I am curious to learn how others turned the WASHEM recommendations into a complete hygiene promotion plan (timing, nr of people etc etc.) . To me this is still a hurdle after the WASHEM analysis and recommendations.

Excellent question Harm I agree with you that could be the next step in moving the WaSH'Em tool forward. I believe there are a few examples from other countries on their website. Meanwhile what I do to help my design is :

-Evaluate the needs of supplies brought by the recommended activities (mirrors etc..) to build my supplies plan and adjust my hygiene kits and sensitization materials

-Assess the number of staffs needed for each activity and possible mutualization/pooling of Hygiene Promoters who could do more than one activity

-Budget these into the overall plan

-Prioritize by impact vs resources: prioritizing the activities which require the less HR/Budget/time but with the biggest (potentially/foreseen) impact 

-Include them into my workplan or HP action plan, starting with those which are the easiest and less time consuming (to be able to evaluate sooner some impact) 

-Make sure you frequently discuss with your implementing team to appraise and assess after some time to constantly re-adjust priorities and the way you do it

Hi Harm its an important question and a hurdle. For me, its the final step of completing WASH'EM, integrating the recommendations into the broader program activities. Wash'EM gives you a base, adapted for your context, contraints and the data you collect, however it cant integrate that within your portfolio of programs, their activities and the other health/hygiene messages you are addressing. In Nigeria and Madagascar we took the recommendations prepared and then worked as a team to review how we could make this part of our hygiene promotion strategy. In Nigeria, we had health volunteers working in camps on a range of messages and were able to integrate the activities into their sessions, while also putting up billboards linked to other structural recommendations. We also used the results to design a radio campaign. In Madagascar the teams work with Care groups and the activities were incorporated into the session planning. In the Nigeria example we were writing a proposal at that point so were able to explicitly incorporate the actions into the program that also ensured the team followed through on the different activiites.