Water, sanitation, and hygiene

Reports

Cover photo: a mother in Sierra Leone bending down, carrying her infant child on her back as she uses a tippy-tap to wash her hands

The SPRING project, together with Helen Keller International (HKI), recently used Trials of Improved Practices (TIPs), a qualitative research methodology, to design social and behavior...

Training Materials

Photo of three women looking at the toolkit materials.

This toolkit is designed to provide program implementers with training session modules, job aids, and social and behavior change communication (SBCC) materials to help community volunteers...

A woman holding a baby watches another woman use a tippy tap

La formation Dynaset-setal a pour principal objectif d’informer les cellules sur le lien entre l’hygiène et la nutrition, et de leur fournir les connaissances de base nécessaires pour...

Videos

Animated image taken from the video showing a happy family outside their clean latrine and tap.

SPRING/Kyrgyz Republic works with media partners and the Ministry of Health to develop and share videos on key nutrition messages across the country. This animated video contains key...

Image from the video showing two animated figures cleaning a latrine.

SPRING/Kyrgyz Republic works with media partners and the Ministry of Health to develop and share videos on key nutrition messages across the country. This animated video contains key...

Photo to Illustration Tutorial intro slide

This tutorial demonstrates the steps of the technical process, from reference photography to line drawing, color, volume, patterns, and a final image for layout. Both program managers and...

Animation of two boys with a thought bubble between them showing fruit under a water tap.

SPRING/Kyrgyz Republic works with media partners to develop and share videos on key nutrition messages across the country. This animated video shares the importance of properly washing and...

Animated boy with a thought bubble of himself washing his hands

SPRING/Kyrgyz Republic works with media partners to develop and share videos on key nutrition messages across the country. This animated video shares the importance of properly washing and...

Three older women watch as a school-aged girl shows them how to use a tippy tap.

Ya Ngoné is a fish vendor and lactating mother who lives and works in Djilor, a village not far from the sea in Senegal. She is very careful about hand hygiene and is supported in these...

A man and his young son bend over a bowl to wash their hands. The father is teaching the son how.

El Hadj, a father in Senegal who cares about the health of his family, is very attached to his home. Knowing the importance of good hygiene in preventing illness like diarrhea, malaria, and...

Success Stories

Photo of a child washing her hands with a tippy tap as several other children look on. Caption: "Children in the village of Touba Mourid have fun practicing proper hygiene by washing their hands at a special handwashing station or tippy tap."

SPRING trained Mariama and more than 250 other community members from 3 of Senegal’s 14 regions to establish and lead hygiene monitoring units. These units consist of 6-10 highly engaged...

Photograph of several women and men looking at notes posted on a large bulletin board and having a discussion. Caption: "CHAIN partners reflect on joint activities they developed during a November 2016 workshop."

SPRING worked with USAID | Rwanda to develop collaboration goals among CHAIN partners and prepared an analysis of the 11 partners’ existing work and monitoring and evaluation (M&E)...

Photo of a man, Tengdo Kuzoba, standing by his latrine and tippy tap.

In rural Kpatia-Tengre, a 131-member community in the Talensi District of the Upper East Region of Ghana, a lack of latrines resulted in community members openly defecating around homes and...

A woman picks okra in her field.

Identifying a need for better hygiene in Yiziidug, in 2016, SPRING introduced community-led total sanitation (CLTS) to Yiziidug.

Galleries

The video development team watches as a neighbor explains benefits of poultry raising for the family, “Small scale poultry farming at home can be beneficial for you and it can meet your short term financial needs.” Photo credit: Sarah Hogan, 2017

Under the UPAVAN project, SPRING and Digital Green create community videos promoting nutrition-sensitive agriculture practices in Odisha, India. This community video shows neighbors...

Photo: SPRING/Senegal nutrition advisor, Mariam Sy, speaks to guests about SPRING’s accomplishments in nutrition, gender and hygiene at one of the stands set up to showcase project achievements.

SPRING/Senegal organized two close-out ceremonies to mark the end of 18 months of implementation – one in Kaolack and one in Dakar. Both ceremonies showcased the project’s work in nutrition...

Dynaset-setal members speak during a village gathering to remind community members of key hygiene messages.

As part of SPRING/Senegal’s multi-sectoral nutrition strategy, hygiene monitoring teams known as dynaset-setal groups conduct regular home visits to ensure that households meet basic...

SPRING/Senegal SBCC Advisor Albert Boubane, standing in the bed of a truck, distributes water to participants before the hike.

On August 9, 2017, SPRING/Senegal and partner radio station Niombato FM organized a promotional hike in Toubacouta Village.

News

A graphic representation of a woman cleaning a yard of animal feces, disposing of the feces responsibly, and washing her hands with a tippy tap.

SPRING co-facilitated a session on implementation science with GAIN and the Society for Implementation Science in Nutrition at GWU’s Global Health MiniU in September 2017.

Photo: SPRING/Senegal’s Agriculture/Markets Officer, Mamadou Ba, holds up a photo of one of the cereal processing units that SPRING helped install in communities.

SPRING/Senegal organized two close-out ceremonies in Kaolack and in Dakar to showcase 18 months of implementation in the areas of nutrition-sensitive agriculture, SBCC, gender, and WASH.

Picture of a group of people looking over a collection of nutrition informational materials on a table.

SPRING/Ghana hosted a learning event to share important lessons and celebrate accomplishments in improving maternal and child nutrition in the country from 2014-2017.

Briefs

Photo of three women smiling as they work a pump to fill a tub with water, a white bull stands to the left.

In this slide document, we present findings from a fourth round of data collection completed in May 2017 in Niger to measure the sustained effect of the community video activities. The...

Location: Niger
Photo of a woman demonstrating hwo to properly use a tippy tap. Caption: Tippy tap demonstrations in Dinyogu Community and Primary School - in Gushiegu District.

SPRING’s “WASH 1,000” strategy promotes focused, evidence-based WASH behaviors to eliminate common fecal-oral contamination pathways in children during the first 1,000 days. The strategy...

Location: Ghana

Events

Woman feeding child on her lap.

High-quality visual images are an essential component of nutrition and health social and behavior change (SBC) programming but can be difficult to find or produce.

Job Aids and Tools

Front page of document. Please download for alt-text.

SPRING/Sierra Leone created a set of counselling cards that address key complementary feeding and water, sanitation, and hygiene (WASH) behaviors for the Sierra Leonean context.

A young child grins at the camera as she washes her hands at a tippy tap.

The WASH 1,000 Photo-Aid depicts a series of behaviors centered on WASH. These behaviors are targeted at 1,000-day households, but the general population can also use them.

On one side of the ruler is a poem with key messages about the importance of hand washing, drinking clean water, and eating healthy foods to avoid illness. The other side of the ruler reminds children to wash hands with soap before eating, after visiting the toilet, after playing, and after coming home from school.

SPRING/Kyrgyz Republic has designed a ruler with key messages on preventing helminth infections to be distributed to primary school children.

Activities

dashboard that shows a map of Burkina Faso with the areas in which SPRING works highlighted in green.

SPRING is developing an interactive GIS mapping tool that allows users to view the geographic distribution and summaries of nutrition, WASH, and SBC activities in the Sahel, making...

Pages

Resource Review Summaries

The WASHplus project supports healthy households and communities by creating and delivering interventions that lead to significant improvements in access, practices, and health outcomes...

SNV’s ENUFF project in Lao PDR integrates activities in gender, agriculture, nutrition, and WASH to improve the nutritional status of families in the country's northern region. The project'...

This technical brief provides an overview of community SBCC and triggering on positive nutrition and hygiene behaviours. It summarises some key insights and findings from Sustainable...

This journal article investigates the extent of children’s exposure to animal feces and whether this exposure is associated with child anthropometry. Using diverse, large samples of data...

This study assessed the role of sanitation on nutrition outcomes and anemia status in pregnant Cambodian women. The authors found that women who used an ‘improved’ sanitation facility had...

On January 30, 2016, Peru’s Ministry of Health came together with the Ministry of Education for an event on anemia prevention. The event targeted mothers who coordinate communal kitchens in...

A growing body of evidence shows strong connections between poor sanitation and stunting, and provides a basis for this paper’s focus on achieving better nutrition outcomes from both the...

In 2011, one in every four children under 5 years of age worldwide was stunted. The realization that most stunting cannot be explained by poor diet or by diarrhea, nor completely reversed...

Given the range of drivers of nutrition—spanning multiple sectors of agriculture, social protection, health, WASH, and education—tackling undernutrition demands a multisectoral response....

This photo essay explores livelihoods in Bangladesh in detail, focusing on a woman farmer who learned how to improve sanitation in her community through a community video program. With...

The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial centers around the premise that environmental enteric dysfunction (EED) is a main underlying cause of child stunting and...

There is emerging evidence to suggest that safe water, sanitation, and hygiene (WASH) practices play an imperative role in improving nutrition outcomes, including the treatment and...

Approaches combining WASH and nutrition interventions are necessary to improve population’s nutritional status. This webinar focused on connecting WASH and nutrition approaches when...

This paper aims to connect the dots and review the literature available on the linkages between irrigation and food security, improved nutrition, and health. Based on the limited evidence...

Garden kits that pay specific attention to small-scale irrigation might hold the key to stronger food security for smallholder farmers. A new study recommends an approach to building better...

The role of nutrition-sensitive interventions in achieving global nutrition targets has been made abundantly clear. WASH is a cross-cutting area with a significant impact. This report...

This randomized control trial examined the effectiveness of a rural sanitation intervention to prevent diarrhea, soil-transmitted helminth infection, and child malnutrition in India....

The September WASHplus community update focuses on linkages between WASH and nutrition. This edition includes links to a research article on child undernutrition and the gut microbiome, a...

Working to update their previous IFPRI work, “Explaining Child Malnutrition in Developing Countries” (2000), Lisa Smith and Lawrence Haddad draw on data from 1970-2012 across 116 countries...

This update from the WASHplus community includes a special emphasis on the intersection between WASH and nutrition. Relevant webinars and reports from USAID, FHI360, JSI, Wash Advocates,...

This webinar included a presentation focused on addressing environmental enteropathy in CARE's Nutrition at the Center Program and new evidence linking WASH, nutrition and early child...

The February 2014 edition of the WASH/Nutrition Literature Update included a wide range of articles, including a study that examines the relationship between WASH, environmental enteropathy...

The January 2014 edition of the WASH/Nutrition Literature Update included a wide range of articles, including several studies that examined WASH and food safety.