Lessons from a successful national sanitation programme: the case of Nyumba ni Choo in Tanzania

Health Promotion International · 3 authors, 3 centres

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TL;DR

A five-year adaptive sanitation promotion program in Tanzania, using a public-private partnership and psychological drivers, successfully increased national coverage of improved household sanitation facilities.

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This narrative review describes the implementation and outcomes of the 'Nyumba ni Choo' programme, a 5-year national sanitation promotion effort in Tanzania. The lessons learned are presented as broadly applicable to other public health promotion contexts aiming to increase demand for services.

STUDY TYPE

narrative_review

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public health

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AI pipeline

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ORIGINAL PAPER

PMC10563015

Lessons from a successful national sanitation programme: the case of Nyumba ni Choo in Tanzania

Health Promotion International

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ABSTRACT

Abstract Universal access to hygienic sanitation is a Sustainable Development Goal for international development. However, many countries are liable to miss this target by the deadline of 2030. As provision and subsidy are prohibitively expensive, promotion is the tactic commonly taken by governments and stakeholders in many countries, even though it is often not effective at generating significant changes in sanitation coverage. A recent 5-year programme used an international consortium made up of organizations’ experts in consumer research, creative communication, programme management and event implementation, media monitoring and programme evaluation, to achieve significant increases in the coverage of improved sanitation facilities throughout Tanzania, using adaptive programming. A number of lessons, outlined here, can be drawn from this experience which are likely to be applicable to promotion efforts in other countries and contexts and which can hopefully help countries to reach their sanitation targets. These lessons include the use of motivation and targeted expertise rather than reliance on training, the use of the theory of change to guide development processes, targeting of high-level government support, collaboration with private sector actors, testing and refreshing of messaging, continuous monitoring of on-ground conditions, use of multiple modes of outreach and branding of all programme outputs.

CITATION EXPORT

Robert Aunger, Kaposo Mwambuli, Jason Cardosi. Lessons from a successful national sanitation programme: the case of Nyumba ni Choo in Tanzania. Health Promotion International. (2023). https://doi.org/10.1093/heapro/daad126

AUTHORS

3 · 3 CENTRES

Robert Aunger, Kaposo Mwambuli, Jason Cardosi

Department for Disease Control, London School of Hygiene & Tropical Medicine, London, England, United Kingdom
Project CLEAR Ltd, Plot # 1297, Pieta Lane Masaki, Dar es Salaam, Tanzania
Project CLEAR Ltd, Plot # 1297, Pieta Lane Masaki, Dar es Salaam, Tanzania