FACT Around 2.6 billion people worldwide lack access to adequate sanitation and hygiene.  WHY SHOULD WE CARE? Hand washing with soap shows the greatest reduction in diarrhea morbidity (over 40%), and can also reduce respiratory tract infection by about one third.  WHAT ARE WE WAITING FOR? Despite the cost effectiveness of hand washing with soap, and the fact that it is a relatively simple behavior, encouraging good hand washing practice remains a challenge. WHAT IS THE PURPOSE? This project aims to spread hand hygiene in rural Kenyan households by engaging local manufacturers. In this project, World Bank’s Water and Sanitation Program (WSP) supported preliminary consumer research and product design work for a new affordable hand washing station.