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1. Hygiene Improvement Project
(HIP)
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2. Why Hygiene?
• Diarrhea accounts for
20% of childhood
deaths globally
• Improved hygiene
practices each can
reduce diarrhea
prevalence by 30-40%
• Low cost, high impact
interventions exist to
prevent diarrhea

3. Why HIP?
• Builds on USAID’s
30-year experience
in hygiene
programming
• Starts by working at
scale
• Focuses on
improving key
hygiene practices

4. Key Hygiene Practices
• Safe feces disposal
• Hand washing with
soap or equivalent
substitute (e.g. ash)
• Safe storage and
treatment of water
at the point of use

5. Key HIP Tasks
• Implement hygiene improvement at scale in
at least five countries
• Integrate hygiene considerations into
existing health/non-health programs
• Share USAID’s global experience and
knowledge in the field and advocate for
hygiene improvement
• Provide support and capacity strengthening
to PVOs, NGOs and networks in the field.

6. Characteristics of a Scale Effort
• Systems approach
• Behavior First
• Multiples
• Hygiene
Improvement
Framework
• Coverage

7. Systems Approach
Examine:
• The WHOLE
• Relationships
• Degrees of freedom
• Mainstreaming
• Patterns
• Commonalities
• Opportunities
Emphasize:
• Relationships and
patterns of behavior
• That a small event
in one sector can
have tremendous
impact elsewhere
• Key influence points

8. Behavior First
• Focus on improving key individual
hygiene practices
• Identify, promote and facilitate
improved practices
Behaviors that people are both
willing and able to practice
• Design interventions that motivate and
facilitate these improved practices

9. Multiples
• Multiple
stakeholders
• Multiple levels
• Multiple
interventions
• Multiple options

10. Hygiene
Improvement Framework (HIF)
• Communication
• Social mobilization
• Community participation
• Social marketing
• Training
Hygiene
Promotion
• Water Supply
• Sanitation systems
• Available Household
Technologies and
Materials
Access to
Hardware
• Policy improvement
• Institutional strengthening
• Financing and cost-recovery
• Cross-sectoral coordination
• Partnerships
Enabling
Environment
Hygiene Improvement
Diarrheal Disease Prevention

11. Coverage
Ensure Large Scale
through:
• Health impact
realized
• Total population
covered and/or
• Geographic areas
covered
Ensure Sustainability
by:
• Intervention
concentration
• Activity saturation
• Systems interaction
• Critical mass
behavioral impact

12. Illustrative HIP assistance
• Design, plan, implement and monitor
HI programs at scale
• Integrate HI into other programs, e.g.
HIV/AIDS, education, nutrition
• Assure and use the right mix of
approaches and interventions
• Build coalitions and develop capacity
of interested stakeholders
• Engage private sector partners to
improve hygiene practices

13. How HIP operates
1. HIP identifies countries interested in
long-term collaborative HI efforts at
scale and offers modest start-up
funding.
2. HIP partners with PVOs, NGOs and
private commercial organizations to
strengthen hygiene behavior change
capacity and hygiene programs and to
share knowledge.

14. How HIP operates (2)
3. HIP forges collaborative relationships
with other agencies and institutions
in this sector to exchange information
and collaborate.
4. HIP creates working relationships
with other health and non-health
programs where HI can enhance the
goals of these sectors.

15. HIP Partners
Academy for Educational Development
with
• ARD, Inc
• The Manoff Group
• International Water and Sanitation Centre
(IRC), the Netherlands
and
Resource partners: Aga Khan Foundation,
Hindustan Lever, International Rescue
Committee

16. Contact Information
Hygiene Improvement Project
(HIP)
Academy for Educational
Development
1825 Connecticut Avenue, NW
Washington, DC 20009 USA
202-884-8700
hip@aed.org
www.hip.watsan.net