Madagascar Rural Access To New Opportunities For Health And Prosperity (RANO-HP) Ex-Post Evaluation

Madagascar Rural Access To New Opportunities For Health And Prosperity (RANO-HP) Ex-Post Evaluation.pdf

In the first of a series of independent sustainability evaluations of USAID–funded water, sanitation, and hygiene (WASH) activities, this ex-post performance evaluation explores the sustainability of the sanitation and hygiene components of the Madagascar Rural Access to New Opportunities for Health and Prosperity (RANO-HP) activity. This activity, implemented in 26 communes from October 2009 to June 2013, aimed to increase sustainable access to an improved water supply, and improve sanitation coverage and hygiene practices.

This evaluation addresses the sanitation and hygiene components of RANO-HP only, as a forthcoming study will address sustainability of the water supply intervention. Evaluated activity components include: community-led total sanitation (CLTS); behavior change promotion around hygiene practices such as handwashing, safe water storage, and water treatment; the introduction of village savings and loan associations (VSLA) and creation of a loan product available at microfinance institutions to increase investment in household (HH) WASH; training of local masons to support household latrine construction; the use of public-private partnerships to manage public “monoblock” sanitation and water access points; and the creation of stakeholder groups that developed Commune Water and Sanitation Business Plans (CWSBPs).