Adaptation in rural water, sanitation, and hygiene programs: A qualitative study in Nepal.

ABSTRACT: Adaptations are modifications made to programming to improve effectiveness or contextual fit, and are important for program improvement. However, adaptations can be detrimental if they do not preserve an intervention's underlying theory of change. We present a case study of 45 adaptations made to rural WaSH programming in Nepal, identified through qualitative interviews with implementers conducted in June through August 2019. For each adaptation, we characterized its target outcomes and implementers' motivations for making the adaptation, and we assessed the adaptation's intended and unintended effects on program quality. Participants described adaptations to both interventions (e.g., changes to hygiene promotion messages) and implementation strategies (e.g., sanctions to enforce toilet co

SUBMITTER: Anderson DM 

PROVIDER: S-EPMC8821331 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature