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U.S. AID (Editor) (2011): At-scale Hygiene and Sanitation in Ethiopia and Madagascar: Experiences and Lessons Learned. Washington, D.C.: U.S. AID. URL [Accessed: 27.06.2012].

This paper reviews the Hygiene Improvement Project’s (HIP) overall approach to “at-scale” hygiene and sanitation improvement, describes HIP’s two at-scale applications in Ethiopia and Madagascar, and reflects on the scale experiences and their lessons for future at-scale applications. An at-scale framework and tools for potential implementers are included in the annex.