Abstract:
This protocol is designed to follow the national strategy for hygiene and sanitation improvement with
its focus on universal access (100% hygienic and sanitised households) in primarily rural or peri-urban
environments. Improved hygiene and sanitation when practised by >80% of the population is known to
radically reduce diarrhoeal disease and worm infestations . It is centred on the Health Services Extension
Programme (within the latest Health Sector Development Programme) with its strong focus on high
impact, broad reach, public health interventions. The Health Extension Workers will be the primary
point of community contact, supported by the kebelle health committee (and other extension agents)
with supervision by health centre sanitarians and the woreda health office. The protocol will be applied
in all aspects of Hygiene and Sanitation promotion. It will ensure that all development partners and
NGOs adhere to the protocol when promoting improved hygiene and ‘on-site’ sanitation in the woreda.
