The Open Defecation Free (ODF) Malawi 2015 Strategy and National Hand Washing Campaign have contributed to an increased focus on hand washing with soap (HWWS) in Malawi. Hand washing with soap has been found to be one of the most cost-effective interventions against diarrheal diseases. It is therefore worthwhile to increase its practice. CLTS is one of the key interventions used for sanitation and hygiene promotion in Malawi, with hand washing (HW) as a key component of ODF status achievement. However, the tools used to trigger for hand washing appear minimal and could therefore be improved upon. The objective of the assignment was to review current methods for triggering for hand washing and CLTS and assess their effectiveness in creating HWF and increasing the presence of soap by the HWF. Upon review, areas for improvement were identified and new triggering tools were created, piloted and evaluated. If the tools are deemed effective, they will be recommended for national dissemination.

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