Erick Baetings presented the SNV-IRC experience from a capacity development programme in 15 countries in Asia and Africa for sustainable sanitation service delivery. This is part of the SSH4A programme aimed to develop the capacity of local governments to lead and accelerate progress towards district-wide sanitation and hygiene coverage with a focus on institutional sustainability and learning.

1. Developing capacity
for an integrated
rural sanitation
service delivery
model at scale
G. Halcrow, I. Krukkert,
A. Kome & E. Baetings
37th WEDC International
Conference, Hanoi, Vietnam, 2014

2. Purpose of the presentation
• Sharing the approach and learnings in developing
capacity for an integrated rural sanitation service
delivery model at scale, whilst ensuring quality
and equitable outcomes
Capacity development programme in 15 countries across Asia
and Africa to develop and roll out district-wide sustainable
sanitation service delivery model
• Contribute to the wider sector discussions for the
Post-2015 development agenda towards delivering
affordable, accountable and sustainable WASH
services with equity

3. The SSH4A approach
• Access to improved sanitation is a human right,
and national and local governments are the duty
bearers for a progressive realisation of that right,
and therefore
• The SSH4A programme focuses on developing the
capacity of local governments to lead and
accelerate progress towards district-wide
sanitation and hygiene coverage with a focus on
institutional sustainability and learning.

4. Key principles of the SSH4A approach
• The delivery of sustainable WASH services involves
moving beyond sanitation demand creation.
• The SSH4A model uses an integrated model that
combines work on:
1) demand creation
2) sanitation supply
chains strengthening,
3) behavioural change
communication (BCC)
and
4) WASH governance.

5. Key principles of the SSH4A approach
• Sustainable sanitation & hygiene is first and
foremost about behavioural change
• Sanitation demand creation and supply side
interventions need to be developed simultaneously
so that products and services are available when
people are motivated to construct a toilet
• Approaches must be scalable through a
government-led district wide approach, as
opposed to an exclusive community focus

6. Key principles of the SSH4A approach
• To ensure that all groups (including poorest and
most vulnerable) are reached, explicit support
strategies need to be developed with local
stakeholders
• To sustain behaviour change, innovative hygiene
promotion must be embedded in long-term
institutional health programmes
• To maximise potential health impact, small steps
of progress must be measured: not just access but
also use and maintenance of toilets

7. Capacity for steering and implementation
of sanitation demand creation
• Build capacity for implementation of demand
creation at scale and create momentum for change
by promoting district-wide coverage
• Develop outreach and implementation strategies to
scale up sanitation demand creation that are based
on the specific country context
Outreach models

8. Capacity for sanitation supply chains and
finance
• Develop more inclusive
market-based solutions
for sanitation products
and services on the
basis of consumer
studies, sanitation
supply chain analysis
and business modelling
• Need to target different
consumer segments
For rural households to
invest, WASH-related
products/services must be:
 Available (easy access to
materials and services)
 Desirable (with adequate
quality and design)
 Affordable, and
 Delivered at an
appropriate time.

9. Capacity for behavioural change
communication (BCC)
• Increase use of evidence-based
behaviour change
communication to sustain
S&H behaviours beyond the
initial triggering phase
• Embed long-term hygiene
promotion in existing health
systems to sustain hygiene
behaviour change and to
maximise health benefits
A key aspect is
understanding
motivations and
barriers from the
perspective of
the target group,
guided by
formative
research

10. Capacity for WASH governance
• Support local governments to make the shift from
a village-focused sanitation project to a coherent
district-wide service delivery approach
• Work towards multi-stakeholder consensus to
overcome the challenges occurring when
conflicting approaches are implemented within the
same district
• Develop tailored pro-poor support strategies with
local government to ensure that also the poorest
and socially excluded groups have access to
improved sanitation and hygiene

11. In conclusion …
• National and local governments are the rightful
duty bearers and they must be in the lead
• Programmes such as SSH4A must support and
build the capacity of government to lead and
accelerate progress
• The post-2015 MDG agenda will require a move
beyond rapid coverage towards professionalising
the sector and institutional sustainability to be
able to sustain improvements and to respond to
future needs and challenges