Training in Community-led Total Behavior Change in Hygiene and Sanitation: Facilitator’s Guide

This manual is intended to provide a comprehensive training to build capacity of health extension workers (HEWs) and development agents to support total behaviour change in hygiene and sanitation. It includes exercises, facilitators' notes, and tools. It also contains a separate training for community volunteers, which is intended to support HEWs to recruit and train volunteers to support village-level hygiene and sanitation improvement activities. It is based on the experiences of the water, sanitation, and hygiene (WASH) movement in Amhara Region of 20 million in Northern Ethiopia.

It is a companion to the Woreda (District) Resource Book: Community-Led Total Behaviour Change in Hygiene and Sanitation (CLTBCHS), providing technical assistance to understand and undertake a community-led approach to reaching total behaviour change in hygiene and sanitation at scale. The two books offer the basic tenets of a learning-by-doing approach, incorporating a hybrid of Community-led Total Sanitation, household and community behaviour change techniques, and a “Whole System in the Room” multi-stakeholder process.

Contents include:

1. Before You Begin
2. Sample Training Program
3. Unit 1 - Introduction to the Training and the Community-led Total Behaviour Change Program
4. Unit 2- Focusing on Behaviours
5. Unit 3 - Community-Led Total Behaviour Change: Igniting Communities for Change
6. Unit 4 - Negotiating Improved WASH Practices;
7. Unit 5 - How to Plan, Prepare, and Implement CLTBCHS at Kebele and Gott Levels
8. Unit 6 - School Wash
9. Unit 7 - Data Collection and Analysis
10. Unit 8 - Summing Up
11. Further Reading and Resources