Terms of Reference
                                                              For Digitalization & Translation of Hygiene Promotion Package

Introduction

WaterAid is an international not-for-profit organization, established in 1981, determined to make clean water, decent toilets, and good hygiene for everyone, everywhere within a generation. We change millions of lives every year, working in 28 countries to provide clean water, decent toilets, and good hygiene. Since we started in 1981, we’ve remained resolutely focused on tackling these three essentials that transform people’s lives. Without all three, people can’t live dignified, healthy lives. With all three, they can unlock their potential, break free from poverty, and change their lives for good. Children grow up healthy and strong, women and men get to earn a living, and whole communities start to thrive. It sounds normal and it should be.

WaterAid Nepal (WAN) was established in 1987 during the UN Water and Sanitation Decade, 1981-1990. WaterAid’s work covers service delivery, behaviour change as well as research, learning, capacity building, and advocacy related to Water, Sanitation, and Hygiene (WASH). Our work in Nepal spans 6 districts and is based on a programmatic approach to ensure service delivery, behaviour change, and promote advocacy in the WASH sector.

Background

Hygiene Promotion through Routine Immunization Project Hygiene Promotion through Routine Immunization is a collaborative programme to improve the key hygiene behaviors of mothers/guardians with young children and immunization coverage led by the Family Welfare Division, Ministry of Health and Population, Nepal and technically supported by WaterAid Nepal. The Government of Nepal has been scaling-up nationwide hygiene integration into routine immunization (in 77 districts) targeting 550,000 population (mothers/guardians) each year.

In this programme, the mothers of children under fifteen months of age who attend routine immunization sessions participate in interactive hygiene promotion sessions for about 30 to 35 minutes each time they attend a vaccination clinic/immunization session. The hygiene sessions focus on the promotion of five key hygiene behaviors (Exclusive Breast Feeding, Food Hygiene, Water treatment, Handwashing with soap and water and use of toilet including disposal of child faeces into toilet) and full immunization using an innovative, attractive, simple, and illustrative hygiene promotion package implemented as a proof-of-concept package using Behaviour Centred Design Approach (BCD). The hygiene

Terms of Reference

promotion sessions are conducted by trained health workers with or without the support of female community health volunteers (as per the routine vaccination programme) during each immunization session (through all static, outreach, and mobile clinics). Hygiene promotion through routine immunization programme is being implemented across the country through the national immunization programme, one of the government& priorities programmes. Vaccination sessions are being conducted on monthly/ weekly/ daily basis in more than 16,000 vaccination centres across the country. It has been more than three years since hygiene promotion has been integrated at a national scale and conducted through vaccination sessions and this will be continued through the immunization programme on a routine basis.

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