Dr. Juliet Waterkeyn

Director of Research & Training 

 Dr. Juliet Waterkeyn (PhD from London School of Hygiene & Tropical medicine) first developed the CHC concept in 1993 in Zimbabwe.  In the past 20 years,  she has been responsible for introducing this model  into many countries, particularly in Africa. She was the first founding   Director of  Zimbabwe AHEAD (1999 -2013) which she estabished with Anthony, as well as AAA in South Africa, and AA in the UK. She has worked as a consultant with many agencies and NGOs  developing  national CHC training manuals  and visual aids for Zimbabwe, South Africa, Rwanda and Vietnam.  She was awarded a Fellow of the Royal Society of  Tropical Medicine & Hygiene (2004) and  an AMCOW Award as ‘distinguished woman leader in sanitation’  (2010).

Country experience: Zimbabwe, South Africa, Namibia, Mozambique, Kenya, Tanzania, Uganda, Rwanda, Guinea Bissau, Sierra Leone, Vietnam, Bhutan, Indonesia, Albania.

Languages: English, French, Italian, Swahili

Curriculum Vitae: Click here for full CV 


Publications 

Waterkeyn, J.  (1999) Structured Participation in Community Health Clubs. Water Engineering & Development Centre Conference. Addis Ababa, Ethiopia.

Waterkeyn, J. (2003) Cost Effective Health Promotion: Community Health Clubs. 29th Water Engineering & Development Centre Conference. Abuja, Nigeria.

Waterkeyn, J. (2005) Decreasing Communicable Diseases Through Improved Hygiene in Community Health Clubs. 31st  Water Engineering & Development Centre Conference: Kampala.

Waterkeyn, J. (2006) Cost Effective Health Promotion
and Hygiene Behaviour Change through Community Health Clubs. PhD Thesis submitted to London Schoool of Hygiene and Tropical Medicine

Waterkeyn, J. (2006) District Health Promotion using the Consensus Approach. WELL / DFID / London School of Hygiene and Tropical Medicine. Manual

Waterkeyn, J. (2010) Hygiene Behaviour Change through the Community Health Club Approach: a cost effective strategy to achieve the Millennium Developments Goals for Improved Sanitation in Africa. PhD Thesis published with Lambert Academic Publishing. Germany.  Full Thesis

Waterkeyn, J.  (2012) Best Practice in Hygiene Promotion Programme:  an evaluation template for assessing cost-effectiveness. University of North Carolina – Water Institute

Waterkeyn. J.   (2012) The Mechanics of Hygiene Behaviour Change. Africa  AHEAD Side Event. Water and Health Conference University of North Carolina.

Waterkeyn, J. (2012) Best Practice in Health Promotion: comparing CHC & CLTS. Africa  AHEAD Side Event. Water and Health Conference University of North Carolina.

Waterkeyn. J. (2013) Integration, Sustainability, Institutionalisation & Scale. Water and Health Conference. University of North Carolina.

Waterkeyn. J. (2014)  I am not nothing now: how Community Health Clubs empower womenAfrica AHEAD/Stockholm Environment Institute Side Event. World Water Week, Stockholm. Presentation

Waterkeyn. J.  (2015) A Practical Model to Achieve 8 x Sustainable Development Goals. Water and Health Conference. University of North Carolina

Waterkeyn, J & Cairncross, S. (2005) Creating a demand for sanitation through Community Health Clubs:  a cost effective intervention in two districts of Zimbabwe. Journal of Social Science and Medicine. 61. p.1958-1970

Waterkeyn J & Waterkeyn. A.  (2000) Demand Led Sanitation in Zimbabwe. Water Engineering & Development Centre: Dhaka, Bangladesh.

Waterkeyn J & Waterkeyn. A.  (2004) Taking PHAST the Extra Mile Through Community Health Clubs. Water Sanitation Programme – East Africa

Waterkeyn, J. & Waterkeyn, A. (2013) Creating a culture of health: hygiene behaviour change in community health clubs through knowledge and positive peer pressure. Journal of Water, Sanitation and Hygiene for Development  Vol 3 No 2. 144–155

Waterkeyn, J., Waterkeyn, A., Uwingabire, F., Pantoglou, J., Ntakarutimana A., Mbirira M., Katabarwa J., Bigirimana Z., Cairncross S., Carter R. (2020). The value of monitoring data in a process evaluation of hygiene behaviour change in Community Health Clubs to explain findings from a cluster-randomised controlled trial in Rwanda. BMC Public Health 20, 98 (2020). https://doi.org/10.1186/s12889-019-7991-7

Waterkeyn, J,   Matimati. R and Muringaniza. A.  (2010) ZOD for all – Scaling up the Community Health Club Model to meet the MDGs for Sanitation in Rural and Urban areas : Case Studies from Zimbabwe and Uganda. International Water Association Conference. Mexico City.

Waterkeyn J., Matimati R., Muringaniza A., Chingono A., Ntakarutimana A., Katabarwa J., Bigirimana Z., Pantoglou J., Waterkeyn A., Cairncross S. (2019). Comparative Assessment of Hygiene Behaviour Change and Cost-effectiveness of Community Health Clubs in Rwanda and Zimbabwe. IntechOpen. DOI: 10.5772/intechopen.89995         Download poster

Waterkeyn J & Nga. N. (2011) Low cost-high Impact: Hygiene Behaviour Change in Vietnam in Community Health Clubs. University of North Carolina – Water Institute Conference

Waterkeyn, J. Okot. P, Kwame.V.  (2005) Rapid Sanitation Uptake in the Internally Displaced People Camps of Northern Uganda through Community Health Clubs. 31st  Water Engineering & Development Centre Conference: Kampala. Uganda.

Waterkeyn J, Nyamandi VK and Nguyen NH. (2021)  A Comparative Study of the Efficacy of Community Health Clubs in Rural Areas of Vietnam and Zimbabwe to Control Diarrhoeal Disease. DOI: 10.5772/intechopen.97142


Waterkeyn J. 2021. A Methodological Crisis in the WASH Sector: Crunching Numbers and Throwing Them over the Wall

Public Health Open Access. Vol.5.2.DOI: 10.23880/phoa-16000179


Comparative Assessment of Hygiene Behaviour Change and Cost-effectiveness of Community Health Clubs in Rwanda and Zimbabwe.

Waterkeyn J., Matimati R., Muringaniza A., Chingono A., Ntakarutimana A., Katabarwa J., Bigirimana Z., Pantoglou J., Waterkeyn A., Cairncross S. (2019).  

IntechOpen. DOI: 10.5772/intechopen.89995


The value of monitoring data in a process evaluation of hygiene behaviour change in Community Health Clubs to explain findings from a cluster-randomised controlled trial in Rwanda.

Waterkeyn, J., Waterkeyn, A., Uwingabire, F.. Pantoglou, J., Ntakarutimana A., Mbirira M., Katabarwa J., Bigirimana Z., Cairncross S., Cater R. (2020).  BMC Public Health 20, 98 (2020).

https://doi.org/10.1186/s12889-019-7991-7