This year World Toilet Day on 19 November, recognises the need for sanitation in a changing world, and our teams at Centre for Water, Sanitation, Health and Appropriate Technology Development (WASHTED)and Civil Engineering Strathclyde have been working together to co-develop and test ways for schools to make the journey to better sanitation, more accessible and more resilient sanitation.
The NIHR-GHRG on Adolescent Health & Wellbeing in Malawi is undertaking a Trial of Improved Practices (TIPs) designed to make school toilets cleaner, safer, and more welcoming for learners.
The project addresses a sensitive, but critical challenge: the smearing of faeces on toilet walls and defaecating beside latrine drop holes. These behaviours go beyond hygiene concern, they point to deeper issues of awareness, comfort, dignity, and access to appropriate sanitation resources.
This initiative demonstrates how schools can adapt and innovate to meet the evolving sanitation needs of learners. As environments change, so must the approaches that support healthy behaviours, dignity, and wellbeing.
Among the exciting activities being co-developed, introduced and tested with school partners are:
🖼️ Murals painted on walls around the school, carrying bright messages of
sanitation.
🧻 Anal cleansing material collection and dispensing points, ensuring cleanliness and dignity for every learner.
📢 Sanitation messages shared during assemblies and class discussions, keeping hygiene at the heart of daily school life.
🖌️ Toilet repainting and beautification, making the facilities inviting and easier to maintain.
🎯 Sanitation themed games
Step by step, learners are embracing these changes, turning once-neglected spaces into clean, cared-for environments. Teachers and sanitation club members are playing a key role too, guiding discussions and encouraging everyone to take responsibility for better sanitation.
Tara Beattie Tracy Morse Kondwani Chidziwisano Monica Nzanga Rossanie Daudi Malolo Shadrick Masulani
Malawi University of Business and Applied Sciences- MUBAS
NIHR (National Institute for Health and Care Research)




