On World Malaria Day Christopher Wachira Wanjue warns that ignoring the insights of local people risks increases in malaria cases in years to come. 

World Vision International Nepal (WVI Nepal) is a part of the World Vision International global partnership operating in more than 100 countries. WVI started its long-term development programme in Nepal since in 2001 to contribute for well-being of children. At present, WVI Nepal has long-term development programmes in 16 districts namely Udayapur, Sarlahi, Mahottari, Rautahat, Sindhuli, Kathmandu, Lamjung, Lalitpur, Jumla, Kailali, Kanchanpur, Achham, Doti, Dailekh, Jajarkot, and Bajhang across six provinces of Nepal. In FY22, WVI Nepal received funding from multiple funding streams. From private donors, our twelve World Vision support offices were Australia, Canada, Hong Kong, Japan, Korea, Malaysia, Netherlands, Switzerland, Singapore, Taiwan, United Kingdom, and United States. The bilateral, multilateral and Foundations were the Department of Foreignh Affairs and Trade (DFAT), Start Fund Nepal, Astellas Foundation and The Lego Foundation.

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Changing the behaviour of individuals, groups, and organisations is critical to maximising human flourishing. Behaviour change cuts across all technical approaches and critical contexts within water, sanitation and hygiene (WASH) programming. In addition to changing the behaviour of individuals, transforming social norms and reducing stigma in communities around topics like gender and disability are also key to realising WASH and other development outcomes. Read this capacity statement for information about World Vision's experience, distinctives and approaches for behaviour change in WASH.

In 2018, World Vision worked with the Asutifi North District Assembly, IRC WASH, and other key partners to develop and launch a district-wide Universal Water, Sanitation, and Hygiene (WASH) Coverage Master Plan with funding from the Conrad N. Hilton Foundation. The project provided WASH services to 85 communities, 30 schools, and seven healthcare facilities (HCFs). This successful fouryear project provided sustainable safe water access to 53,754 people and strengthened governance of WASH services in these communities, education facilities, and health facilities for long-term sustainability.

Delivering transformative WASH at scale is challenging, in part because delivering behaviour-change interventions at the necessary frequency, fidelity, and coverage levels is difficult. Further complicating the issue, behaviours may be individual, influenced by social norms, or require collective action. The Nurturing Care Group (NCG) approach is a model where 10-12 women chosen by groups of 10-15 neighbouring households each meet with health promoters, and then relay messages back to their neighbours every two weeks.

Because of challenges with water point functionality and low rates of basic household sanitation (7%) and hygiene (8%), World Vision Ethiopia introduced WASH Business Centres (WBCs), a one stop center for production, distribution, and sale of essential products for constructing WASH facilities (e.g., latrine slabs) and performing key behaviors (e.g., liquid soap for handwashing).

Summary of evidence for handwashing behaviour change approaches.

Summary of evidence for sanitation behaviour change approaches.

It is not surprising that 2022 was very eventful, exacting, exciting and full of testimonies of God's Goodness and Mercy. World Vision Ghana had the singular honour, as the first National Office in the West Africa Region, to host the Triennial Council Conference bringing together all chairs of the Board of Directors, Advisory Council Chairs, Senior WVI Executives, National Directors and senior staff of World Vision entities in the world.