In 2016 Save The Children reviewed documents for humanitarian WASH and found verylittle guidance for infant and young child feces management (IYCFM) in emergencies. Nostudies could be found for this topic in displacement, conflict, or epidemic contexts. Toaddress this research gap, formative research was conducted in Rhino settlement, Ugandawith South Sudanese refugees using qualitative methods. IYCFM strategies within thesettlement were defined using a coded, ten-step process of faeces management andrelated hygiene practices for children at development stages from birth until âindependentsanitationâ (from 4 to 7 years). The IYCFM process and coping strategies used bycaretakers to manage feces within the context were identified along with significantvariations in practices during the night, rainy season, and during diarrheal episodes.Behavioral determinants were collected and analysed using the Integrated BehavioralModel for WASH to help identify useful contextual information for future case studies. Risksbeyond unsafe disposal were also identified with suggestions for an extended sanitationchain for those physically or developmentally unable to use latrines. The findings indicategaps in the current hygiene promotion at addressing IYCFM issues beyond safe disposal.Additional gaps in hardware for child latrine design, âadultâ latrine design, and NFIdistribution were identified.
