hygiene promotion programs: planning and program design issues in bangladesh suzanne hanchett, ph.d....

Hygiene Promotion Programs: Planning and Program Design

Issues in Bangladesh

Suzanne Hanchett, Ph.D.

Planning Alternatives for Change

Portland, Oregon

Staff of governmental agencies continuing sanitation education: engineers, teachers, health workers (Banaripara, Barisal, Bangladesh)

A reactivated “village development committee” (Rangamati District, 2002)

Young housewife showing her low-cost pit latrine (Bangladesh, 2000)

Children’s Role Play: visit of hygiene promoter (VERC, 2002)

Improvised Ventilated Pit Latrine, designed by 18-year-old boy (VERC, Bangladesh)

Train Game: children with dirty fingernails get kicked off the “train” (VERC 2002)

Volunteer government officials implementing a coercive sanitation program (Patgram, Lalmonirhat, Bangladesh, 2000)

A latrine never used by the 10-person household that was forced to install it (Patgram, 2000)

Neglected but used: Latrine installed by City Corporation, Dhaka (2001).

Cooking site was less than five feet from this latrine.

Caretakers of these well-built “sanitation blocks” cannot usually afford to use them (Dhaka, 2001)

Children in water near latrines (Narayanganj Slum, Dhaka, Bangladesh, 2001)

House parts in a cleared slum

(Dhaka, Bangladesh, 2001)

Good quality equipment abandoned in a cleared slum (Dhaka, Bangladesh, 2001)

BRAC Health Workers, Gazipur District (2000):

ARE NOT INVOLVED IN MICRO-CREDIT PROGRAMS

One of many new latrines, with soap (on right)

Hygiene promotion session in a Buddhist temple (Rangamati District, 2002)

“Bhulu,” the dead dog (VERC, 2002)

BEHAVIOR INFLUENCED BEHAVIOR INFLUENCED BYBY::

1-Status concerns & social hierarchy 2-Deeply rooted social/economic practices; feelings, & beliefs3-Program follow-up & consistency

Avoiding embarrassment, this man removed the hand pump from his well rather than re-paint the spout red (high arsenic content in water).

Pigs depend on human feces for food

in Chittagong Hill Tracts

Mother & baby (1)

Mother & baby (2)

A woman with her tubewell repair tools (Barisal District, Bangladesh, 2000)

THE END

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