Interesting post. We often find that communities can quickly identify risks in their surroundings and can come up with a community diarrheal disease reduction plan but then stumble as they lack the resources to take action (how can you expect an increase in handwashing when people have an hours walk to collect water). I woul be interested to hear if anyone has combined PHAST with a small community subgrant for a micro project.
The only contributons to the PHAST evidence base that I can find are the following.
1. PHAST was extensively piloted in four African countries (Kenya,
Botswana, Uganda and Zimbabwe) during 1993.
2. A randomized controlled trial was carried out in the Kyrgyz Republic
in 2003 and showed a 68% reduction in Guardia in school children.
3. An evaluation of a PHAST program in Malawi (DeGabriele, 2004)
showed that PHAST was being used as a hygiene promotion tool
but not as a community development tool.
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