In low- and middle-income countries, sanitation and hygiene promotion programmes aim to promote sanitation and improved hygiene as a means of preventing infectious diseases such as diarrhoea and cholera and to achieve community empowerment and human rights. Achieving sustained and equitable sanitation behaviour change is a major policy objective, and many scientific studies claim to measure improvements in these outcomes and identify how to make programmes more effective.
This summary report is based on the first systematic review of that evidence. The aim of the systematic review was to find which promotional approaches might change handwashing and sanitation behaviour and which implementation factors affect the success or failure of such promotional approaches.