These guidelines are extended to other sanitation improvement projects that have been carried out and are currently being developed in rural areas and suburbs in the Regionof Brakna, in Mauritania, Bhiwadi,Bathalapalli and Kadiri, in India, in Baixo Tocantins, in Brazil, Old Ningo, in Ghana or in Burkina Faso, where poor hygienic practices are inevitably linked to the lack of sewage or to open defecation.
The lack of handwashing facilities is not the only drawback in many areas of the world. In Ethiopia, there is also a lack of water and soap, a problem that is endemic in some areas where, as indicated by UNICEF, many people use ashes or sand for their personal hygiene.
After a natural disaster, hygiene becomes a priority to prevent diseases. Rehabilitation of access to water and sanitation needs to go along with hygiene strategies, as happened in the Philippines after Typhoon Haiyan or in Mozambique after Cyclone Idai, where the aid of the Foundation included water filters and hygiene kits with adequate instructions for users.
The eradication of this pandemic must also serve to accumulate knowledge about hygiene protocols and strategies and serve to end the endemics of diarrhea, cholera and pneumonia, which are much more lethal, although, paradoxically, better known to medical science than COVID-19. It is positive that the fight against the spread of the coronavirus is helping to make the international community aware of the importance of handwashing.