Four-Country Synthesis of the Enabling Environment for Hand Washing with Soap Endline Analysis

The Water and Sanitation Program (WSP)'s Global Scaling up Hand washing Project (HWWS) has ended its four-year implementation period (2007-2011). The project tested whether innovative approaches can generate large-scale and sustained increases in hand washing with soap at critical times among poor and vulnerable mothers and children in Peru, Senegal, Tanzania, and Vietnam. The assessments were repeated after three years of project implementation to assess progress in strengthening the enabling environment (EE) and to recommend additional steps to improve the EE as the projects wound down. The purpose of this report is to synthesize the main findings from the four end line EE assessment reports, including conclusions and lessons learned as well as recommended interventions and practices that can be used to strengthen the EE in the future. Aimed to gauge the robustness of the programmatic conditions for the continued scale-up and sustainability of program interventions as external funding for the projects end, the assessments were conducted from October 2010 through January 2011. The same basic instrument was used for the 2007 baseline EE assessments, with some modifications and additions made in 2010 based on program experience and learning