Health Extension Worker Handbook: Community-led Total Behavior Change in Hygiene and Sanitation

From the Amhara National Regional State Health Bureau, World Bank Water and Sanitation Program, and United States Agency for International Development Hygiene Improvement Project, this resource source book is the participants' manual to accompany the district level training in community-led total behaviour change (CLTBC). It contains activity worksheets, reference tools, and resources for implementing household and community behaviour change activities, including assessment tools and construction techniques for latrines and handwashing stations. It is based on the experiences of the water, sanitation, and hygiene (WASH) movement in Amhara Region of 20 million in Northern Ethiopia.

It is a companion to the Woreda (District) Resource Book: Community-Led Total Behaviour Change in Hygiene and Sanitation (CLTBCHS), providing technical assistance to understand and undertake a community-led approach to reaching total behaviour change in hygiene and sanitation at scale, and the Training in Community-led Total Behavior Change in Hygiene and Sanitation: Facilitator’s Guide for the CLTBCHS programme. The books offer the basic tenets of a learning-by-doing approach, incorporating a hybrid of Community-led Total Sanitation, household and community behaviour change techniques, and a “Whole System in the Room” multi-stakeholder process.

Contents include:

1. Workshop Objectives, Agenda, Components of the Amhara Regional Behavior Change Strategy, Pathway to Community-led Total Behavior Change in Hygiene and Sanitation, Pathway Step-by-Step Description, and Some Factors That Influence the Correct and Consistent Practice of Behaviors
2. Making Handwashing Easier
3. 5 Tools for Community Ignition
4. General WASH Information
5. Safe Faeces Disposal