Stop Diarrhoea for Save the Children

Stop Diarrhoea Initiative is a signature programme of Save the Children, in partnership with Reckit Benckiser. The programme was envisaged to contribute to RB and Save the Children’s global ambition of removing diarrhoea as a top five leading cause of death amongst children by 2020. In line with the Save the Children’s Theory of Change, the programme will: test the effectiveness and efficacy of the WHO-UNICEF 7 point plan; collate evidence to demonstrate proof of concept and value for money, and advocate for the state and national government and its partners to replicate and scale up the approach nationally.

India consists of 1.22 billion people spread across a wide variety of socio-economic variations. As a result, most model programmes developed for Indian states are designed to cater for these socio-economic variations and the Government of India always requires development partners to work across a range of states and contexts. In order to test the effectiveness the WHO-UNICEF 7 point plan, Save the Children wanted to demonstrate proof of concept from several states which represent the socio-economic diversity of the Indian context. The Government would not accept the effectiveness of the 7 point plan unless the results demonstrated were from a fair representation of the vast majority of the Indian states. Taking this into consideration, Save the Children designed an intervention for the WHO-UNICEF 7 point plan to be implemented and tested across four states: Delhi, Uttarakhand, Uttar Pradesh and Kolkata in West Bengal.

The programme was designed to achieve a 100% coverage at ward and block level which is more than the 80% coverage recommended by WHO for a targeted location.

Our operational model was based on working at ward level in urban areas and block level in rural areas. A ward consists of approximately 100,000-150,000 people whilst a block comprises of a cluster of 100-200 villages with a population size of 100,000 – 200,000. The block and the ward are some of the smallest administrative units at the district level.