1. Hygiene Improvement At Scale Renuka Bery, USAID/HIP Learning Alliance Symposium June 7, 2005 Delft, Netherlands

2. 2 The Hygiene Improvement Project HIP is:  a 5-year USAID-funded project (until 2009),  led by AED, with partners ARD, IRC Netherlands, and Manoff Group  designed to achieve at-scale hygiene improvement behavior change  in 5 countries and through selected, strategic activities,  which are centered on 3 key hygiene practices:

3. 3 Safe Feces Disposal Hand washing Safe Storage and Treatment of Water

4. 4 Scale Approaches Multiple Approaches…HIP is testing some  SCALE  Future Search  Learning Alliances  Open Space  Appreciative Inquiry  Others

5. 5 Characteristics of Scale for HIP  Start work at scale (not to scale up)  Size and geography (TBD by sponsors)  Integrated, systems-approach of:  multiple levels  multiple stakeholders  multiple interventions  multiple consumer/user options

6. 6 Why and how to hold a Search Conference  Sound “business” reason  Right Stakeholder Mix  Working with Stakeholders  Different levels  Stakeholder, mixed, voluntary groups

7. 7 SEARCH Conference Processes Exploration of the PAST Review of the PRESENT Vision for the FUTURE

8. 8 Unique Characteristics of Search Conferences  Facilitation  Acknowledging Differences and Problems  Timeframe  Participation Leading to Action  Joint Learning

9. 9 Commitments for Action to Impact Behavior Change Media NGOs Schools Donors Health Center Comm. sector FBOs CBOs Govt Individual Leading to improved and sustained practices…

10. 10 Challenges  Getting highest level decision makers to participate  Encouraging commitment from participants to attend entire 2.5 day workshop  Moving out of one’s comfort zone into the unknown (Leap of faith)  Finding a facilitator without a vested interest  Buying into this “new” process

11. 11 How It Worked Philippines  Purpose  Activities  Implementation  Impact

12. Moving the World from this….

13. ….To This