Participatory Hygiene and Sanitation Transformation (PHAST) is a participatory hygiene education methodology that seeks to help individual s and communities improve hygiene behaviours, reduce diarrhoeal disease and encourage effective community management of water and sanitation facilities (Water Supply & Sanitation Collaborative Council, 2009). PHAST is based on another participatory methodology called SARAR, which stands for self-esteem, associative strengths, resourcefulness, action-planning and responsibility. PHAST seeks to help communities; improve hygiene behavours, prevent diarrhoeal diseases, and encourage community management of water and sanitation facilities It does this by: demonstrating the relationship between sanitation and health status; increasing the self-esteem of community members; empowering the community to plan environmental improvements and to own and operate water and sanitation facilities. The methods for achieving these goals are called participa
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