The sustainability and impact of school sanitation, water and hygiene education in southern India
Kochurani Mathew | Suma Zachariah | Kathleen Shordt | Marielle Snel | Sandy Cairncross | Adam Biran | Wolf-Peter Schmidt
For at least 50 years ‘hygiene education’ or more currently ‘hygiene promotion’ campaigns in schools, along with ‘school sanitation’ have been an unquestioned ‘essential element’ of water and sanitation promotion. This study describes a set of findings and conclusions that call into question the ‘obvious logic’ of school hygiene and sanitation promotion as currently practised. The overwhelming majority of ‘trained’ pupils do not in fact wash their hands with soap after using the toilet and before eating (even though the importance of such practices is well established and has almost certainly been emphasized in hygiene classes) and open defecation still appears to be relatively widespread even in intervention schools. This research therefore presents important findings for water, sanitation and hygiene in general and in the schools sector.Bolt, E., Shordt, K. and Krukkert, I. (2006) School Sanitation and Hygiene Education: Results from the Assessment of a 6-country Pilot Project [online], IRC, Delft, the Netherlands, and UNICEF, New York, available from: http://www.irc.nl/content/download/25608/282080/file/Final%20assessment%20report%20SSHE%206%20country_PDFversion.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/25608/282080/file/Final%20assessment%20report%20SSHE%206%20country_PDFversion.pdf
Cairncross, S. and Valdmanis, V. (2006) ‘Water Supply, Sanitation and Hygiene Promotion’, in D.T. Jamison, J.G. Breman, A.R. Measham et al. (eds), Disease Control Priorities in Developing Countries, pp. 771-92, The World Bank, Washington, DC.
Curtis, V. and Cairncross, S. (2003) ‘Effect of washing hands with soap on diarrhoea risk in the community: a systematic review’, Lancet Infectious Diseases 3(5): 275-81.
Fisher, J. with Snel, M., Mathew, K. and Tay, V. (2005) ‘Breaking sectoral barriers for School Sanitation and Hygiene Education (SSHE)’, WELL Briefing Note 30 [online] http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN30%20Breaking%20barriers%20SSHE.htm [accessed 27 July 2009]. http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN30%20Breaking%20barriers%20SSHE.htm
Government of India (2004) School Water Supply, Sanitation and Hygiene Education India [online] Technical note series, Government of India, Ministry of Rural Development, Department of Drinking Water Supply, available from: http://ddws.nic.in/TechNoteSSHE.pdf [accessed 27 July 2009]. http://ddws.nic.in/TechNoteSSHE.pdf
IRC (2004) School Sanitation and Hygiene Education Symposium. The Way Forward: Construction is not Enough [online] Proceedings, IRC, Delft, the Netherlands, available from: http://www.irc.nl/content/download/15509/203603/file/SSHE_sym_proceedings.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/15509/203603/file/SSHE_sym_proceedings.pdf
IRC (2005) Water, Sanitation and Hygiene Education for Schools: Roundtable Proceedings and Framework for Action [online] Oxford roundtable meeting, available from: http://www.irc.nl/content/download/21369/253486/file/UNICEF-IRC_Oxford_Roundtabl.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/21369/253486/file/UNICEF-IRC_Oxford_Roundtabl.pdf
Mooijman, A. (2005) Toolkit on School Hygiene, Sanitation and Water [online] developed for the World Bank, UNICEF and Water and Sanitation Program (WSP), available from: http://www.schoolsanitation.org [accessed 27 July 2009]. http://www.schoolsanitation.org
Shordt, K. and Snel, M. (2006) Handbook for Managers [online] UNICEF India, New Delhi and IRC, Delft, the Netherlands, available from: http://www.irc.nl/page/1918 [accessed 27 July 2009]. http://www.irc.nl/page/1918
Shordt, K., Snel, M. and Krukkert, I. (2007) ‘Towards effective programming for WASH in Schools’, UNICEF and IRC [online] http://www.irc.nl/content/download/128071/348559/file/TP%2048%20WASH%20Schools_07.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/128071/348559/file/TP%2048%20WASH%20Schools_07.pdf
Snel, M. and Mooijman, A. (2009) Water, Sanitation and Hygiene in Schools - South Asia Manual. UNICEF, New York, and IRC, The Hague. Waterlines (2005) School Sanitation and Hygiene Education Issue, Waterlines 23(3), http://practicalactionpublishing.org/?id=waterlines_23-3 [accessed 27 July 2009]. http://practicalactionpublishing.org/?id=waterlines_23-3
Bolt, E., Shordt, K. and Krukkert, I. (2006) School Sanitation and Hygiene Education: Results from the Assessment of a 6-country Pilot Project [online], IRC, Delft, the Netherlands, and UNICEF, New York, available from: http://www.irc.nl/content/download/25608/282080/file/Final%20assessment%20report%20SSHE%206%20country_PDFversion.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/25608/282080/file/Final%20assessment%20report%20SSHE%206%20country_PDFversion.pdf
Cairncross, S. and Valdmanis, V. (2006) ‘Water Supply, Sanitation and Hygiene Promotion’, in D.T. Jamison, J.G. Breman, A.R. Measham et al. (eds), Disease Control Priorities in Developing Countries, pp. 771-92, The World Bank, Washington, DC.
Curtis, V. and Cairncross, S. (2003) ‘Effect of washing hands with soap on diarrhoea risk in the community: a systematic review’, Lancet Infectious Diseases 3(5): 275-81.
Fisher, J. with Snel, M., Mathew, K. and Tay, V. (2005) ‘Breaking sectoral barriers for School Sanitation and Hygiene Education (SSHE)’, WELL Briefing Note 30 [online] http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN30%20Breaking%20barriers%20SSHE.htm [accessed 27 July 2009]. http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN30%20Breaking%20barriers%20SSHE.htm
Government of India (2004) School Water Supply, Sanitation and Hygiene Education India [online] Technical note series, Government of India, Ministry of Rural Development, Department of Drinking Water Supply, available from: http://ddws.nic.in/TechNoteSSHE.pdf [accessed 27 July 2009]. http://ddws.nic.in/TechNoteSSHE.pdf
IRC (2004) School Sanitation and Hygiene Education Symposium. The Way Forward: Construction is not Enough [online] Proceedings, IRC, Delft, the Netherlands, available from: http://www.irc.nl/content/download/15509/203603/file/SSHE_sym_proceedings.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/15509/203603/file/SSHE_sym_proceedings.pdf
IRC (2005) Water, Sanitation and Hygiene Education for Schools: Roundtable Proceedings and Framework for Action [online] Oxford roundtable meeting, available from: http://www.irc.nl/content/download/21369/253486/file/UNICEF-IRC_Oxford_Roundtabl.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/21369/253486/file/UNICEF-IRC_Oxford_Roundtabl.pdf
Mooijman, A. (2005) Toolkit on School Hygiene, Sanitation and Water [online] developed for the World Bank, UNICEF and Water and Sanitation Program (WSP), available from: http://www.schoolsanitation.org [accessed 27 July 2009]. http://www.schoolsanitation.org
Shordt, K. and Snel, M. (2006) Handbook for Managers [online] UNICEF India, New Delhi and IRC, Delft, the Netherlands, available from: http://www.irc.nl/page/1918 [accessed 27 July 2009]. http://www.irc.nl/page/1918
Shordt, K., Snel, M. and Krukkert, I. (2007) ‘Towards effective programming for WASH in Schools’, UNICEF and IRC [online] http://www.irc.nl/content/download/128071/348559/file/TP%2048%20WASH%20Schools_07.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/128071/348559/file/TP%2048%20WASH%20Schools_07.pdf
Snel, M. and Mooijman, A. (2009) Water, Sanitation and Hygiene in Schools - South Asia Manual. UNICEF, New York, and IRC, The Hague. Waterlines (2005) School Sanitation and Hygiene Education Issue, Waterlines 23(3), http://practicalactionpublishing.org/?id=waterlines_23-3 [accessed 27 July 2009]. http://practicalactionpublishing.org/?id=waterlines_23-3
Bolt, E., Shordt, K. and Krukkert, I. (2006) School Sanitation and Hygiene Education: Results from the Assessment of a 6-country Pilot Project [online], IRC, Delft, the Netherlands, and UNICEF, New York, available from: http://www.irc.nl/content/download/25608/282080/file/Final%20assessment%20report%20SSHE%206%20country_PDFversion.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/25608/282080/file/Final%20assessment%20report%20SSHE%206%20country_PDFversion.pdf
Cairncross, S. and Valdmanis, V. (2006) ‘Water Supply, Sanitation and Hygiene Promotion’, in D.T. Jamison, J.G. Breman, A.R. Measham et al. (eds), Disease Control Priorities in Developing Countries, pp. 771-92, The World Bank, Washington, DC.
Curtis, V. and Cairncross, S. (2003) ‘Effect of washing hands with soap on diarrhoea risk in the community: a systematic review’, Lancet Infectious Diseases 3(5): 275-81.
Fisher, J. with Snel, M., Mathew, K. and Tay, V. (2005) ‘Breaking sectoral barriers for School Sanitation and Hygiene Education (SSHE)’, WELL Briefing Note 30 [online] http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN30%20Breaking%20barriers%20SSHE.htm [accessed 27 July 2009]. http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN30%20Breaking%20barriers%20SSHE.htm
Government of India (2004) School Water Supply, Sanitation and Hygiene Education India [online] Technical note series, Government of India, Ministry of Rural Development, Department of Drinking Water Supply, available from: http://ddws.nic.in/TechNoteSSHE.pdf [accessed 27 July 2009]. http://ddws.nic.in/TechNoteSSHE.pdf
IRC (2004) School Sanitation and Hygiene Education Symposium. The Way Forward: Construction is not Enough [online] Proceedings, IRC, Delft, the Netherlands, available from: http://www.irc.nl/content/download/15509/203603/file/SSHE_sym_proceedings.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/15509/203603/file/SSHE_sym_proceedings.pdf
IRC (2005) Water, Sanitation and Hygiene Education for Schools: Roundtable Proceedings and Framework for Action [online] Oxford roundtable meeting, available from: http://www.irc.nl/content/download/21369/253486/file/UNICEF-IRC_Oxford_Roundtabl.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/21369/253486/file/UNICEF-IRC_Oxford_Roundtabl.pdf
Mooijman, A. (2005) Toolkit on School Hygiene, Sanitation and Water [online] developed for the World Bank, UNICEF and Water and Sanitation Program (WSP), available from: http://www.schoolsanitation.org [accessed 27 July 2009]. http://www.schoolsanitation.org
Shordt, K. and Snel, M. (2006) Handbook for Managers [online] UNICEF India, New Delhi and IRC, Delft, the Netherlands, available from: http://www.irc.nl/page/1918 [accessed 27 July 2009]. http://www.irc.nl/page/1918
Shordt, K., Snel, M. and Krukkert, I. (2007) ‘Towards effective programming for WASH in Schools’, UNICEF and IRC [online] http://www.irc.nl/content/download/128071/348559/file/TP%2048%20WASH%20Schools_07.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/128071/348559/file/TP%2048%20WASH%20Schools_07.pdf
Snel, M. and Mooijman, A. (2009) Water, Sanitation and Hygiene in Schools - South Asia Manual. UNICEF, New York, and IRC, The Hague. Waterlines (2005) School Sanitation and Hygiene Education Issue, Waterlines 23(3), http://practicalactionpublishing.org/?id=waterlines_23-3 [accessed 27 July 2009]. http://practicalactionpublishing.org/?id=waterlines_23-3
Bolt, E., Shordt, K. and Krukkert, I. (2006) School Sanitation and Hygiene Education: Results from the Assessment of a 6-country Pilot Project [online], IRC, Delft, the Netherlands, and UNICEF, New York, available from: http://www.irc.nl/content/download/25608/282080/file/Final%20assessment%20report%20SSHE%206%20country_PDFversion.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/25608/282080/file/Final%20assessment%20report%20SSHE%206%20country_PDFversion.pdf
Cairncross, S. and Valdmanis, V. (2006) ‘Water Supply, Sanitation and Hygiene Promotion’, in D.T. Jamison, J.G. Breman, A.R. Measham et al. (eds), Disease Control Priorities in Developing Countries, pp. 771-92, The World Bank, Washington, DC.
Curtis, V. and Cairncross, S. (2003) ‘Effect of washing hands with soap on diarrhoea risk in the community: a systematic review’, Lancet Infectious Diseases 3(5): 275-81.
Fisher, J. with Snel, M., Mathew, K. and Tay, V. (2005) ‘Breaking sectoral barriers for School Sanitation and Hygiene Education (SSHE)’, WELL Briefing Note 30 [online] http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN30%20Breaking%20barriers%20SSHE.htm [accessed 27 July 2009]. http://www.lboro.ac.uk/well/resources/Publications/Briefing%20Notes/BN30%20Breaking%20barriers%20SSHE.htm
Government of India (2004) School Water Supply, Sanitation and Hygiene Education India [online] Technical note series, Government of India, Ministry of Rural Development, Department of Drinking Water Supply, available from: http://ddws.nic.in/TechNoteSSHE.pdf [accessed 27 July 2009]. http://ddws.nic.in/TechNoteSSHE.pdf
IRC (2004) School Sanitation and Hygiene Education Symposium. The Way Forward: Construction is not Enough [online] Proceedings, IRC, Delft, the Netherlands, available from: http://www.irc.nl/content/download/15509/203603/file/SSHE_sym_proceedings.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/15509/203603/file/SSHE_sym_proceedings.pdf
IRC (2005) Water, Sanitation and Hygiene Education for Schools: Roundtable Proceedings and Framework for Action [online] Oxford roundtable meeting, available from: http://www.irc.nl/content/download/21369/253486/file/UNICEF-IRC_Oxford_Roundtabl.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/21369/253486/file/UNICEF-IRC_Oxford_Roundtabl.pdf
Mooijman, A. (2005) Toolkit on School Hygiene, Sanitation and Water [online] developed for the World Bank, UNICEF and Water and Sanitation Program (WSP), available from: http://www.schoolsanitation.org [accessed 27 July 2009]. http://www.schoolsanitation.org
Shordt, K. and Snel, M. (2006) Handbook for Managers [online] UNICEF India, New Delhi and IRC, Delft, the Netherlands, available from: http://www.irc.nl/page/1918 [accessed 27 July 2009]. http://www.irc.nl/page/1918
Shordt, K., Snel, M. and Krukkert, I. (2007) ‘Towards effective programming for WASH in Schools’, UNICEF and IRC [online] http://www.irc.nl/content/download/128071/348559/file/TP%2048%20WASH%20Schools_07.pdf [accessed 24 August 2009] http://www.irc.nl/content/download/128071/348559/file/TP%2048%20WASH%20Schools_07.pdf
Snel, M. and Mooijman, A. (2009) Water, Sanitation and Hygiene in Schools - South Asia Manual. UNICEF, New York, and IRC, The Hague. Waterlines (2005) School Sanitation and Hygiene Education Issue, Waterlines 23(3), http://practicalactionpublishing.org/?id=waterlines_23-3 [accessed 27 July 2009]. http://practicalactionpublishing.org/?id=waterlines_23-3
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