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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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