Sustainable Sanitation & Hygiene for All Results programme


This project is active

SNV's comprehensive and area-wide Sustainable Sanitation & Hygiene for All (SSH4A) approach, developed since 2008 in Asia, 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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SSH4A RP supports local government to lead and accelerate progress towards district-wide sanitation coverage, with a focus on institutional sustainability and learning. In Kenya, the SSH4A Results programme is being implemented across four counties: Homa Bay (Rangwe and Suba Sub-counties), Kericho (Kericho West, Kericho East, Kipkelion West), Elgeyo Marakwet (Marakwet West and Keiyo South) and Kilifi (Malindi, Magarini and Kaloleni).

During 2016, SSH4A-RP reach was extended to an additional five sub counties: Mbita, Rachuonyo, Marakwet East, Kipkelion East and Kilifi North, and 55 sub locations in Kaloleni, Malindi, Magarini, Kericho East, Kericho West, Kipkelion West, Keiyo South and Marakwet West sub counties. Learn about the programme extension here.

We develop market-based solutions and work with about 30 local enterprises to improve access to affordable sanitation hardware and services. We strengthen the capacity of local governments, six health promotion agencies and over 145 CLTS facilitators to steer and implement sanitation demand creation at scale in project implementation areas. We also ensure alignment in planning and monitoring among stakeholders, and develop practical service strategies for vulnerable groups (poorest of the poor, elderly and people with disabilities).

Data presented below are based on 2016 figures. For a complete overview of project progress and updates, click on the latest progress update for Kenya here.

30%
reduction
in households practising open defecation
29%
increase
in female-headed household sustained use of latrines
20%
reduction
in households without a handwashing station next to defecation areas
233,046
people
gained access to improved and unimproved toilet facilities

SSH4A RP supports local government to lead and accelerate progress towards district-wide sanitation coverage, with a focus on institutional sustainability and learning. In Ethiopia, SSH4A RP is being implemented across six project woredas - Sekota Zuria, Dehana, Gazgibla, Abergele, Ziquala and Sehala - in the Waghimra zone of Amhara Regional State.

During 2016, Ethiopia received a programme extension to continue SSH4A-RP-related initiatives. Learn about the programme extension here.

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 to promote the practise of handwashing at critical times.

Data presented below are based on 2016 figures. For a complete overview of project progress and updates, click on the latest progress update for Ethiopia here.

72%
reduction
in households practising open defecation
75%
increase
in hygienic use and maintenance of sanitation facilities
88%
reduction
in households without a handwashing station
407,328
people
gained new and improved access to sanitation

SSH4A RP supports local government to lead and accelerate progress towards district-wide sanitation coverage, with a focus on institutional sustainability and learning. In Ghana, SSH4A RP is being implemented across eight municipal and district assemblies: Chereponi, East Gonja, Jasikan, KEEA, Lawra, Nandom, Nanumba South, and Saboba.

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.

Data presented below are based on 2016 figures. For a complete overview of project progress and updates, click on the latest progress update for Ghana here.

40%
reduction
in households practising open defecation
33%
increase
in hygienic use and maintenance of toilets
17%
reduction
in households without a handwashing station next to defecation areas
163,679
people
gained access to improved and unimproved toilet facilities

SSH4A RP supports local government to lead and accelerate progress towards district-wide sanitation coverage, with a focus on institutional sustainability and learning. In Mozambique, SSH4A RP is being implemented across five districts in Nampula Province: Angoche, Meconta, Mogovolas, Monapo, and Rapale.

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.

Data presented below are based on 2016 figures. For a complete overview of project progress and updates, click on the latest progress update for Mozambique here.

26%
reduction
in households practising open defecation
16%
increase
in households that sustain the use of latrines
39%
reduction
in households without a handwashing station
348,591
people
gained access to improved and unimproved toilet facilities

SSH4A RP supports local government to lead and accelerate progress towards district-wide sanitation coverage in two administrative regions, with a focus on institutional sustainability and learning. In Nepal, SSH4A RP is being implemented across seven districts that represent three ecological zones: Humla and Mugu (mountainous zone), Dailekh and Surkhet (hilly region), and Banke, Siraha, and Saptari (plain areas, otherwise referred to as the "terai" zone). The programme is active in 106 working Village Development Committees (VDCs).

During 2016, Nepal received a programme extension to continue SSH4A-RP-related initiatives. Learn about the programme extension here.

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.

Data presented below are based on 2016 figures. For a complete overview of project progress and updates, click on the latest progress update for Nepal here.

90
VDCs
of 106 have been declared open defecation free
71%
increase
in households with functional, clean and private toilets
48%
increase
in households with a handwashing station next to sanitation facilities
334,589
people
gained access to improved and unimproved toilet facilities

SSH4A RP supports local government to lead and accelerate progress towards district-wide sanitation coverage in two administrative regions, with a focus on institutional sustainability and learning. In Tanzania, SSH4A RP is being implemented across five districts in Tanzania: Babati, Chato, Geita, Karatu, and Kwimba. 

During 2016, Tanzania received a programme extension to continue SSH4A-RP-related initiatives. Learn about the programme extension here.

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.

Data presented below are based on 2016 figures. For a complete overview of project progress and updates, click on the latest progress update for Tanzania here.

29%
reduction
in households practising open defecation
12%
increase
in use of functional, clean and private toilets
21%
increase
in female-headed household access to handwashing stations after defecation
313,641
people
gained access to improved and unimproved toilet facilities

SSH4A RP supports local government to lead and accelerate progress towards district-wide sanitation coverage in two administrative regions, with a focus on institutional sustainability and learning. In Uganda, SSH4A RP is being implemented in 15 districts: Arua, Bundibugyo, Kabarole, Kamwenge, Kasese, Kibaale, Kaboko, Kyegegwa, Kyenjojo, Maracha, Moyo, Mubende, Nebbi, Yumbe, and Zombo.

During 2016, Uganda received a programme extension to continue SSH4A-RP-related initiatives. Learn about the programme extension here (Phase II).

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.

Data presented below are based on endline project results for Phase 1. For more information, read Uganda's endline practice brief.

7%
households
practise open defecation (compared to 16% in 2014)
69%
households
have access to a sanitary toilet (compared to 55% in 2014)
16%
wash hands
after defecation (compared to 10% in 2014)
457,974
(new) people
gained access to safe sanitation and hygiene facilities

SSH4A RP supports local government to lead and accelerate progress towards district-wide sanitation coverage in two administrative regions, with a focus on institutional sustainability and learning. In Zambia, the SSH4A Results programme is being implemented in four districts in the Northern Province: Kasama, Luwingu, Mporokoso and Mungwi. Recently, project implementation areas were extended to an additional three districts – Chama, Chilubi and Nakonde.

During 2016, Zambia received a programme extension to continue SSH4A-RP-related initiatives. Learn about the programme extension here.

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.

Data presented below are based on 2016 figures. For a complete overview of project progress and updates, click on the latest progress update for Zambia here.

43%
reduction
in households practising open defecation
50%
increase
in the use of functional, clean and private toilets
33%
reduction
in households without a handwashing station
364,317
people
gained access to improved and unimproved toilet facilities
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