WASH and Older People
Today, people worldwide can expect to live into their 60s and beyond.
There are estimated to be around 900 million older adults (aged 60 years and above), around 13 per cent of the world population.
The COVID-19 pandemic helped shed light on the specific needs of older people as a group more susceptible to severe disease/infection, and revealed the lack of capacity within water, sanitation, and hygiene (WASH) NGOs to respond to these specific needs.
This Sanitation Learning Hub Learning Paper explores the WASH needs of older people in both development and humanitarian contexts, as well as the fundamental role older people play in facilitating other people’s WASH access, health, and wellbeing.
The paper refers to the data WASH actors collect on older people in order to understand their differing WASH needs, the barriers to accessing WASH, and the need to ensure older people’s participation, including their active role in helping find the solutions.
Recommendations are made for planning with communities and programme design; WASH programme implementation and to reduce environmental barriers.
This paper is also available in French and Portuguese:
Rural Sanitation and Climate Change: Putting Ideas into Practice
Sharing of experiences and thoughts on addressing climate change impacts on sanitation at a local level are critical to evolving the sanitation sector.
Please note, there is a French translation and a Portuguese translation available.
SDG 6.2 calls for sustainable sanitation for all before 2030. Yet over 2 billion people still lack access to basic sanitation facilities. Ensuring good sanitation and hygiene practices for everybody means ending open defecation, tackling existing challenges with access and use, and ensuring all sanitation facilities are safely managed.
Climate change is an added complexity in an already challenging landscape – it exacerbates these challenges and has cascading effects on health and livelihoods. Climate change impacts disproportionately affect already disadvantaged and marginalised groups, jeopardising efforts to Leave No One Behind in the drive for sanitation and hygiene for all. There is a real risk that progress made in improving rural sanitation access and coverage will slow, or even reverse.
The global sanitation sector has taken initial steps to incorporate responses to climate change into rural sanitation programming and services. However, much of the discussion has focused on technological improvements.
There is limited actionable guidance on how the rural sanitation and hygiene sector can make systemic changes through planning and implementing project delivery, enabling demand, changing behaviour, addressing social norms, monitoring and evaluation, and more at the local level. Furthermore, the voices of vulnerable people, households, and communities who are at the forefront of experiencing climate change impacts on sanitation are largely absent in existing discussions.
This publication aims to address these gaps in rural sanitation and hygiene thinking through:
- unpacking the reasons behind the limited progress towards addressing climate change in the sanitation and hygiene sector;
- exploring climate impacts on rural sanitation and hygiene practices;
- placing people, households, and communities at the centre of programming using participatory methods for learning; and
- providing actionable ideas to integrate climate thinking and learning into rural sanitation and hygiene programming at the household and community level.
Rural sanitation practitioners already consider many types of risk in the design and implementation of programmes. This publication supports rural practitioners in civil society and government to add a climate lens to existing programmes. It provides the sector with a menu of options and ideas from a climate change perspective. It is not a prescriptive list or a ‘one size fits all’ approach.
Practitioners can draw on various ideas and parts of this guidance and modify them to suit specific programmatic and regional contexts. The quotes included are from interviews with sanitation and hygiene practitioners. They describe their experience with programming in contexts increasingly challenged by climate related concerns.
The Sanitation Learning Hub's Frontiers of Sanitation series provides practical, evidence-based guidance and recommendations on essential emerging issues and approaches to programming and learning.
Community Leave No One Behind: Handbook For Practitioners
Community-Leave No One Behind (CLNOB) is a new participatory approach to identify both challenges and solutions in communities’ journeys towards ODF-S.
It has been designed to be integrated into Phase II of the Swachh Bharat Mission-Grameen (SBM-G). The government of India has issued the guidelines for Phase II of SBM-G, of which one of the guiding principles is ensuring that no one is left behind. CLNOB demonstrates a way to achieve this goal. It encourages communities to identify gaps in sanitation coverage and use and promote actions they can take themselves.
CLNOB builds on experiences with Community Led Total Sanitation (CLTS) and with the Swachh Bharat Mission-Gramin (SBM-G)’s ‘Community Approaches to Sanitation (CAS)’. These approaches have helped communities towards achieving open defecation free (ODF) environments; however, it has been acknowledged that ODF status has deficiencies.
The purposes of this handbook are two-fold: first to inform policymakers and stakeholders at all levels about this new initiative, and second to provide guidance to facilitators and practitioners for CLNOB implementation. This handbook is a living document and will be updated and refined after more field experiences are conducted. It is based on limited experience from a small pilot carried out between June and October 2020 during the challenging environment of the COVID-19 pandemic.
For Annexes on suggested talking points, a sustainability register, case studies and information on informed consent and data protection, click here to download (PDF).
Time to Listen: A Discussion Guide
Time to Listen: A Discussion Guide was developed to stimulate discussion and reflection among practitioners working in international, national and local aid organizations, governments and donors. For those already familiar with Time to Listen, this guide serves as a useful review and as a means to introduce colleagues and partners to the voices and ideas presented in the book on how to improve the effectiveness of international aid efforts. For readers with no prior exposure to the Listening Project or Time to Listen, the Discussion Guide aims to spark an interest in and a desire to further explore the findings of the Listening Project and the implications for their work.
The format of the guide closely follows the structure of Time to Listen, briefly summarizing each chapter and presenting the reader with a series of thought-provoking discussion questions. These questions are intentionally open-ended, allowing users to tailor the discussion to fit their organizational needs. For practitioners, the questions can be used to encourage reflection on their personal approaches and practices. Supervisors can use the questions to encourage reflection and inspire changes among their team members. The questions can also be used in a class setting, allowing educators and students to discuss the implications for future policies and practices.
How to Trigger for Handwashing with Soap
Handwashing is a vital part of good sanitation and hygiene. When Community-Led Total Sanitation (CLTS) and its aim of ODF (open defecation free) communities are fully understood and put into practice it is clear that handwashing is implicit in the approach. Without addressing handwashing and other hygiene practices, communities can never become fully ODF since CLTS aims to cut all faecal-oral contamination routes. However, in practice, the degree to which handwashing is integrated into triggering and follow up, depends on the quality of facilitation. This guide, developed in Malawi, addresses the need for specific tools that help to incorporate handwashing into CLTS.
Advocating for Evaluation: a toolkit to develop advocacy strategies to strengthen an enabling environment for evaluation
This toolkit contains guidance and tools on how to plan, design, implement, monitor and evaluate advocacy strategies to promote national evaluation policies and systems that are equity-focused and gender-responsive. It aims to help users understand the role of advocacy in increasing demand for evaluation, and develop operational strategies to promote demand for evaluation services.
PADev is an innovative toolbox of tools and methods that have been designed to get a bottom-up assessment of development and change in a particular area over a period of time based on the value systems of the population. PADev is thus a holistic and participatory approach to development assessment. It differs from conventional assessment methods which tend to focus on a single agency/project/programme with an expert-driven approach to evaluation. Instead, PADev assesses a wide range of changes, projects and agencies and may look back over 20-30 years. As an alternative approach to conventional assessment it enables the construction of a “big picture” of development and change for an area that can be very useful to both development agencies and local communities. This guidebook has been written specifically for those interested in using the PADev methodology. It offers an introduction to this style of workshop set-up and the nine participatory PADev exercises that can be run over three days. However it is not intended to be prescriptive and encourages experimentation and adaptation as circumstances require.
From Beneficiaries to Agents of Change: self-administrable tools to assess community preparedness for vulnerability reduction
This guide shows how self-administrable tools can be used to assess community mobilisation of any community-based organisation (CBO). The book can help CBOs assess their own performance, plan their future strategies and monitor themselves.
From Vulnerability to Resilience: A handbook for programming design based on field experience in Nepal
This handbook is aimed at practitioners who seek examples of how the V2R framework can be used in practice, based on examples from Nepal. It offers a step process, workbooks and tools. It includes guidance on how to include long-term trends in programming with a focus on climate change.
It is essential that organisations working on poverty reduction take into account the impact of climate change on the communities and sectors where they are working. In so doing, they will be better able to support community members and government officials to adapt to the adverse effects and take advantage of any opportunities presented. This requires a detailed analysis of the impacts of climate change at the local level in order to build adaptive capacity to withstand both sudden shocks and incremental changes in the climate. Participatory tools have been updated for use of uncovering community perceptions of changes, alongside identifying historical climate data.
Power: elite capture and hidden influence
This resource book explores the theme of power. It discusses key issues about what power is, how it is used and what role power plays in change processes. It presents tools for analysing power and practical strategies for civil society practitioners to manoeuvre and negotiate through the webs of hidden power towards more inclusive people centred development.
Voice: representation and people's democracy
This resource book is about people’s participation in decision-making and about people’s right to have a ‘voice’, to be heard and to choose their own representatives. Democracy is an ongoing process and to create more just and equal societies it is essential that democratic “spaces” are made that enable real influence for those living in poverty. This book is for local level civil society practitioners who want to make their own voice heard, and who want to involve more people in their efforts to make their opinions and ideas heard at the local level, in elected local government and other state bodies, in civil society organisations, and in public spaces and media.
Budgets: Revenues and financing in public service provision
Budgets are the starting point of this book, and it continues with different types of revenue and taxes at the local level. Tax Justice is introduced and finally the book explains decentralization and the dilemma local government has in terms of limited independent space for planning and implementing plans. The book is designed for field workers and civil society organisations at the local level. Whilst the political context is very different in each country, it is hoped the book can inspire engagement in budget work at the local level. The book includes tools for analysing budgets and understanding political economy at the local level.
Community video for social change: a toolkit
Power: a practical guide for facilitating social change
Between 2008 and 2010 the Carnegie UK Trust and the Joseph Rountree Foundation jointly funded a programme of work on power, participation and social change. Over two years the project worked with 20 different organisations to explore ways in which the analysis of power could support them to achieve the social change they were working towards. The work revealed that a good understanding of power is a missing link between how people envisage the change they want, and how they go about achieving that in practice. This handbook – which supports the programmes report “Power and Making Change Happen” – is about taking action. It is a practical guide drawing on the methods and tools used to build the capacity of others and achieve social change. It is designed for people within organisations, networks or community groups who want to explore power as part of the process of change in their communities. As such it provides background information on power and facilitation, and looks at how to explore power through workshops, one-to-one mentoring and self reflection.