Participatory hygiene and sanitation transformation : a new approach to working with communities

Participatory Hygiene and Sanitation Transformation (PHAST) is designed to promote hygiene behaviours, sanitation improvements and community management of water and sanitation facilities using specifically developed participatory techniques. This document describes the underlying principles of the approach, the development of the specific participatory tools, and the results of field tests in four African countries. It documents: the principles which underlie the approach; how the methodology was developed at workshops in the African region; the impact that PHAST made on communities and extension workers that were part of the field test; the lessons learned during the field test; and how the approach can be adopted more widely