Appendix G : water and sanitation component evaluation

Special evaluation covers the period to 10/82 and is based on document review, site visits, and interviews with project personnel. Significant progress has been achieved. The project has distributed 6,500 copies of 3 posters (on hand pumps, aqueducts, and latrines) and produced 3 promotional radio spots, 2 soap opera announcements, and an ongoing radio soap opera. A comic book, a flip chart, 3 wall charts (on personal hygiene, latrines, water and sanitation), 20 radio program episodes, and 3 radio spots also have been designed and tested. Training has been provided to 95 new field promoters (FP"s) in 2 courses on communications and health education and to FP"s and others in 4 inservice courses on group dynamics, the use of flip charts, etc.; a consultant has been identified to help develop a set of group dynamics exercises for FP training. However, project implementation has been seriously hampered by: lack of an active Ministry of Health (MOH) health education director to assume full operational control and be trained as the project"s communications specialist - the person appointed has been unable and unwilling to assume the role resulting in a decisionmaking vacuum (partially filled by an individual within the MOH latrine and well program without educational training or experience); ineffective incentives to encourage FP participation in training activities; overly-ambitious targets resulting in production of some overly-general educational materials; delays in material production which hindered FP"s activities; and FP emphasis on one-to-one promotion (e.g, of individual latrine projects) rather than on community education and group decisionmaking which encourage long-term project success. Recommendations include to: resolve the health education directorship issue by 1/83; develop an FP reward system; identify a consultant to help develop an educational campaign; use radio more (e.g., saturation spot campaigns, radio magazine programs); and identify a rural training expert to develop innovative FP training exercises to increase community participation.