Terms of Reference -Hygiene Behaviour Change Package Development for Community and School Settings

WaterAid Nepal

WaterAid is an international non-governmental organisation, focused on water, sanitation and hygiene. It was set up in 1981 as a response to the UN International Drinking Water decade (1981–1990). It operates in 34 countries as of 2018 The organization was first established by the UK water industry on 21 July 1981 as a charitable trust at their main office premises…

Terms of Reference -Hygiene Behaviour Change Package Development for Community and School Settings

Terms of Reference

Hygiene Behaviour Change Package Development for Community and School Settings

1. Introduction

WaterAid is an international not-for-profit organization, established in 1981, determined to make clean water, decent toilets and good hygiene normal for everyone, everywhere within a generation. We change millions of lives every year, working in 28 countries to provide clean water, decent toilets and good hygiene. Since we started in 1981, we’ve remained resolutely focused on tackling these three essentials that transform people’s lives. Without all three, people can’t live dignified, healthy lives. With all three, they can unlock their potential, break free from poverty, and change their lives for good. Children grow up healthy and strong, women and men get to earn a living, whole communities start to thrive. It sounds normal and it should be.

WaterAid Nepal (WAN) was established in 1987 during the UN Water and Sanitation Decade, 1981-1990. WaterAid’s work covers service delivery, behaviour change as well as research, learning, capacity building, and advocacy related to Water, Sanitation and Hygiene (WASH). Our work in Nepal spans across 6 districts and is based on a programmatic approach to ensure service delivery, behaviour change and promote advocacy in the WASH sector.

2. Background

WaterAid is implementing the ‘Clean Family, Happy Family’ national hygiene behaviour change campaign in Nepal in response to COVID19 as part of FCDO/Unilever Hygiene Behaviour Change Coalition (HBCC) phase 2 global initiative. While HBBC2 initiative include the component of hygiene promotion through mass media, community-based campaign, placement of handwashing facility, deepening sectoral coordination, this call for expression of interest only focuses on promoting key hygiene behaviours and vaccine uptake at community and schools settings through interpersonal communication / engagement.

While the mass and digital media campaign including social media and other non-contact methods will focus in all the 77 districts throughout of Nepal1, the community-based HBC campaign will only focus in Bardiya district following district-wide coverage approach be implemented by WaterAid Nepal in partnership with Government of Nepal, MoHP and partners focusing on hygiene behaviour change and vaccine uptake to respond to and help reduce the spread of COVID19. Ongoing efforts are required to mitigate risks of

COVID19 by improving key hygiene behaviors and increasing vaccination coverage. The community-based campaign and placement of handwashing facility of the HBCC2 project will be in all municipalities of Bardiya district in Lumbini Province.

HBCC2 community based hygiene behaviour change (HBC) campaign initiative aims to conduct face-to-face hygiene promotion sessions in the 850 communities and in 385 schools of Baridya district with a target to reach 228,000 people. Our HBC interventions promote key hygiene and COVID19 preventive behaviors: i) handwashing with soap and water, ii) maintaining physical distancing, iii) use of mask in any public and crowded places and iv) COVID19 vaccine uptake along with other key hygiene behaviors promoted by WaterAid. There are number of research2 and studies which have recommended on practicing good hygiene behaviors to prevent COVID193. These COVID19 preventive behaviours will be promoted through the “Clean Family, Happy Family” campaign using attractive, surprising, emotional assets. Drawing on learning from the ongoing hygiene response to COVID19 in Nepal and also form the first phase of HBCC initiative, this call for expression of interest is to develop Hygiene Behavior Change (HBC) package through a creative process for community and school settings based on the learnings from the HBCC1, Mid-Term Rapid Assessment (MTRA) and evidence generated from baseline and to conduct training of trainers (ToT) to health office staff from Bardiya district, Coordinators in all the eight LG bodies looking after health and education in order to conduct hygiene sessions in schools and community through FCHVs and schoolteachers respectively thereby to respond to the pandemic considering risks of potential future outbreaks and avoid critical scenarios of peak surges, loss of lives, livelihoods as experienced in 2020-2021 and also to improve the COVID19 vaccination coverage.

Face-to-face hygiene promotion is one of the key opportunities for promoting hygiene behaviours and COVID19 preventive measures along with vaccine uptake. This key platform will help people self-realize/trigger to adhere to preventive measures of COVID19 and increase uptake of COVID19 vaccine. The face-to -face interaction will reinforce the key hygiene behaviours using key motives to encourage behavior change among community people and school students in Bardiya district.

1 ToR for this mass and digital media campaign has already been published earlier than this ToR

3. Purpose and Objective of the assignment

The main objective of this assignment is to:

  • Review creative brief and learnings from the HBCC1, MTRA, Global hygiene learning report etc. to design the HBC intervention package for community and school settings.
  • Drawing learnings from the past and ongoing interventions in hygiene behaviour change (HBC), review and develop HBC package for community and school in Nepali language under the campaign of “Clean Family, Happy Family” through the creative process using emotional aspects of human behaviours and surprising tools to reinforce the key hygiene behaviours in consultation with key stakeholders using behaviour centred design approach.
  • To conduct Training of Trainers (ToT) for Health and Education Coordinators, and other district focal persons using the finalised package for community and schools.
  • To facilitate, monitor and ensure the trainings for FCHVs and schoolteachers on respective HBC packages through the ToT holders and develop report.
  • Support in preparing district level action plan to facilitate community hygiene sessions in coordination with local governments, HO/ECU-Bardiya, WAN and its partner.

To share learning from the ToT, trainings and action plan development process to WAN.



4. Overall reach of the Initiative:

The community based face-to-face hygiene promotion session is anticipated to reach approximately 228,000 people around Bardiya district with key hygiene behaviour reinforcement mechanism.

Approximately 50 in total (Health and Education Coordinators, Education Focal Person, Health Office and Hospital focal/lead from all 8 Rural/Municipality of Bardiya district) to be provided ToT and gradually provide trainings on hygiene promotion (HBC package) to around 850 FCHVs and 385 schoolteachers to conduct hygiene sessions at the communities and schools respectively.

Community-based hygiene sessions will be facilitated by FCHVs in community gatherings including mothers’ groups followed by follow-up household visits for counselling for hygiene behaviours including vaccine uptake and school hygiene sessions will be facilitated by the schoolteachers to the school students, with support from WAN partner staff.

5. Scope of work

  1. Review creative brief and learnings from the previous similar HBC programme (HBCC1, MTRA, Global learning report, etc.) to extract behavioural determinants including people’s emotions and barriers to address during implementation.
  2. Review the hygiene behaviour change packages prepared in other projects implemented by WAN and revise them to include COVID19 preventive behaviours along with equity, inclusion and accessibility aspects.
  3. Setup/revive a creative team, conduct creative workshop and have series of consultation meetings to develop hygiene promotion package for community and school settings.
  4. Pre-test and finalize hygiene promotion packages: 1) community-based HBC package and 2) school-based HBC package.
  5. Conduct trainings of trainers (ToT) to health and education coordinators, other relevant district stakeholders from HO and ECU of Bardiya district,
  6. Ensure that the ToT holders undertake further trainings to the FCHVs and schoolteachers at different scale and batches.
  7. Prepare an actual training plan for the teachers and FCHVs which will be used by the ToT holders.

6. Methodology

Regular coordination during the assignment period. Throughout this period, the consultant will work closely with the creative team and WaterAid team to extract learnings, review content, revise content and finalize the package for training to the district representatives.

7. Key Deliverables:

  • Submit an inception report outlining the clear processes and methodologies to review and design hygiene behaviour change package in response to COVID19 through a creative process.
  • Setup creative team and facilitate creative workshop for designing the hygiene behaviour change package
  • Number of meeting minutes from creative team meeting and prototypes
  • Design and develop innovative hygiene behaviour change packages (one for community and one for school setting) comprising of session manuals and promotional materials etc. which reinforce people to practice good hygiene behaviours to prevent COVID19 and improve vaccine uptake.
  • Share report after completing ToT at district level and submit training plan for the FCHVs and schoolteachers.
  • Monitor the trainings to FCHVs and schoolteachers at district level to be conducted by the ToT holders and share the proceeding report of the trainings.

8. Reporting

The partner/consultant will report to Head of Programmes (HoP) or the personnel assigned by HoP, WaterAid Nepal.

9. Duration

The expected duration of the contract will be 2.5 months. The assignment is expected to start from mid-August 2022 or earlier.

10. Required Qualifications

The creative agencies/ institutions/ consulting firms should have a relevant creative and analytical skills with adequate technical expertise and extensive experiences on undertaking similar assignments in hygiene behaviour change, WASH or public health sectors. The consultant should have clear understanding on hygiene behaviour change and communication and experience in working with development of behaviour change package(s), coordination with government, especially MoHP and local government, developing creative contents/manuals for health and hygiene agenda, conducted similar kind of research and hygiene package development, training of trainers for health workers/teachers. An understanding of equity, inclusion and accessibility is desirable. Experience in Behaviour Centred Design approach to hygiene promotion is strongly preferred.

The creative team should demonstrate proven skills and experience of hygiene behaviour change, creative art, script writer/session planners, marketing and design, product innovation, and public health. It should comprise of at least following members in the creative team: Advisor, Health and Hygiene Expert, Artist/Designer, Manual Developer/Script Writer/Curriculum Developer, Creatives, Prototype Designer, Brand Expert, Representatives from PWD groups, marginalized and vulnerable population.

11. Essential documents required

  • Organization/company registered certificate
  • VAT registration certificate
  • Income tax clearance certificate of the last fiscal year i.e. for FY 2077/78
  • Experience letters to prove competency, evidence / proof of previous similar work with samples and reference.
  • Brief CV of Team Lead including those of key team members who will be engaged in proposed activities

12. Submission of EOI

All interested consultants/firms are requested to submit a comprehensive proposal (a 5-pager technical proposal) with cover letter highlighting suitability of expertise for the assignment, explaining their understanding of the ToR, proposed methodology and process, and financial proposal through email at: nepal-procurement@wateraid.org OR in sealed hard copy drop in WaterAid Nepal office address. Innovative ideas into the EoI to promote key hygiene behaviours will be welcomed.

Technical and Financial Proposal Form