Water and Sanitation in Developing Countries

Progress Towards the Millennium Development Goals



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Title
RiPPLE - Promoting Sanitation and Hygiene to rural households in SNNPR, Ethiopia: Experiences of Health Extension Workers and Community Health Promoters

Abstract
This research study confirms that health extension workers (HEWs) and community health promoters (CHPs) in the Southern Region (SNNPR) of Ethiopia are going about their work of informing households on improved sanitation and hygiene practices and are succeeding in persuading many households to change their behaviour. The system of health extension is working and making a contribution to improvement of life in rural communities. Key informants in the communities value the work of the HEWs and CHPs.

A system of rewards for good performance of HEWs and CHPs has not yet been established in either woredas. Lack of incentives has pushed some CHPs to resign. CHPs are volunteers who are committed people, approaching their tasks generally with dedication. An incentive mechanism to ensure that the motivation of CHPs is maintained, to help retain them in their roles, should be established as soon as possible. Both HEWs and CHPs express themselves as willing to learn lessons, in order to improve their own performance in promotion of sanitation and hygiene. The Bureau of Health could usefully review the measures for capacity-building of HEWs and CHPs and plan for more training.

The experience of the HEWs and CHPs in SNNPR constitutes an instructive example of the achievements and challenges of promotion, in rural communities, of sanitation and hygiene as part of the Ministry of Health’s Health Extension Programme-HEP.


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