Participatory Hygiene and Sanitation Transformation (PHAST) is a methodology to increase the participation of women, men, and children in the development process. The objective of PHAST is to go beyond teaching hygiene and sanitation concepts to enable people to overcome constraints to change. PHAST relies on the training of extension workers and on the development of tool kits that reflect the actual cultural and physical characteristics of communities being prepared, and a set of detailed case studies from the pilot phase is planned.
The PHAST program officially began in September 1993 with a one-week pre-planning workshop held in Nyeri, Kenya. This was followed by a training-of-trainers workshop held in Uganda in October 1993. Participants included experienced trainers of extension workers from the four countries. By the end of the workshop, participants had developed their own plans for field application, adaptation, and assessment of the hygiene promotion methods. The participants returned to their countries and organized national and district training workshops, adapted the methods and tools to their local situations, and field tested them in at least three sites. This adaptive, learning-process approach led to distinct hygiene promotion programs in each of the participating countries.
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