PHAST Step-by-Step Guide: A Participatory Approach for the Control of Diarrhoeal Disease: Part II: Step-by-Step Activities: Step 4: Selecting options

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	PHAST Step-by-Step Guide: A Participatory Approach for the Control of Diarrhoeal Disease (PHAST, SIDA, UNDP, WB, WHO; 2000; 137 pages)
		PHAST training and information
		Welcome
		Evaluation form: PHAST
		Acknowledgements
		Part I: Introduction to the PHAST
			Purpose and overview of the guide
				Why use this guide?
				Who this guide is for
				What PHAST tries to achieve
				What are participatory methods?
				Why use participatory methods?
				PHAST and empowerment
				How the guide is organized
			How to use the guide
				Prepare before you start
				Make your toolkit
				Select the group
				Group size
				Should I follow the steps in order?
				Moving from step to step
				Keep records and activity outputs
				Evaluate each activity
			Some necessary background concepts
				Diarrhoeal diseases and disease transmission
				Health awareness and community change
				Other uses of this guide
			How to be a facilitator: some important points
				All participants are equal
				There is no one right answer
				Creating the right atmosphere
				How to cope with dominant personalities
				General instructions for all activities
				Removing and storing PHAST materials for future use
		Part II: Step-by-Step Activities
			Step 1: Problem identification
				Activity 1: Community stories
				Activity 2: Health problems in our community
			Step 2: Problem analysis
				Activity 1: Mapping water and sanitation in our community
				Activity 2: Good and bad hygiene behaviours
				Activity 3: Investigating community practices
				Activity 4: How diseases spread
			Step 3: Planning for solutions
				Activity 1: Blocking the spread of disease
				Activity 2: Selecting the barriers
				Activity 3: Task of men and women in the community
			Step 4: Selecting options
				Activity 1: Choosing sanitation improvements
				Activity 2: Choosing improved hygiene behaviours
				Activity 3: Taking time for questions
			Step 5: Planning for new facilities and behaviour change
				Activity 1: Planning for change
				Activity 2: Planning who does what
				Activity 3: Identifying what might go wrong
			Step 6: Planning for monitoring and evaluation
				Activity 1: Preparing to check our progress
			Step 7: Participatory evaluation
				Activity: Checking our progress
		Part III: Making a toolkit
			Guidelines for PHAST facilitators and programme managers
			Guidelines for PHAST artists
			How to make a pocket chart and more examples of how to use it
		Activity, tool and artist acknowledgements
		Glossary
		References
		Historical background to PHAST

Step 4: Selecting options

Seven steps to community planning for the prevention of diarrhoeal disease

STEP 4	ACTIVITY	TOOL
4. Selecting options	1. Choosing sanitation improvements 2. Choosing improved hygiene behaviours 3. Taking time for questions	1. Sanitation options 2. Three-pile sorting 3. Question box

This step has three activities.

1. Choosing sanitation improvements helps the group to assess the community's sanitation situation and decide on the changes it wants to make.
2. Choosing improved hygiene behaviours helps the group to decide which hygiene behaviours it wants to work on with the community.

3. Taking time for questions gives group members a chance to ask questions and obtain feedback from fellow participants, thus increasing the confidence and self-reliance of the group.

By the end of this step, the group will have made an informed choice about the changes to facilities and hygiene behaviours it wants to make.

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