Sustainable Sanitation & Hygiene for All Results programme


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SNV's comprehensive and area-wide Sustainable Sanitation & Hygiene for All (SSH4A) approach, first developed in 2008 in Asia, is now working towards sustainable sanitation services across 18 countries in Asia and Africa. For SSH4A RP Programme countries, lasting change is visible, with more than 3.9 million people having gained access to improved sanitation, and an additional 1.2 million people now practising handwashing with soap.

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, our focus is to enable access to new and improved sanitation and hygiene facilities. The SSH4A Results Programme has been designed to ensure that tangible impacts in community health and quality of life are realised and measured systematically. As a results-based finance programme, it links programme financing directly to outputs and outcomes – with verifiable indicators and an external evaluation process that validate and ensure programme impact.

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

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

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Project in countries

From 2014 through 2017, 220,000 people in Kenya gained access to sanitation and hygiene facilities, and 550,000 more people began washing their hands with soap after defecation. Open defecation rates fell from 48% to 18% over the four-year period. These results were achieved through the Sustainable Sanitation and Hygiene for All Results Programme (SSH4A RP), which was 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). A fuller account of programme results is available here: Kenya - SSH4A Results Programme endline brief.

 

In 2017, SSH4A RP 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.

The figures below reflect Year One programme implementation results: January-December 2017. Interested to learn more? Read Kenya's first mid-term brief.

52%
households
have access to a toilet, from 48%
60%
households
hygienically use toilets, from 59%
14%
households
wash their hands with soap, from 4%
Open defecation rates of 26% fell to
2%

From 2014 through 2017, an additional 430,383 people in Ethiopia gained access to sanitation and hygiene facilities, and 501,331 more people began washing their hands with soap after defecation. Open defecation rates fell sharply, to 4% from 78%. These results were achieved through the Sustainable Sanitation and Hygiene for All (SSH4A) Results Programme, which was implemented across Abergele, Dehana, Gazgibla, Sehala, Sekota Zuria, and Ziquala. A fuller account of programme results is available here: Ethiopia - SSH4A Results Programme endline brief.

In 2017, SSH4A RP was extended to Este Woreda in South Gondar zone of Amhara National Regional State.

The figures below reflect Year One programme implementation results: January-December 2017. Interested to learn more? Read Ethiopia's first mid-term brief.

96%
households
have access to a toilet, from 24%
96%
households
hygienically use toilets, from 24%
94%
households
wash their hands with soap, from 0%
Oen defecation rates of 71% fell to
4%

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

Household survey results show that between 2014 and 2017, an additional 384,436 people in Nepal gained access to sanitation, and 256,667 more people began washing their hands with soap after defecation. Open defecation rates in 106 target VDCs fell dramatically, to 4% from 73%. These results were achieved through the Sustainable Sanitation and Hygiene for All (SSH4A) Results Programme, which was implemented in Banke district in Province 5; Humla, Mugu, Dailekh, and Surkhet districts in Province 6; and Siraha and Saptari districts in Province 2. A fuller account of programme results is available here: Nepal - SSH4A Results Programme endline brief.

In 2017, SSH4A RP in Nepal was extended in Siraha and Saptari, and widened to include the districts of Bara, Mahottari and Dhanusha.

The figures below reflect SSH4A RP in Nepal's progress during the first programme cycle of the UKAID-funded programme (2014-2017).

 

 

91%
households
have access to a toilet, from 22%
93%
households
hygienically use and maintain toilets, from 21%
85%
households
wash their hands with soap, from 8%
Open defecation rates of 73% fell to
4%

From 2014 through 2017, 442,078 people gained access to sanitation and hygiene facilities, and 351,776 more people began washing their hands with soap after defecation. Open defecation rates fell from 36% to 2% over the four-year period. These results were achieved through the Sustainable Sanitation and Hygiene for All Results Programme (SSH4A RP), which was implemented in five districts in Tanzania: Chato, Geita and Kwimba (in the Lake Zone) and Karatu and Babati (in the Northern Zone). A fuller account of programme results is available here: Tanzania - SSH4A Results Programme endline brief

In 2017, SSH4A RP implementation was extended to the districts of Maswa, Misungwi, Itilima, Msalala/Kahama, Shinyanga, Arusha Rural, Monduli, and Hanang.  

The figures below reflect Year One programme implementation results: January-December 2017. Interested to learn more? Read Tanzania's first mid-term brief here.

60%
households
have access to a toilet, from 47%
67%
households
hygienically use toilets, from 53%
3%
households
wash their hands with soap, from 0%
Open defecation rates of 34% fell to
23%

From 2014 through 2017, 457,974 people gained access to sanitation and hygiene facilities, and 63,964 more people began washing their hands with soap after defecation. Open defecation rates fell from 16% to 7% over the four-year period. These results were achieved through the Sustainable Sanitation and Hygiene for All Results Programme (SSH4A RP), which was implemented in the Northern Province districts of in the (15) districts of Arua, Bundibugyo, Kabarole, Kamwenge, Kasese, Kibaale, Kaboko, Kyegegwa, Kyenjojo, Maracha, Moyo, Mubende, Nebbi, Yumbe, and Zombo. A fuller account of programme results is available here: Uganda-SSH4A Results Programme endline brief.

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.

In 2017, SSH4A RP implementation was extended to several more districts. Year One programme implementation results: January-December 2017 are forthcoming.

The figures below present the results of the four-year implementation of SSH4A RP in the first 15 districts.

 

69%
households
have access to a toilet, from 55%
78%
households
hygienically use toilets, from 77%
16%
households
wash their hands with soap, from 10%
Open defecation rates of 16% fell to
7%

From 2014 through 2017, 370,000 people gained access to sanitation and hygiene facilities, and 180,000 more people began washing their hands with soap after defecation. Open defecation rates fell from 50% to 5% over the four-year period. This progress was achieved through the Sustainable Sanitation and Hygiene for All Results Programme (SSH4A RP), which was implemented in the Northern Province districts of Kasama, Luwingu, Mporokoso and Mungwi districts. A fuller account of programme results is available here: Zambia - SSH4A Results Programme endline brief

In 2017, SSH4A RP implementation was extended to three more districts: Chama, Chilubi and Nakonde.  

The figures below reflect Year One programme implementation results: January-December 2017. Interested to learn more? Read Zambia's first mid-term brief here.

54%
households
have access to a toilet, from 47%
64%
households
hygienically use toilets, from 58%
4%
households
wash their hands with soap, from 1%
Open defecation rates of 28% fell to
4%

From 2014 through 2017, 129,469 people gained access to sanitation and hygiene facilities, and 68,173 more people began washing their hands with soap after defecation. Open defecation rates fell from 80% to 40% over the four-year period. This progress was achieved through the Sustainable Sanitation and Hygiene for All Results Programme (SSH4A RP), which was implemented in eight districts across four regions in the country: Chereponi, East Gonja, Jasikan, KEEA, Lawra, Nandom, Nanumba South, and Saboba. A fuller account of programme results is available here: Ghana - SSH4A Results Programme endline brief

Spolight on Nandom

The Nandom district in the Upper West Region is set to become the first ODF-certified district in Ghana: 101 of the 114 communities in the district have already been declared open defecation free, and open defecation incidence in 2017 was at 0% (compared to 79% in 2014).

Engagement of traditional leaders in campaigns for safe access to sanitation, the active participation of the district leadership in post-demand creation support, and the promotion of affordable latrine options were all key to realising the district’s accomplishment.

31%
households
have access to a toilet, from 7%
37%
households
hygienically use a toilet, from 10%
18%
households
wash their hands with soap, from 0%
Open defecation rates of 80% fell to
40%
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