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Steering Committee and Strategic Partners

Members

Affiliates

Action Against Hunger

Banka Bioloo

CAWST

Clean the World Foundation

DefeatDD

DevWorks International

EcoSoap Bank

Gobie Clean

Handzies

HappyTap

Icddr,b

International Aid

IRC WASH

Manila Water Foundation

Medentech

MSR Global Health

PHAAE

Real Relief

Soapbox Collaborative

Smixin

Soapen

SPATAP

Splash

United Purpose

Vaccine Ambassadors

Wellbeing Foundation

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Picture shared by Gov. of Mozambique

A.	B.
C.	D.

2 x

3 x

4 x

On track

Trivia: What rate of progress is required to achieve universal access to basic hand hygiene services by 2030?

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Picture shared by Gov. of Mozambique

A.	B.
C.	D.

2 x

3 x

4 x

On track

Trivia: What rate of progress is required to achieve universal access to basic hand hygiene services by 2030?

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Resource: The Handwashing Handbook is now available in 6 languages!

The Handwashing Handbook is now available in Arabic, Chinese, English, French, Portuguese, and Spanish.

Please visit the Handwashing Handbook landing page:

www.globalhandwashing.org/handwashing-handbook/�

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Steering Committee and Strategic Partners

Members

Affiliates

Action Against Hunger

Banka Bioloo

CAWST

Clean the World Foundation

DefeatDD

DevWorks International

EcoSoap Bank

Gobie Clean

Handzies

HappyTap

Icddr,b

International Aid

IRC WASH

Manila Water Foundation

Medentech

MSR Global Health

PHAAE

Real Relief

Soapbox Collaborative

Smixin

Soapen

SPATAP

Splash

United Purpose

Vaccine Ambassadors

Wellbeing Foundation

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Picture shared by Gov. of Mozambique

Diarrhoeal disease	B. Acute Respiratory Infections
C. Intestinal nematode infections	D. Malnutrition

Trivia: What health impacts are related to inadequate hand hygiene practices in the community?

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Picture shared by Gov. of Mozambique

Diarrhoeal disease	B. Acute Respiratory Infections
C. Intestinal nematode infections	D. Malnutrition

Trivia: What health impacts are related to inadequate hand hygiene practices in the community?

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Global Handwashing Day: Turn in your Global Handwashing Day Reports now!

Celebrated Global Handwashing Day this year? Let us know how it went!

Report your event/campaign outcomes here: www.globalhandwashing.org/global-handwashing-day/take-action/report-event/

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Steering Committee and Strategic Partners

Members

Affiliates

Action Against Hunger

Banka Bioloo

CAWST

Clean the World Foundation

DefeatDD

DevWorks International

EcoSoap Bank

Gobie Clean

Handzies

HappyTap

Icddr,b

International Aid

IRC WASH

Manila Water Foundation

Medentech

MSR Global Health

PHAAE

Real Relief

Soapbox Collaborative

Smixin

Soapen

SPATAP

Splash

United Purpose

Vaccine Ambassadors

Wellbeing Foundation

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Picture shared by Gov. of Mozambique

A.	B.
C.	D.

10-40%

41-70%

71-100%

<10%

Trivia: What proportion of global recommendations on hand hygiene are evidence-based?

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Picture shared by Gov. of Mozambique

A.	B.
C.	D.

10-40%

41-70%

71-100%

<10%

Trivia: What proportion of global recommendations on hand hygiene are evidence-based?

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Resource: The Hand Hygiene Acceleration Framework Tool (HHAFT) has been launched!

Designed for use at national and subnational levels, the HHAFT both tracks the process a country has undergone to arrive at their hand hygiene for all roadmaps or strategies and assesses the quality of the content of strategies and plans.

Check out the tool here:

www.globalhandwashing.org/resources/hand-hygiene-acceleration-framework-tool/ �

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Stakeholder mapping to drive implementation of new WHO/UNICEF hand hygiene global guidelines

Convened by: Global Handwashing Partnership, UNICEF, WHO

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�The Global Handwashing Partnership (GHP) is a public-private partnership working to advance handwashing with soap as a fundamental component of health and development. ��Steering Committee Members and Strategic Partners include:�

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What is the Global Handwashing Partnership?

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Today’s Agenda

Welcome
Introduction to a Systems Approach
Overview of WHO/UNICEF Guidelines Progress/Uptake
Panel Discussion

Introduction of Hand Hygiene Think Tank
Remarks from Think Tank Facilitators

Open Discussion/Q&A
Close

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Global Handwashing Partnership

Ron Clemmer

Introduction to a Systems Approach

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Resource: The Handwashing Handbook is now available in 6 languages!

The Handwashing Handbook is now available in Arabic, Chinese, English, French, Portuguese, and Spanish.

Please visit the Handwashing Handbook landing page:

www.globalhandwashing.org/handwashing-handbook/�

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What is a system?

Interconnected set of actors that jointly produce a societal outcome
Include government, business, civil society, faith-based, and academic actors
Interrelationships between these groups and the individuals within the groups�

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Why a systems approach?

For optimal improvement in handwashing
Build a strong, supportive enabling environment
The many actors working together are needed to enable scale up of handwashing at homes, schools, workplaces, and other public settings
Leads to greater sustainability, adaptability, and accountability

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Tips for Building a System

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So the building blocks help us to understand the status of the handwashing system and to build it to be stronger. And next I would like to share a few activities which are valuable steps in building the system to be stronger, and these steps are taken from a systems approach called SCALE+. And of course, one of the first steps to systems strengthening is to establish the necessary leadership to accomplish this change. Effective systems strengthening requires a leadership team with strong communications capabilities, as well as a good understanding of systems strengthening and how to support improved networking within a system. Mapping the system is necessary just to understand what the system is, what groups are involved and what their relationship is to each other. Also, mapping capacities can help to identify gaps and opportunities for capacity development. Catalyzing collaboration and building social capital are important elements of strengthening the system. So what is social capital? It is the strength of bonds within each group, as well as of the bridges to other groups within the system. It is developed through the growth of interpersonal relationships, shared goals, cooperation, and trust. And good social capital within a system is absolutely necessary to foster collective impact. One of the powerful tools to foster collective impact is a meeting called the whole-system-in-a-room, which just as its name says, you get representatives from the broad range of system to come together so that they can share their common goals and develop a common plan for collective impact. And how do you make sure that those plans acted upon, well it is through building a mutual accountability mechanism so everyone in the system can see who is coming through and meeting their commitments and who is lagging. And taking all of these steps together forms a powerful framework to strengthen the system to support the scale up of handwashing.�

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World Health Organization

Joanna Esteves-Mills

Guidelines on Hand Hygiene �in Community Settings��

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Presentation aim

Picture shared by Gov. of Mozambique

- To provide an overview of the Guideline development process

- To outline how the GHP Handwashing Think Tank fits within this.

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Guideline Development Process: an Overview

Scope

Review evidence

Draft recomm.

Publish & promote

Monitor & Review

Feb 2022

Sep 2022

Jun 2023

Oct 2023

Ongoing

Aim:

Consultatively define audience, settings, outcomes, priority topics, key questions

Aim:

Synthesize evidence underpinning each question.

Aim:

Develop evidence-based rec. on the key questions of interest

Aim:

Develop & roll out uptake strategy for widespread adoption of rec.

Aim:

Track and assess uptake; course correct uptake strategy; plan GL amendments

https://apps.who.int/iris/bitstream/handle/10665/145714/9789241548960_eng.pdf?sequence=1&isAllowed=y

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Broad scope

When, how and with what products and services should hand hygiene be practiced in community settings to protect health?

What are the minimum requirements to ensure practice of effective hand hygiene in community settings? Soap and water quality and quantity; alternatives.

What are key components of sustainable behaviour change approaches for hand hygiene in community settings?

What measures should governments adopt to ensure minimum requirements are in place?

What are effective implementation mechanisms for each key context?

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Broad scope

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Publish and promote

Understand implementation mechanisms

Design targeted dissemination activities that encourage these

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Implementation strategy

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Implementation strategy

Aim:

To outline targeted implementation mechanisms for each context of interest

To understand the political economy of how they might operate

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Implementation strategy

Aim:

To outline targeted implementation mechanisms for each context of interest

To understand the political economy of how they might operate

Work places

Households

Prisons

Transport

hubs

Public spaces

Schools

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Implementation strategy

Key considerations – For each context:

Different

constellation of actors,
roles and responsibilities,
political economy driving action
Frameworks within which hand hygiene sits

E.g.

Schools

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Implementation strategy

Financing/accountability:

	Households	(Public) schools	Work places	Public spaces
Minimum requirements	Households	Government	Employers	Government
Behaviour change strategies	Government	Government	Government	Government
Existing frameworks	Sanitation programmes; Public health programmes	Child friendly schools	Occupational Health and Safety	?

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Mapping out the system

Supporting actors

Actors providing material motivation

Actors with a regulatory or enforcement role

Ultimate accountability

Hand hygiene

In setting xx

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Supporting actors

Actors providing material motivation

Actors with a regulatory or enforcement role

Ultimate accountability

Hand hygiene

In setting xx

The workplace

Mapping out the system

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Supporting actors

Actors providing material motivation

Actors with a regulatory or enforcement role

Ultimate accountability

Hand hygiene

In setting xx

…to ensure hand hygiene, as part of broader occupational health and safety:

The employer

The workplace

Mapping out the system

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Supporting actors

Actors providing material motivation

Actors with a regulatory or enforcement role

Ultimate accountability

Hand hygiene

In setting xx

…to ensure hand hygiene, as part of broader occupational health and safety:

The employer

The workplace

Government Health and Safety Executive

Mapping out the system

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Supporting actors

Actors providing material motivation

Actors with a regulatory or enforcement role

Ultimate accountability

Hand hygiene

In setting xx

…to ensure hand hygiene, as part of broader occupational health and safety:

The employer

The workplace

Government Health and Safety Executive

Trade unions & employees; Customers/patrons; Accreditation bodies; Ministry of Finance/other financing bodies; Workplace insurance companies

Mapping out the system

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Supporting actors

Actors providing material motivation

Actors with a regulatory or enforcement role

Ultimate accountability

Hand hygiene

In setting xx

…to ensure hand hygiene, as part of broader occupational health and safety:

The employer

The workplace

Government Health and Safety Executive

Trade unions & employees; Customers/patrons; Accreditation bodies; Ministry of Finance/other financing bodies; Workplace insurance companies

Best practice guidance – e.g. Ministry of Health; Civil Society; Chambers of Commerce & Industry; WHO & UNICEF COs; the hygiene industry (WASH utilities, product manufacturers, facility management companies)

Mapping out the system

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Global

Regional

National

Local

Levels of engagement		Stakeholder category
		National ministries
		Multilateral organizations
		Funders/donors
		Implementing partners
		Businesses
		Networks
		Institutional groups

Stakeholder categories

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Vision: Adoption of WHO and UNICEF recommendations, towards acceleration in access to minimum requirements for hand hygiene and practice of hand hygiene across the globe
Goals What do we have to achieve to make our vision come true?	Stakeholders Who are the people who can support or hinder us from achieving our goal?	Outcomes How will the behaviours of these players have to change so that they support our goal?	Entry points What are the entry points/engagement opportunities to encourage these outcomes?	Activities What activities do we need to carry out?
Setting specific	Stakeholder influence Stakeholder categories Levels of engagement

Desired outcomes &

entry points

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Uptake strategy

development process

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Panel Discussion:

Hand Hygiene Think Tank

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The Global Handwashing Partnership Hand Hygiene Think Tank aims to spur new ideas or thinking around specific hygiene questions and seeks to develop key action items or recommendations to move the hand hygiene sector forward. Think Tank objectives include:

What is the Hand Hygiene Think Tank?

Identify key actors and networks responsible for different aspects of hand hygiene aligned to contexts at all levels (global, regional, national, and local) scoped within the guidelines process

Discuss how each actor in the system may engage with areas of the normative guidelines relevant to them

Discuss mechanisms for coordination and collaboration between the hand hygiene sector and external networks that can facilitate the uptake of hand hygiene recommendations

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Day 1
Stakeholder	Stakeholder Category	Level of Engagement	Role/responsibility
	Multilateral organizations, businesses, funders/donors, implementing partners, networks, national Ministries, institutional groups	Global, regional, national, or local?	What is their influence/reach for hand hygiene?

Day 1/Day 2
Guidance Document Impact	Strategy for Stakeholder Engagement
What action should this stakeholder take when the new WHO/UNICEF Guidelines are released?	What opportunities are there to engage this group on the Guidelines (from Jan 2023 to end 2024)? e.g. Sector conferences or events, development or updates of relevant guidance?

Think Tank Matrix

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Think Tank Matrix (Example)

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Panel Discussion:

Hand Hygiene Think Tank