1. CARE International (funded by Gates Foundation)

In 2003, Africa AHEAD provided training for 23 facilitators from HIDO, a local NGO and a PHAST Toolkit was developed specifically for the IDP Camps. Trainers were then posted into 15 Internally Displaced People’s camps in Gulu District. Within a month over 116 Community Health Clubs with over 15,000 members, had been registered and weekly sessions were held for six months. By this time over 11,256 latrines, as well as 11,709 pot racks, and 2127 hand washing facilities had been constructed. This record breaking number of latrines highlights the power of the CHC Approach to create a strong demand for sanitation even crowded IDP camps, in an emergency setting within a short period of time.

2. Malaria Consortium – HIDO (funded by Unicef):

The approach was then taken to Pader District, also a refugee area in Norther Uganda, by HIDO (in partnership with Malaria Consortium). Another 35 health clubs were established with 2,599 members in 8 IDP camps and within 5 months 51% (1,318 members) had built latrines as well constructed 400 rubbish pits, 1,644 pot racks and 810 bathrooms.

3. Lutheran World Federation:

Based on recommendations in an evaluation (by Cranfield University), Community Health Clubs were started in Katakwi by Lutheran World Federation. In October 2006, a local EHD trainer who had co-facilitated with Africa AHEAD in the Gulu Trainer successfuly trained LWF field staff in PHAST and the CHC approach. By March 2007 there was a 40% uptake of sanitation. This was important as it shows how replication does not depend solely on Africa AHEAD, and points the way forward as to how Uganda can scale up CHCs without external consultancy.

4. WaterAid and partner NGOs pilot CHCs:

In May 2008, Africa AHEAD provided training for WaterAid local partners to enable them to start up Community Health Clubs in various areas of Uganda: Busoga Trust in Southern Uganda, whilst SSWARS and AEE operate mainly in Kampala. WEDA, another highly successful implementing partner is currently conducting a successful program in Katakwi using Clusters rather than health clubs and will be integrating some of the CHC ideas into their home grown health promotion methodology.We await an update on how these organisation have adapted the CHC Approach to their own contexts.

Accredited CHC Trainer: Justin Otai (MoH); Victor Kwame (HIDO)

Africa AHEAD Consultant: Dr. Juliet Waterkeyn


CARE International; HealthIntegrated Organisation for Development (HIDO); Malaria Consortium, Unicef; WaterAid; UWASNET, Lutheran World Federation; WEDA; SSWARS; AEE; Busoga Trust

TRAINING MATERIAL: MoH PHAST Training Manual (available in country from EHD-MoH)

REPORTS: Waterkeyn. J. (2008) Africa AHEAD Scoping Study: Community Health Clubs in Uganda. Part 1. WaterAid Uganda.


UWASNET: Uganda Water and Sanitation NGO Network, Members Directory 2007-8

UWASNET. Group Performance Report for 2007.

Okot, P., Kwame, V., and Waterkeyn, J. (2005). Rapid Sanitation Uptake in the Internally Displaced People Camps of Northern Uganda through Community Health Clubs. Kampala. 31st WEDC Conference

Mpalanyi.J. and Mukama.D. (2007) Documentation of best practices (BOP) in hygiene and sanitation in districts of Uganda. WSP – AF.

Joint Annual Review supported by WSP

In November 2004 at the 10th ‘Joint Health Sector Review’ government officials and development partners resolved to commit themselves to an ‘Undertaking for Sanitation’: to work together to integrate and coordinate existing resources towards implementation of best practice in hygiene promotion and sanitation, and to ensure that by October 2005 every administrative district in the country will have work–plans, budgets and active district water and sanitation committees. Anthony Waterkeyn has been appointed onto the secretarial committee that is developing the ‘Health Sector Strategic Plan’ for the period 2005 -2010 where a new emphasis on preventative health and the importance of hygiene and sanitation, are being given added prominence. In September 2004 the 4th ‘Joint WSS Sector Review’ agreed on 12 key sector undertakings for the next year. These included advancing sector reforms; support to districts for sanitation planning and coordination; and, sector wide investment planning. WSP-AF will play a role in promoting good practices and sanitation resource flows assessment at the district level.

For full article click here

Contact: Anthony Waterkeyn, WSP-Africa, [email protected]; WSP-Africa, [email protected]

Hygiene & Sanitation Strategies in Uganda: How to Achieve Sustainable Behavior Change?

Waterkeyn, A. (2005). Hygiene & sanitation strategies in Uganda: How to achieve sustainable behaviour change? Kampala, 31st WEDC Conference.

Abstract: Breaking the faecal:oral disease transmission route is a vital first step towards overcoming preventable disease and, ultimately, poverty. Simple knowledge transfer, whatever methodology is employed, does not automatically result in changed or improved behaviour. There is growing consensus that to achieve behaviour change in hygiene and sanitation practices communities, both rural and high-density peri-urban, need to be supported in ways that will stimulate social cohesion and result in group decisions being taken. Such cohesion and the building of social capital can ensure that peer pressure comes to bear and poor hygiene practices can thus be challenged. This paper considers several approaches to Hygiene Promotion and Sanitation that are currently receiving attention. It attempts to tease out some of the common threads that appear to be stimulating social cohesion and peer pressure towards achieving behaviour change that will be sustained and also considers the current hopeful situation in Uganda.

For full article in pdf, click here: Hygiene and Sanitation Strategies in Uganda: How to Achieve Sustainable Behavior Change

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