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

Total Page:16

File Type:pdf, Size:1020Kb

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 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
Recommended publications
  • Global SDG Baseline for WASH in Health Care Facilities Practical Steps to Achieve Universal WASH in Health Care Facilities
    Global SDG baseline for WASH in health care facilities Practical steps to achieve universal WASH in health care facilities Questions and Answers What is meant by WASH in health care facilities? The term “WASH in health care facilities” refers to the provision of water, sanitation, health care waste, hygiene and environmental cleaning infrastructure and services across all parts of a facility. “Health care facilities” encompass all formally-recognized facilities that provide health care, including primary (health posts and clinics), secondary, and tertiary (district or national hospitals), public and private (including faith-run), and temporary structures designed for emergency contexts (e.g., cholera treatment centers). They may be located in urban or rural areas. Why is WASH in health care facilities so important? WASH services are fundamental to providing quality care. Without such services, health goals, especially those for reducing maternal and neonatal mortality, reducing the spread of antimicrobial resistance and preventing and containing disease outbreaks will be not met. WASH is also critical to the experience of care. Services such as functional and accessible toilets with menstrual hygiene facilities and safe drinking-water support patient and staff dignity and fulfill basic human rights. With a renewed focus on primary health care services through the Astana Declaration and a renewed focus on preventing early childhood deaths through the Every Child Alive Campaign the opportunity to address WASH in health systems strengthening has never been greater. What are the current global estimates for WASH in health care facilities? The WHO and UNICEF Joint Monitoring Programme (JMP) 2019 SDG baseline report establishes national, regional and global baseline estimates that contribute towards global monitoring of SDG 6, universal access to WASH.
    [Show full text]
  • 2020 Standards for Health Promoting Hospitals and Health Services
    2020 Standards for Health Promoting Hospitals and Health Services The International Network of Health Promoting Hospitals and Health Services The International HPH Secretariat is based out of the office of OptiMedis AG: Burchardstrasse 17 20095 Hamburg Germany Phone: +49 40 22621149-0 Fax: +49 40 22621149-14 Email: [email protected] © The International Network of Health Promoting Hospitals and Health Services 2020 The International Network of Health Promoting Hospitals and Health Services welcomes requests for permission to translate or reproduce this document in part or full. Please seek formal permission from the International HPH Secretariat. Recommended citation: International Network of Health Promoting Hospitals and Health Services. 2020 Standards for Health Promoting Hospitals and Health Services. Hamburg, Germany: International HPH Network; December, 2020. Acknowledgements This document is the result of the efforts of many individuals and groups dedicated to the implementation of health promotion in and by hospitals and health services. We would like to thank members of the International HPH Network for their support of and input to the development process and all former and current leaders and members of HPH Task Forces and Working Groups for the production of standards on which this comprehensive standards set is based. Special thanks are due to National and Regional HPH Network Coordinators, subject experts, Standing Observers, and our Governance Board who devoted their time and provided invaluable input during consultation processes. We would further like to acknowledge Dr. Rainer Christ, Ms. Birgit Metzler, Ms. Keriin Katsaros, Dr. Sally Fawkes, and Prof. Margareta Kristenson who advised on the process leading to this document and critically assessed its content.
    [Show full text]
  • Menstrual Hygiene Management TOOLKIT
    Menstrual Hygiene Management TOOLKIT May 2015 About SPLASH: SPLASH (Schools Promoting Learning Achievement through Sanitation and Hygiene) is a comprehensive school-based water supply, sanitation, and hygiene (WASH) project funded by USAID/Zambia through field support. SPLASH is implemented through the WASHplus project, which supports healthy households and communities by creating and delivering interventions that lead to improvements in WASH and household air pollution (HAP). This five-year project (2010-2015), funded through USAID’s Bureau for Global Health (AID-OAA-A-10-00040) and led by FHI 360 in partnership with CARE and Winrock International, uses at-scale programming approaches to reduce diarrheal diseases and acute respiratory infections, the two top killers of children under age 5 globally. Recommended Citation: SPLASH, 2015. Menstrual Hygiene Management Toolkit. Washington D.C., USA. USAID/WASHplus Project. Contact Information: Justin Lupele Sandra Callier SPLASH Chief of Party WASHplus Project Director Plot 2473 Farmers’ Village, ZNFU Complex 1825 Connecticut Avenue, NW Tiyende Pamodzi Rd, Off Nangwenya Rd Washington, DC 20009-5721 Showgrounds Areas Office tel.: 202-884-8960 P.O. Box 51439 Ridgeway [email protected] Lusaka, Zambia Cell: 0971252490 [email protected] This toolkit is made possible by the generous support of the American people through the United States Agency for International Development (USAID) Bureau for Global Health under terms of Cooperative Agreement No. AID-OAA-A-10-00040. The contents are the responsibility of FHI 360, and do not necessarily reflect the views of USAID or the United States Government. May 2015 ACKNOWLEDGMENT WASHplus/SPLASH is indebted to USAID/Zambia for its financial and technical support to the SPLASH project and the Ministry of Education Science, Vocational Training and Early Education (MESVTEE), Eastern Province for supporting the development of this publication.
    [Show full text]
  • TUTORIAL in BIOSTATISTICS: the Self-Controlled Case Series Method
    STATISTICS IN MEDICINE Statist. Med. 2005; 0:1–31 Prepared using simauth.cls [Version: 2002/09/18 v1.11] TUTORIAL IN BIOSTATISTICS: The self-controlled case series method Heather J. Whitaker1, C. Paddy Farrington1, Bart Spiessens2 and Patrick Musonda1 1 Department of Statistics, The Open University, Milton Keynes, MK7 6AA, UK. 2 GlaxoSmithKline Biologicals, Rue de l’Institut 89, B-1330 Rixensart, Belgium. SUMMARY The self-controlled case series method was developed to investigate associations between acute outcomes and transient exposures, using only data on cases, that is, on individuals who have experienced the outcome of interest. Inference is within individuals, and hence fixed covariates effects are implicitly controlled for within a proportional incidence framework. We describe the origins, assumptions, limitations, and uses of the method. The rationale for the model and the derivation of the likelihood are explained in detail using a worked example on vaccine safety. Code for fitting the model in the statistical package STATA is described. Two further vaccine safety data sets are used to illustrate a range of modelling issues and extensions of the basic model. Some brief pointers on the design of case series studies are provided. The data sets, STATA code, and further implementation details in SAS, GENSTAT and GLIM are available from an associated website. key words: case series; conditional likelihood; control; epidemiology; modelling; proportional incidence Copyright c 2005 John Wiley & Sons, Ltd. 1. Introduction The self-controlled case series method, or case series method for short, provides an alternative to more established cohort or case-control methods for investigating the association between a time-varying exposure and an outcome event.
    [Show full text]
  • Why Water, Sanitation and Hygiene Are Vital for Eliminating Neglected Tropical Diseases
    WASH Why water, sanitation and hygiene are vital for eliminating neglected tropical diseases Brief Now is the time to say goodbye to neglected tropical diseases © Sightsavers/Jason Mulikita © Sightsavers/Jason Children from Ngangula Primary School carrying water to school in Chikankata, Zambia. Contents 4 14 Introduction Using WASH data to combat NTDs 5 17 WASH: the facts Social behaviour change communication: the practices that underpin WASH 6 WASH: our key programmes 18 Preparing for the future 8 Working with communities: helping neighbours and friends stay 19 trachoma free References 9 The challenges of delivering WASH 10 Why WASH is worth the investment 11 Encouraging collaboration between the WASH and NTD sectors Cover image 12 Peace Kiende, 11, a student at Developing tools to support Antuaduru Primary School sings a WASH programmes song that helps her remember how to wash her hands and face, as part of the Sightsavers’ WASH project in Meru, Kenya. ©Sightsavers/Andrew Renneisen 3 Introduction In communities where water is scarce, supplies are often reserved for drinking or farming, meaning hygiene and sanitation are sidelined. Poor hygiene is linked to people in people’s habits, community, culture or contracting and spreading bacterial and national tradition, but these practices are parasitic infections, including a number potentially harmful because they help of neglected tropical diseases (NTDs). trachoma and other NTDs to spread. Improving access to clean water, good sanitation and hygiene (often referred Closely linked to some of our WASH work to by the acronym ‘WASH’) is critical in is the WHO-approved ‘SAFE’ strategy preventing and treating these diseases.
    [Show full text]
  • Car Washing Poster
    WHEN YOU’RE WASHING YOUR CAR IN THE DRIVEWAY, YOU’RE NOT JUST WASHING YOUR CAR IN THE DRIVEWAY. Storm drains run directly into lakes, rivers or marine waters. When you wash your car in your drive way, the soap can go down the storm drain and pollute our waters. Don’t feed soap to the storm drain. Wash your car right. Keep your waters clean. A message from the Washington Departments of Ecology, Health, Washington Parks & Recreation Commission, Washington Conservation Commission, Puget Sound Partnership, WSU Extension Service, U.S. Environmental Protection Agency and Thurston County Stream Team. When you’re washing We all need clean water. your car in the We drink it, fish in it, play in it. We enjoy all it adds to our lives. In fact, we need it to driveway, you’re not survive. Fish and wildlife do, too. More than 60 percent of water pollution just washing your car comes from things like cars leaking oil, fer- tilizers and pesticides from farms and gar- in the driveway. dens, failing septic tanks, pet waste, and fuel spills from recreational boaters. Clean water is important to all of us. It's up to all of us to make it hap- All these small, dispersed sources add up pen. In recent years sources of water pollution like industrial wastes to a big pollution problem. But each of us from factories have been greatly reduced. Now, most water pollution can do small things to help clean up our comes from things like cars leaking oil, fertilizers from farms and gar- waters too—and that adds up to a pollution dens, and failing septic tanks.
    [Show full text]
  • Water-Associated Diseases : a Review
    Plant Archives Volume 20 No. 1, 2020 pp. 547-550 e-ISSN:2581-6063 (online), ISSN:0972-5210 WATER-ASSOCIATED DISEASES : A REVIEW Sanaa Rahman Oleiwi Department of Biology, College of Science, University of Baghdad, Iraq. Abstract Water, which is of critical signification for the life of the living, is the most likely resource found usually in the world. ‘Water- associated disease’ is groups of diseases related to water in different forms, the risks or agents that are the direct explanation of damage contain helminthes, viruses, protozoa, bacteria, chemicals and personal physical reasons. They are several groups of water-linked illnesses, according to the part water shows in the transmission method of illness : these contain: water-borne illnesses, water-washed diseases, water-based diseases, water related insect vector diseases and inhalation diseases. The large cause of these diseases are human or animal waste matter, industrial activity or be parts of normal or disturbed systems. Water-associated diseases have symptoms are divergent ranging of the acute (self-limiting diarrhea) to the chronic (cancers, blindness and life-long infections) and recurring (malaria). Epidemiological examination identifies various underlying associated factors like poverty, demography education, climate, housing and utilize of basic services. Water - borne and water-related illnesses are subtle to eco-friendly conditions, some or wholly that possible to be effected via climate change. Key words: Water associated diseases, Epidemiology, inhalation disease. Introduction permafrost, that might contribute to further warming Water is perhaps the most precious natural resource (Schuur et al., 2015) fig. 2. Variations in interactions after air, water, which is of critical significance for the among the water cycle and the climate method will modify life of the living, is the most likely resource found usually the risk of water - borne illnesses of the physical effects, in the world.
    [Show full text]
  • Water, Sanitation and Hygiene (WASH)
    July 2018 About Water, Sanitation and UNICEF The United Nations Children’s Fund (UNICEF) Hygiene (WASH) works in more than 190 countries and territories to put children first. UNICEF WASH and Children has helped save more Globally, 2.3 billion people lack access to basic children’s lives than sanitation services and 844 million people lack any other humanitarian organization, by providing access to clean drinking water. The lack of health care and immuni­ these basic necessities isn’t just inconvenient zations, safe water and — it’s lethal. sanitation, nutrition, education, emergency relief Over 800 children die every day — about 1 and more. UNICEF USA supports UNICEF’s work every 2 minutes — from diarrhea due to unsafe through fundraising, drinking water, poor sanitation, or poor advocacy and education in hygiene. Suffering and death from diseases the United States. Together, like pneumonia, trachoma, scabies, skin we are working toward the and eye infections, cholera and dysentery day when no children die from preventable causes could be prevented by scaling up access and every child has a safe to adequate water supply and sanitation and healthy childhood. facilities and eliminating open defecation. For more information, visit unicefusa.org. Ensuring access to water and sanitation in UNICEF has helped schools can also help reduce the number of increase school children who miss out on their education — enrollment in Malawi through the provision especially girls. Scaling up access to WASH of safe drinking water. also supports efforts to protect vulnerable © UNICEF/UN040976/RICH children from violence, exploitation and abuse, since women and girls bear the heaviest Today, UNICEF has WASH programs in 113 burden in water collection, often undertaking countries to promote the survival, protection long, unsafe journeys to collect water.
    [Show full text]
  • Early History of Infectious Disease 
    © Jones and Bartlett Publishers. NOT FOR SALE OR DISTRIBUTION CHAPTER ONE EARLY HISTORY OF INFECTIOUS 1 DISEASE Kenrad E. Nelson, Carolyn F. Williams Epidemics of infectious diseases have been documented throughout history. In ancient Greece and Egypt accounts describe epidemics of smallpox, leprosy, tuberculosis, meningococcal infections, and diphtheria.1 The morbidity and mortality of infectious diseases profoundly shaped politics, commerce, and culture. In epidemics, none were spared. Smallpox likely disfigured and killed Ramses V in 1157 BCE, although his mummy has a significant head wound as well.2 At times political upheavals exasperated the spread of disease. The Spartan wars caused massive dislocation of Greeks into Athens triggering the Athens epidemic of 430–427 BCE that killed up to one half of the population of ancient Athens.3 Thucydides’ vivid descriptions of this epidemic make clear its political and cultural impact, as well as the clinical details of the epidemic.4 Several modern epidemiologists have hypothesized on the causative agent. Langmuir et al.,5 favor a combined influenza and toxin-producing staphylococcus epidemic, while Morrens and Chu suggest Rift Valley Fever.6 A third researcher, Holladay believes the agent no longer exists.7 From the earliest times, man has sought to understand the natural forces and risk factors affecting the patterns of illness and death in society. These theories have evolved as our understanding of the natural world has advanced, sometimes slowly, sometimes, when there are profound break- throughs, with incredible speed. Remarkably, advances in knowledge and changes in theory have not always proceeded in synchrony. Although wrong theories or knowledge have hindered advances in understanding, there are also examples of great creativity when scientists have successfully pursued their theories beyond the knowledge of the time.
    [Show full text]
  • Promoting Hygiene
    74 CHAPTER 9 Promoting hygiene The goal of hygiene promotion is to help people to understand and develop good hygiene practices, so as to prevent disease and promote positive atti- tudes towards cleanliness. Several community development activities can be used to achieve this goal, including education and learning programmes, encouraging community management of environmental health facilities, and social mobilization and organization. Hygiene promotion is not simply a matter of providing information. It is more a dialogue with communities about hygiene and related health problems, to encourage improved hygiene practices. Some key steps for establishing a hygiene promotion project, possibly with support from an outside agency, are listed in the text box below. Establishing a hygiene promotion project • Evaluate whether current hygiene practices are good/safe. • Plan which good hygiene practices to promote. • Implement a health promotion programme that meets community needs and is understandable by everyone. • Monitor and evaluate the programme to see whether it is meeting targets. 9.1 Assessing hygiene practices To assess whether good hygiene is practised by your community, some of the methods discussed in section 2.2 can be used. It is particularly important to identify behaviours that spread pathogens. The following are the riskiest behaviours: • The unsafe disposal of faeces. • Not washing hands with soap after defecating. • The unsafe collection and storage of water. CHAPTER 9. PROMOTING HYGIENE 75 Key questions for assessing hygiene
    [Show full text]
  • Public Health Promotion and Protection, Disease Prevention,And Emergency Preparedness
    Chapter 3 Strategic Goal 2: Public Health Promotion and Protection, Disease Prevention,and Emergency Preparedness Prevent and control disease, injury, illness, and disability across the lifespan, and protect the public from infectious, occupational, environmental, and terrorist threats. CHAPTER 3: PUBLIC HEALTH PROMOTION AND PROTECTION, DISEASE PREVENTION,AND EMERGENCY PREPAREDNESS Throughout the 20th century, advances in public health and medicine resulted in reduced morbidity and mortality STRATEGIC GOAL 2: from infectious diseases, including influenza, polio, and PUBLIC HEALTH PROMOTION AND PROTECTION, foodborne and waterborne illnesses. Chronic diseases, DISEASE PREVENTION, AND EMERGENCY such as heart disease, stroke, cancer, and diabetes, PREPAREDNESS replaced infectious diseases as the major cause of illness Strategic Objective 2.1: and death in the United States in the latter part of the 20th Prevent the spread of infectious diseases. century. In the new millennium, the Nation continues to face the challenge of chronic disease because of unhealthy Strategic Objective 2.2: and risky behaviors, environmental exposures, and an Protect the public against injuries and aging population. environmental threats. Strategic Objective 2.3: Promote and encourage preventive health care, including mental health, lifelong healthy behaviors, and recovery. Strategic Objective 2.4: Prepare for and respond to natural and manmade disasters. HHS STRATEGIC PLAN FY 2007-2012 59 CHAPTER 3: PUBLIC HEALTH PROMOTION AND PROTECTION, DISEASE PREVENTION,AND EMERGENCY PREPAREDNESS Today, chronic diseases continue to be significant health The 21st century is also marked by the threat of public problems that face Americans. As HHS works to address health emergencies. These threats have become a these health issues, infectious diseases have reemerged significant focus for public health at the Federal, State, as a priority for public health in the United States.
    [Show full text]
  • Hygiene Promotion – Hubley, J
    WATER AND HEALTH – Vol. I - Hygiene Promotion – Hubley, J. HYGIENE PROMOTION Hubley J. Leeds Metropolitan University, Leeds, United Kingdom Keywords: hygiene promotion, hygiene behaviours; health education; community participation, mass media; schools. Contents 1. Introduction 1.1 Terminology 1.2. The importance of hygiene promotion 2. Overviews of hygiene promotion 2.1 Component activities of hygiene promotion 3. Situation analysis 3.1 General information required in situation analysis 3.2. Identification of target hygiene practices 3.3. Community participation in assessing needs 4. Planning and implementation of hygiene promotion 4.1 Service improvement component 4.2. Advocacy component 4.4.3 Health education component 4.3.1 Who should it be directed at? 4.3.2 Who should carry out the health education? 4.3.3 What should the health education consist of? 4.3.4 How should the education be carried out? 5. Monitoring and evaluation of hygiene promotion 6. Conclusions Glossary Bibliography Biographical Sketch Summary Hygiene promotion involves activities directed towards the improvement in health through UNESCOthe promotion of uptake, maintenan – ceEOLSS and use of water and sanitation systems and accompanying support behaviours such as appropriate storage and use of water in the home, washingSAMPLE of hands and face, safe disposal CHAPTERS of faeces and hygienic preparation of food. Effective hygiene promotion usually involves a mix of three activities: health education directed at individuals, families and communities to adopt hygiene behaviours, service improvements such as the development of outreach and support services and latrine components, and advocacy directed at encouraging appropriate policies. The first step in carrying out hygiene promotion is an assessment of the target community to determine the relative importance of different disease transmission routes, current hygiene practices, beliefs and other factors which determine those ©Encyclopedia of Life Support Systems (EOLSS) WATER AND HEALTH – Vol.
    [Show full text]