Behaviour change programme for safe child faeces management

The project ‘Developing and testing an innovative behaviour change programme for safe child faeces management in Odisha, India’ designed a behaviour change intervention, including the development of a novel child faeces management (CFM) hardware, to promote the adoption of safe CFM behaviours among households with children less than five years of age. Two innovative approaches - RANAS (risks, attitudes, norms, abilities, self-regulation) and User Centred Design - was used to inform the design and evaluation of an effective CFM behaviour change intervention. USAID supported the model development through Tetra Tech’s WASHPaLS initiative while Bill & Melinda Gates Foundation supported the evaluation through Emory University.

The project aims to identify key behavioural determinants influencing safe CFM behaviours and co-create prototypes for novel CFM hardware for the safe management of child faeces.


37 villages


Ganjam, Gajapati in Odisha




June 2019 to April 2021


₹85.82 lakh


Tetra Tech


  • Conducting workshops on behaviour change intervention that promotes safe CFM behaviors 
  • Conducting participatory user-centred CFM hardware design sessions with caregivers, family members and Gram Vikas team
  • Pilot testing and feedback sessions on CFM hardware prototypes
  • Production of selected CFM hardware 
  • Implementation of finalised CFM behavior change intervention activities 
  • Conducting baseline and endline surveys to measure safe CFM behaviours and behavioral determinants in control villages
  • Engagement with state and national governments and nonprofit stakeholders


  • 15% greater increase in Caregiver Safe Disposal of Child Faeces
  • 5% greater increase in Child Latrine Use
  • Sessions on participatory user-centred CFM hardware design conducted in 37 villages
  • Conducted pilot testing of CFM hardware in 10 villages
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