Sustainable Sanitation & Hygiene for All Results Programme (SSH4A-RP)

This project is completed

SNV's comprehensive and area-wide Sustainable Sanitation & Hygiene for All (SSH4A) approach, first developed in 2008 in Asia, is now working towards sustainable sanitation services across 18 countries in Asia and Africa. For SSH4A RP Programme countries, lasting change is visible, with more than 3.9 million people having gained access to improved sanitation, and an additional 1.2 million people now practising handwashing with soap.

Our SSH4A Results Programme is an innovative partnership with the Foreign, Commonwealth & Development Office (FCDO; formerly DFID) of the Government of the United Kingdom, and has been extended until 2020. As part of the extension period, our focus is to enable access to new and improved sanitation and hygiene facilities. The SSH4A Results Programme has been designed to ensure that tangible impacts in community health and quality of life are realised and measured systematically. As a results-based finance programme, it links programme financing directly to outputs and outcomes – with verifiable indicators and an external evaluation process that validate and ensure programme impact.

We are working towards the following objectives and outcomes:

  • Access to and sustained use of sanitation facilities
  • Hygienic use and maintenance of sanitation facilities
  • Access to handwashing with soap
  • Progress on faecal sludge emptying and collection


Project in countries

From 2014 through 2017, 220,000 people in Kenya gained access to sanitation and hygiene facilities, and 550,000 more people began washing their hands with soap after defecation. Open defecation rates fell from 48% to 18% over the four-year period. These results were achieved through the Sustainable Sanitation and Hygiene for All Results Programme (SSH4A RP), which was implemented across four counties: Homa Bay (Rangwe and Suba Sub-counties), Kericho (Kericho West, Kericho East, Kipkelion West), Elgeyo Marakwet (Marakwet West and Keiyo South) and Kilifi (Malindi, Magarini and Kaloleni). A fuller account of programme results is available here: Kenya - SSH4A Results Programme endline brief.

In 2017, SSH4A RP was extended to an additional five sub counties: Mbita, Rachuonyo, Marakwet East, Kipkelion East and Kilifi North, and 55 sub locations in Kaloleni, Malindi, Magarini, Kericho East, Kericho West, Kipkelion West, Keiyo South and Marakwet West sub counties. A fuller account of Phase II programme results is available here: Kenya - SSH4A-RP extension endline brief

Infographic on right shows the final results of the rural sanitation extension programme in Kenya.

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