Sustainable sanitation and hygiene for all (SSH4A) is a DFID funded result based programme whose goal is to improve access to latrine for all and promote good hygiene practices especially hand washing with soap in rural communities. PALM implemented SSH4A project in four sub-counties in Moyo district and one sub-county in Arua. It reached out to over 8000 households with a population of 57,348 people.

The project has four main pillars as listed below:

  • Sanitation demand creation using Community Led-Total Sanitation (CLTS) and other methodologies
  • Social Behaviour Change Communication
  • Sanitation Marketing and
  • Sanitation Governance

PALM triggered all villages and primary schools to create demand for latrine, other sanitary facilities and hand washing. VHTs were trained on Mandona follow-up and supported to follow up households without latrines or poor quality latrines which resulted in over 3,000 households gaining access to latrine and hand washing facilities.

PALM identified and trained Young Sanitation Entrepreneurs (YSE) who provided services including pit digging, making and selling of drop hole covers, making latrine floors or drop hole areas washable and selling sanitation and hygiene products such as sato pans. They (YSE) advised households on appropriate technological options depending on soil texture.This actions resulted into:

  • 1,791 households gaining access to latrine
  • 968 households (75%) moving up the sanitation ladder (improving quality of latrines i.e washable squat hole areas, drop hole covers, sato pans or installed doors for privacy)
  • Hand washing improved from 30% to 65%

Ultimately, the above results increased the use of latrine (due to improved quality & privacy) and reduced prevalence of sanitation related diseases as well as creating employment for the Young Sanitation Entrepreneurs.