SEH Kick Off Meeting Nov. 3-4, 2010

1. SEH Kick Off MeetingNov. 3-4, 2010 Setting the Stage for S E H Sandy Callier, Project Director

2. HIP…. • A 6-year USAID-funded project (until Sept. 2010) led by AED, partnered with ARD, The Manoff Group, IRC International Water and Sanitation Centre • Aimed at reducing diarrheal disease and improving child survival through 3 key hygiene practices

3. Water Supply • Sanitation systems • Enabling Household Technologies and Materials • Communication • Social mobilization • Community participation • Social marketing • Capacity building Access to Hardware Hygiene Promotion • Policy improvement • Institutional strengthening • Financing and cost-recovery • Cross-sectoral coordination • Partnerships Enabling Environment Hygiene Improvement Diarrheal Disease Prevention The Hygiene Improvement Framework Ensuring all the necessary elements increases likelihood of behavior change and the sustainability of the practice.

4. Key HIP Approaches • Starting at Scale • WASH Integration—Schools; HIV/AIDS • Market Approaches • Safe water, sanitation • Consumer perspective • Negotiating Behavior Change/Focusing on Small Doable Actions • Community Mobilization, e.g., CLTS

5. HIP’s Key Areas of Work and Countries • At Scale programs in Ethiopia in Madagascar • Technical support for POU in Nepal and Peru • Sanitation marketing in Uganda, Madagascar, Peru • Targeted support for HW and POU to West Africa Water Initiative in Ghana, Niger, and Mali; HW in India • Integration of hygiene into HIV/AIDS home-based carein Uganda, Ethiopia, Kenya • WASH-friendly schools in Ethiopia and Madagascar

6. HIP Global Products • WASH Improvement Training Package for the Prevention of Diarrheal Disease (CD) • Access and Behavioral Outcome Indicators for Water, Sanitation, and Hygiene • WASH & HIV Integration Kit (CD) • Sanitation Marketing for Managers: Guidance and Tools for Program Development • WASH-Friendly Schools: 1) Basic Guide for School Directors, Teachers, Students, and Administrators; 2) Training Guide for Parents, Teachers, and Student Leaders • At Scale Hygiene and Sanitation Experiences and Lessons Learned in Ethiopia and Madagascar • Joint WHO/USAID publication: “How to integrate Water, Sanitiatoin and Hygiene into HIV programmes”

7. SEH Objectives Support further development, introduction, and delivery of high-impact interventions in WASH and IAQ, at sufficient scale to achieve: • Significant reductions in environment-related mortality and morbidity in children under five years old; and • Significant reductions in mortality and morbidity associated with infectious diseases of major public health importance in all age groups. __________ ****Approximately 80percent of Supportive Environments for Health activities will focus on WASH and 20 percent will focus on IAQ.

8. Reduce risks through key environmental health interventions: Key Key Interventions • Increased access to improved water sources to meet domestic needs; -improvement in drinking water quality at the sources as well as at the point-of-use (POU); • Increased access to and use of sanitary facilities for human excreta disposal; • Increased and improved handwashing with soap; and • Increased use of alternatives to biomass fuels using traditional stoves and/or increased use of housing improvements to improve indoor air quality.

9. Sub-objectives • SO1: Increase availability and use of proven high-impact WASH and IAQ interventions • SO2: Develop and implement strategies for integration of WASH and IAQ interventions into other health and non-health programs. • SO3: Support USAID’s participation in strategic partnerships with other donors and cooperating agencies. • SO4:Develop and test new and innovative approaches and tools for implementation of high- impact WASH and IAQ interventions.

10. Cross Cutting Elements • Framework for Impact • Healthy Households & Communities • Behavior change • Gender focus • Building capacity • Knowledge management • Partnerships

11. Priority Countries • Thirty-one USAID MCH priority countries [listed in RFA] • Other USAID initiatives:--e.g., GHI; Feed the Future; etc—with priority countries • Opportunity-specific: major program; work with other donors/collaborating organizations; TA role to complement bilateral, etc.

12. Agreement Deliverables Immediate • Branding Plan -- due Nov. 15 • Year 1 Work plan – due Dec. 15 • Monitoring and Evaluation Plan – due Jan. 15 Ongoing • Annual work plans (incl. Reg. 216 review) • Quarterly, Annual & Financial Status Reports

13. Value of Award • Ceiling: $100 million • Initial year 1 Obligation: $2.65 million • Cost Share: minimum of 10% of the Award’s projected value ($100 million) --- may be mobilized from recipient; other multilateral, bilateral donors, foundation; host governments; local organizations, communities and private businesses that contribute financially and in-kind to implementation at the country level.

14. SEH Project Team • AED –prime recipient • CARE & Winrock –core subrecipients • Resource partners • Field Implementation • Knowledge management • Innovation and OR • Finance • PPP • Collaborating Organizations • Local and Regional Partners

15. Project Staff Small core HQ staff housed at AED: • AED Officer in Charge: Mark Rasmuson • Project Director**: Sandy Callier • Deputy Director**: Ed Perry • Technology & Innovation Specialist**: Mike Pezone • Behavior Change Specialist**: Julia Rosenbaum • Knowledge Management Specialist**: Patricia Mantey • WASH Specialist*: TBD • IAQ Specialist: Elisa Derby • M&E /OR Specialist: Orlando Hernandez • Public Private Partnerships Specialist: Camille Saade • Operations Officer: Anne Starkweather • Finance Manager: Francisco Sequeira

16. Proposed Operating Principles • Shared project team identity [leave corporate identity at the door] • Commitment to shared vision and overall strategy • Focus on technical quality • Regular communications; active seeking & sharing of information • Clarity and flexibility of organizational and team roles—overlaps are preferable to gaps • Integrate WASH and IAQ to take advantage of commonalities & cross learning • Recognize and build on partners’ in-country presence • Flexibility and transparency in responding to opportunities • Client responsiveness • Systematic and creative in identifying cost share: a team responsibility

17. Internal Communications: • Project updates [monthly e-newsletter; other?] • Announcing new opportunities • Proposing opportunities • Activity or country specific communication--decentralized • Other needs for information sharing, communications

18. External Communications • USAID/HQ • Country Missions • Among Partners • Other USG agencies, int’l. agencies, foundations, bilateral & other donors; private sector, NGOs, etc. • HC governments, local partners etc.