In 2009 the Government of Rwanda launched the Community-based Environmental Health Promotion Programme (CBEHPP), aiming to “reduce the national disease burden through community-based hygiene behaviour change and improved sanitation” and make important contributions to poverty reduction.

The CBEHPP adopted the Community Health Clubs (CHCs) methodology with the aim of attaining rapid, sustainable and cost-effective sanitation and hygiene behaviour change. Rwanda has adopted the CHCs approach as a national strategy.

This brief presents insights and experiences on implementation of CHCs in communities in Rwanda, provided by water, sanitation, and hygiene practitioners in a multi-stakeholder dialogue held in 2018. Aimed chiefly at practitioners and decision-makers in Rwanda, it can hopefully provide pointers to improve the functionality and effectiveness of CHCs implementation. It could also hold lessons for similar programmes elsewhere.