What works in sanitation promotion?

Dados Bibliográficos

ID22945470
AutoresRobert Aunger (0000-0001-8136-9376, London School of Hygiene & Tropical Medicine, autor correspondente)
Ano2023
Volume38
Fascículo6
Data de publicação2023-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Promotion International (JOURNAL)
Identificadores do periódicoISSN: 0957-4824 • E-ISSN: 1460-2245
EditoraOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daad162
PMID38055919
OpenAlexW4389451609
IdiomaEN
Citações recebidas1
Referências citadas51

Promotion appears to be the least effective but is nevertheless often the only available, means to achieve increased access to sanitation services, especially at scale, in lower-income countries. A cursory examination of the history of past and present approaches to sanitation promotion, including sanitation marketing, community development, community-led total sanitation and public health, shows that they have a variety of features and characteristics which make them distinctive. Unfortunately, rigorous evaluation has not kept pace with this proliferation of approaches, so it is difficult to recommend any one approach over the others, based on empirical performance in a range of circumstances. However, I argue that a ‘hybrid’ approach which exhibits a number of salient features from all of the previous approaches is likely to be a good bet. I present a recent example of such a hybrid programme which proved to significantly increase the rate of improved sanitation coverage through promotion (without subsidy of any kind) at scale in Tanzania. I suggest other sanitation promotion programs may want to think about adopting similar practices in their own programming going forward.

Business · Economic growth · Economics · Geography · Health care · Health promotion · Political science · Promotion (chess) · Public economics · Sanitation · Scale (ratio) · Subsidy · Child Nutrition and Water Access · Homelessness and Social Issues · Marketing · Medicine · Poverty, Education, and Child Welfare