helvetas presentation wash behavior change unc water health conference 2015

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  1. 1. Learning Expedition: Behaviour Change UNC Water and Health Conference, October 2015 Valrie Cavin HELVETAS Swiss Intercooperation Valrie Cavin Valerie.Cavin@helvetas.org
  2. 2. Background Water quality at point of use: challenge ETH Nadel: impact study focusing on the water quality at household level in a successful WASH project in Benin Result of the study: improved water quality at the improved wells - no change at household level Research study with Eawag in Nepal had similar results: 91% of sample at household level are contaminated)
  3. 3. Background In most of our WASH projects: behaviour change in the field of hygiene is a challenge The classic approach did not lead to the expected results Strategic shift From hygiene promotion to behaviour change! But how? Start of a learning expedition behaviour change in collaboration with the research institut Eawag
  4. 4. Objective of the Learning Expedition Objective: EAWAGs scientific behaviour change approach (RANAS) is adapted into an applicable, simplified and less cost intensive tool for our project through evidence based practice. Questions: How far can we simplify the approach to improve the impact of our project without losing RANAS essence? How much support do our local teams need to incluce the approach in project activities? What is the cost/benefit ratio in introducing this more systematic behavior change approach? Pilots: Haiti, Mali, Benin and Mozambique
  5. 5. Simplified Ranas approach Simplify the terminology Simplifiy and reduce questionnaire Reduce sample size to 150 households Excel data analysis is the only calculating tool Continuous adaptation of the process after each pilot
  6. 6. Example: Results so far in Benin Capacity building of the team Choice of behaviour and definition of environmental factors Water Transport & Storage and Hand washing Team elaborated questionnaire, interviews with 180 households Data analysis with excel Defining new promotion campaign based on behaviour factors Intervention launch Planned evaluation: mid 2016
  7. 7. Benin: First results for handwashing Main factors to tackle in the new promotion campaign: Norm factors Self-regulation factors Attitude RiskNorm Ability Self- regulation
  8. 8. New intervention in Benin Behaviour factor Intervention Norm factor Others behaviour Inform about behaviour of others Theater dealing with norm issues, visualisation of hand washing families Others approve/dis aprove Inform about approval of others Commitment of the head of family with picture Self- Regulation factor Forgetting Prompt Prompt with villages chief in the household
  9. 9. Mozambique: First results for Latrine Use Main factors to tackle in the new promotion campaign: Norm factors Self-regulation factors : Riscos A-RegulaoAptidoNormasAtitude
  10. 10. Information on latrine condition Latrine with door sim no Latrine with cover sim no Latrine with brush sim no Cleanliness of the latrine sim no Non users Users Latrine condition = influencing factor
  11. 11. New intervention in Mozambique Behaviour factor Intervention Norm factor Others behaviour Inform about others behaviour Visualisation of improved latrine Self- Regulation factor Committment Setting goal Public committment Community meeting with public committment combined with motivation Close coordination with local authority
  12. 12. Challenges Capacity of local teams: Wash teams are often technical persons Psychological approach is hard to understand Questionnaire development: The questionnaire is rather complex. Initially external support is needed the elaboration should be done with the local team Data analysis and interpretation: Involved and time intensive local excel skills often limited Use data to effectively design the right campaign: Although we have clear results it is difficult to change our behaviour in designing campaigns Time factor: Long-term process It is important to have a focal point person driving the process
  13. 13. Lessons learnt Important to have an open-minded and motivated project team, a supportive management and knowledge and learning department Regular exchange and compromise between research partner and NGO to make it as practicable as possible in the field -> create a WIN- WIN situation Sensitization and capacity building of the organization is needed -> readiness for investment in time and money Regular exchange between the head office, project staff and partners to allow continuous learning from each other Results not quickly visible. Risk-taking, openness for try and error and longer time perspective = important Behaviour change has also to take place within the organization: dare to ask the nasty questions (communication, dialogue with donors etc.)!!
  14. 14. Outlook Evaluate new promotion activities beginning in 2016 in Mali and mid-2016 in Benin and Mozambique Develop a two options approach for project: 1. Introduction of the Ranas model with analysis of existing intervention 2. Full fledge simplified Ranas approach Finalize practical behaviour change draft manual for our project teams