Sustainable Sanitation & Hygiene for All - Results


This project is active

SNV's comprehensive and area-wide Sustainable Sanitation & Hygiene for All (SSH4A) approach, developed since 2008 in Asia with IRC, is now working towards sustainable sanitation services in 75 districts across 15 countries in Asia and Africa. Lasting change is visible, with more than 2.4 million people having gained access to improved sanitation and hygiene outreach to well over 3 million people in Africa and Nepal.

Our SSH4A Results programme is an innovative partnership with the UK Department for International Development (DFID), and has been extended until 2020. As part of the extension period, we will focus on enabling access to new and improved sanitation and hygiene facilities. The SSH4A Results programme has been designed to ensure tangible impacts in community health and quality of life. As a results-based finance programme, it links financing directly to outputs and outcomes – with verifiable indicators ensuring impact at every step.

We are working towards the following objectives and outcomes:

  • Access to and sustained use of sanitation facilities
  • Hygienic use and maintenance of sanitation facilities
  • Access to handwashing with soap
  • Progress on faecal sludge emptying and collection

Please click on the country tabs below to learn more about specific local activities.

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Project in countries

In Ethiopia, the SSH4A Results programme supports the government of Ethiopia in its efforts to increase access to sustainable sanitation and hygiene in six rural woredas in Waghimra.

Together with our local partner Organisation for Rehabilitation and Development in Amhara (ORDA), we are strengthening local capacity to put an end to the practice of open defecation, to ensure hygienic use and maintenance of WASH facilities, and promote the practise of handwashing at critical times.

70%
reduction in the practice of open defecation
Increase in toilets that are functional, clean and also have privacy by
83%
90%
increase
in access to handwashing with soap next to toilet and/or food preparation place
No toilet or discharges directly to the environment reduced by
72%

In Ghana, the SSH4A Results programme is implemented in eight districts in the Volta, Central, Northern and Upper West regions: Jasikan, KEEA, East Gonja, Nanumba South, Saboba, Chereponi, Nandom and Lawra.

We train and coach district government staff to create demand for the construction and use of latrines, help rural stakeholders identify and develop suitable and affordable improved latrine options, and train local entrepreneurs in constructing and marketing sanitation facilities and products. We also work with local government authorities to promote the participation and influence of special interest groups (women, the poor, people living with disabilities and the elderly) in sanitation and hygiene planning, as well as training and coaching district stakeholders to strengthen sector alignment, planning, monitoring and transparency.

163,500
people gained access to sanitation facilities
Increase in use of functional, clean and private toilets by
20%
Presence of handwashing facilities with soap at
75%
198
communities have been declared open defecation free

In Kenya, the SSH4A Results programme focuses on developing the capacity of local governments, 6 health promotion agencies and over 145 CLTS facilitators to steer and implement sanitation demand creation at scale in 4 counties and 10 sub-counties.

We develop market-based solutions and work with about 30 local enterprises to improve access to affordable sanitation hardware and services. We also ensure alignment in planning and monitoring among stakeholders, and develop practical service strategies for vulnerable groups (ultra-poor, elderly and people with disabilities).

Number of people with access to sanitary toilet increased by
233,046
22%
increase
in sustained use of sanitation facilities
of people know about handwashing with soap after defecation, before cooking
30%
38%
of household latrines are safe and 33% have good storage, but no timely emptying

In Mozambique, the SSH4A Results programme is being implemented in rural areas across five districts in Nampula Province – Rapale, Monapo, Mogovolas, Meconta, and Angoche.

We work towards enabling access to sanitation facilities and improving the awareness of safe sanitation and hygiene practices for more than 1.3 million rural residents in the target areas. For instance, we promote handwashing with soap or ash at critical moments, such as after defecation, before food preparation and before eating.

have new access to sanitation facilities
348,591
people
50%
of household sanitary toilets are sustainably used and provide desired services
New access to handwashing with soap after defecation for
122,936
people
of latrines have never been emptied because the pits are not full yet
66%

In Nepal, the SSH4A Results programme has been active in 106 working Village Development Committees (VDCs) of seven districts, across three ecological regions in two administrative regions.

The Government of Nepal has adopted a no-subsidy approach where households that invest in a toilet feel ownership of the toilet, because they see the benefits and are motivated to use it. We have publicly advocated against the use of sanctions that threaten and oblige households to make toilets (popular amongst some stakeholders), and rather demonstrated that demand creation through the use of creative and locally contextualised triggering tools is the more sustainable option. We organise community-wide behavioural change communication campaigns, for instance on cleaning toilets and the 'one house, one toilet' ideal, that consist of public events, mass media broadcasting, motivation of women's groups, as well as concentrated efforts on house-to-house visits. We also advise on technological options for affordable ways of constructing a water-based system and various types of pits.

people have access to and are sustainably using sanitation facilities
340,000
2.5%
of household toilets do not function and 10% have unclean toilets
increase in households with handwashing facilities with soap near a toilet
56%
50%
of households with toilets are emptied safely or no emptying is required

In Tanzania, the SSH4A Results programme is implemented in rural areas across 13 districts in the Lake and Northern zones – Babati, Karatu, Hanang, Arusha Rural and Monduli (Northern Zone), and Chato, Geita, Kwimba, Misungwi, Maswa, Itilima, Shinyanga and Msalala/Kahama (Lake Zone).

We train and coach district CLTS facilitators to create demand for the construction and use of latrines, help rural stakeholders to identify and develop suitable and affordable improved latrine options, and train local enterprises to produce and market improved latrines in rural market centres. We support the development of innovative behavioural change communication campaigns on handwashing with soap, alongside coaching local stakeholders to deliver the campaigns in their districts. We also work with local government authorities to promote the participation and influence of special interest groups (women, the poor, people living with disabilities and the elderly) in sanitation and hygiene planning, as well as training and coaching district stakeholders to strengthen sector alignment, planning, monitoring and transparency.

Access to and sustained use of sanitation facilities increased by
313,641
people
Hygienic use and maintenance of sanitation facilities has increased to
45%
26%
increase
in knowledge of and access to handwashing with soap facilities
are sited uphill of drinking water sources, possibly causing contamination
38%
of pit toilets

In Uganda, the SSH4A Results programme is being implemented in 15 districts in the West Nile and Rwenzori regions where 2.3 million people have no access to a latrine.

We train and coach district health teams to create demand for the construction and use of latrines, help rural stakeholders to identify and develop suitable and affordable improved latrine options, and train young local entrepreneurs to construct and market environmentally-friendly sanitation facilities and products. We also work with local government authorities to promote the participation and influence of special interest groups (women, the poor, people living with disabilities and the elderly) in sanitation and hygiene planning, as well as training and coaching district stakeholders to strengthen sector alignment, planning, monitoring and transparency.

gained access to sanitation facilities
768,385
people
Percentage of females accessing improved toilets increased to
27%
Households with no handwashing station with soap reduced from 93% to
68%
90%
of sanitation facilities are direct pits that are not lined to ease emptying

In Zambia, the SSH4A Results programme is implemented in four districts in the Northern Province – Kasama, Luwingu, Mporokoso and Mungwi – but has recently been extended to an additional three districts – Chama, Chilubi and Nakonde.

We train and coach district CLTS facilitators to create demand for the construction and use of latrines, help rural stakeholders to identify and develop suitable and affordable improved latrine options, and develop chain and finance mechanisms to ensure that once demand is created, affordable hardware solutions are in place for communities to have affordable and durable latrines. We support the development of innovative behavioural change communication campaigns on handwashing with soap, alongside coaching local stakeholders to deliver the campaigns in their districts. We also work with local government authorities to promote the participation and influence of special interest groups (women, the poor, people living with disabilities and the elderly) in sanitation and hygiene planning, as well as training and coaching district stakeholders to strengthen sector alignment, planning, monitoring and transparency.

Access to improved sanitation facilities has increased to
85%
Access to a functional, clean, private toilet sharply increased from 7% to
57%
88.5%
of people
recall hygiene promotion messages on washing hands with soap at critical moments
69%
of latrines are considered safe (no emptying required or constructing a new one)
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