started? 35 3. Analysing the situation 41 Conducting and using a situation analysis 42 4. Planning and programme design 47 Tips for success 49 Practical planning steps 51 Financial arrangements for a successful programme 53 5. Implementing and monitoring 59 How to do this? 60 Getting the M&E framework right 66 IV. Tools and resources 71 PAGE 5 WASH and Health working together A ‘HOW-TO’ GUIDE FOR NEGLECTED TROPICAL DISEASE PROGRAMMES What can this toolkit help you achieve? The equity focus set out by the 2030 Agenda for Sustainable Development demands new ways to deliberately extend services to unserved populations. Successful water, sanitation and hygiene (WASH) and neglected tropical disease (NTD) partnerships have the potential to help achieve this ambition. But working together in new ways requires new ways of thinking. What can this toolkit help you achieve? How to use it? How was it developed? Acknowledgements What’s inside? I. WHAT CAN THIS TOOLKIT HELP YOU ACHIEVE? PAGE 7 What can this toolkit help you achieve? This toolkit will help you – whether you are a NTD programme manager or programme partner – to work with the WASH community, guiding you through building those partnerships, mobilising resources, and designing, implementing and evaluating interventions. Rather than a ‘best practice’ guide, it’s a set of tools based on real-life programme experience; you can choose and adapt tools according to your needs and local context. The toolkit will help you: Build multisectoral partnerships with key stakeholders: ministries, national and local WASH agencies, corporates, local health groups, behaviour change and communication experts, etc. Shape smart programme structures focused on accountability and shared goals. Build an adaptive and flexible approach to programming. Ensure sustainability by building local capacity at every level. Support and complement clinical and public health interventions for NTD control. PAGE 8 WASH and Health working together – a ‘how-to’ guide for neglected tropical disease programmes How to use it? You can use this toolkit: As a step by step planning guide. As a checklist to ensure that your planning process is on the right path. As a reference document to refresh your knowledge on planning and on WASH and NTDs. To engage non-NTD partners in planning and delivery. How was it developed? The toolkit was developed in collaboration between the NTDs NGO Network WASH Working Group and the World Health Organization, drawing on the experience of member organizations and country NTD programmes. It draws on tools and practices used in the delivery of coordinated and integrated programmes for control and elimination of neglected tropical diseases. Acknowledgements The concept and contents of this resource were developed by past and present members of the WASH working group of the NTDs NGO Network and staff from the Water, Sanitation, Hygiene and Health Unit, Department of Public Health, Environmental and Social Determinants of Health and the Department for Control of Neglected Tropical Diseases at the World Health Organization. I. WHAT CAN THIS TOOLKIT HELP YOU ACHIEVE? PAGE 9 The authors gratefully acknowledge the following additional contributions: Sarah Bartlett (Sightsavers) for editorial support; Christian Nwosu (Sightsavers) and the WHO Communications Team for contribution to the development of the online version of the toolkit; The Carter Center Sudan, Waltaji Kutane (WHO Ethiopia), Nebiyu Negussu (Ethiopia Federal Ministry of Health) and the NALA Foundation for contributing country level programme experience and feedback on tools; The UK Department for International Development and the Queen Elizabeth Diamond Jubilee Trust for funding to trachoma elimination, including much of the technical resources and implementation experience on which this toolkit is based; and Sightsavers, for funding an initial toolkit development workshop. The toolkit draws on some programming and technical resources developed by the London School of Hygiene and Tropical Medicine, and WaterAid. Certain tools were developed based on experience from implementing the ENVISION and Sightsavers “IEC and Social Mobilization NTD Tool Kit” and the International Coalition for Trachoma Control “All You Need for F and E: A practical guide to partnering and planning”. WHO gratefully acknowledges the financial support provided by the UK Department for International Development for their wider support to its work on WASH and Neglected Tropical Diseases. PAGE 10 WASH and Health working together – a ‘how-to’ guide for neglected tropical disease programmes What’s inside? SECTION DESCRIPTION TOOLS Setting the scene Background to the toolkit – the need • Interventions for NTD control and care and context for WASH and NTDs • NTD-related behaviours collaboration • Guide on understanding behaviours for developing behaviour change interventions 1. Setting the This section of the toolkit should help programme vision you analyse your programme context and begin identifying new partners, so you can start planning. 2. Building partnership Partnership is crucial for the • Messages for engagement achievement of NTD control and • Cross sector meeting elimination targets and for ensuring annotated agenda that the impact of programmes is long- • Cross sector meeting PowerPoint lasting. This section will guide you on presentation template how to link NTDs to the objectives of other partners, and help you address challenges you may face as you bring different types of partners into your programme. 3. Analysing the Being informed and prepared about • Situation analysis protocol situation the national
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