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Studies with rural communities in Zimbabwe have demonstrated the impact of hygiene promotion through community health clubs as an effective means of achieving hygiene behaviour change, creating demand for sanitation, and taking it to scale. Their work is a response to growing awareness that, unless strategies are found to galvanise rural communities and create a demand for sanitation, the Millennium Development Goal of halving the 2.4 billion people without sanitation by the year 2015 is not achievable.
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