Decisions and Actions from the UNICEF Partnership

Background: In the Philippines, the lack of access to safe water, sanitation and hygiene is a major risk factor for poor health. The municipal government of Milagros in Masbate Province established a toilet construction subsidy program to support the transition of households from using a makeshift or shared toilet, to having and using sanitary toilet facilities in their house.

Decisions and Actions: The municipal government of Milagros, integrating IDinsight’s evidence and recommendations, revised household eligibility criteria, the subsidy selection process, and the verification process for open-defecation to improve the effectiveness and impact of the subsidy.

The Milagros Program | Philippines

Hi-Five Program | Philippines

Background: School children in the Philippines suffer from a high number of preventable diseases. One of the most effective and low-cost measures to prevent the transmission of infectious diseases is to use soap when hand washing. To promote improved hand-washing behaviors, the International WaterCentre, in collaboration with UNICEF and the Philippine Department of Education, designed the school-based HiFive for Hygiene and Sanitation program to promote hand-washing among children.

Decisions and Actions: IDinsight’s evaluation found that the HiFive intervention led to a small increase in children hand-washing with soap. However, since the overall rate of hand-washing remained low, the program was not scaled across the country. The partners involved in the program are currently redesigning the program for future improved impact, and UNICEF has hired IDinsight to evaluate the revisions and implement the recommendations

SanNut Program | Kenya


Background: During the first two years of a child’s life, repeated exposure to unhygienic environments can induce chronic under-nutrition and stunting resulting in irreversible cognitive and growth deficits. UNICEF Kenya, in collaboration with the Kitui County Government, created the integrated sanitation and nutrition program, SanNut, to address the sanitation, hygiene and nutrition needs of toddlers and young children. IDinsight evaluated the effectiveness of the program to inform future implementation and scale-up across the country.   

Decisions and Action: Results from the IDinsight impact evaluation of the SanNut pilot showed that the program positively impacted critical behaviors among the caregivers of toddlers and young children. UNICEF Kenya has scaled the program to another county, West Pokot, which has the highest rates of under-nutrition and stunting in Kenya.

Divya Sooryakumar