Improve Project Design and Implementation. A key finding of “no observable impacts on health outcomes” highlights the underlying importance of (i) understanding the water and sanitation knowledge, attitudes, and practices (KAP) of targeted beneficiary populations and (ii) designing/implementing effective health-based information, education, and communication (IEC) activities to complement infrastructure investments in order to produce necessary behavioral change in personal hygiene and sanitation practices. Accordingly, MCC has initiated broader interdisciplinary collaboration among subject matter specialists (Monitoring and Evaluation, Economic Analysis, Social and Gender Analysis, Water Sector Initiatives Practice Group, and Health and Education) for conducting more detailed analyses of local community water and sanitation knowledge, attitudes, and practices as an integral part of compact development and implementation design.
Lesson Learned