Systemic Approach

Systemic approach

The Systemic Approach is a methodology for tackling the challenges related to hand hygiene, sanitation and water quality in institutions not connected to a functional water supply system. The approach promotes a holistic view of the whole, tackling technical issues as well as managerial, contextual and other relevant aspects.

The Systemic Approach is an output of the hands4health project. The development, implementation and impact evaluation of this approach will be carried out within the project implementation period.

The Systemic Approach guides the user through different existing tools. The latter, if used in a proper combination, enables the user to: (i) Identify the main challenges around the target system, (ii) Understand their root causes and (iii) Provide support/guidance to decision-making in different domains while improving sustainability.


So far, the Systemic Approach comprises 5 interconnected domains:

This is an ongoing process – the domains are still under discussion, as are the identified tools, their combination and the potential gaps. The Systemic Approach is also closely intertwined with the Theory of Change process (learn more about it here).

The concepts, methods and evidence will be shared to maximise the outreach and uptake. The plan is to publish them through an open knowledge-sharing platform, combining designs, methods, videos and tools under Creative Common Licences and sharing evidence and experiences from the cases. The platform is also meant for establishing new partnerships, and will be designed in a format that allows large numbers of users and developers to take advantage.

Do you already have experience in that? If you want to provide any suggestions and/or exchange on this topic, feel free to contact us.