It is now well known that handwashing with soap has a greater impact on morbidity from diarrhoeal disease than any other single intervention. Why then, do NGOs focus so many of their activities and so much more money on supplying clean water and sanitation facilities? Why are these recognised as core activities while handwashing is considered a bolt-on activity? And why do NGOs always include water quality and latrine use as important indicators of success in logframes and monitoring strategies but rarely include handwashing, even though it is known to be a better success indicator?
This paper seeks to answer these important questions.
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