... Whatarethemosteffectivemodelsforintegrateddelivery,includingconsideration of therole of localmarketsystems, and involvement of communities and users? 18 Whatfinancingarrangements,e.g.loans,subsidies,etc.,areneededtosupport(i)delivery and (ii)users, and whatapproachestomanagingthesearemosteffective.Thesequestionsmaynotdifferfromsimilarquestionsforotherexamples of deliveringproducts and services in poorcommunities,althoughtheneedtosupply and adoptacombination of productsmayraisedifferentissues. ... Toexaminetheadded‐value of integratingthesetwoinitiatives, in awaythatcontributesto an increase in healthimpact,aswellassustainability and adoption of use. In consultation with AFRO and CountryOffices,twoproposalswerechosen,one in Cameroon, and theother in Kenya.TheCameroonpilotproposalwassubmittedbytheHealthProgramme of theGermanTechnicalCooperation(GTZ). Fuel efficientstoves and point of use chlorinationmethodshavebeenintroducedinto an ongoingWATSANproject in Mambanda, an informalsub‐quarter of Doualaaccommodatingover1250households.TheWATSANactivitiesincludewell‐chlorination,latrine‐building,healtheducation,aswellaswastewater and solid‐wastemanagement.ThesecondproposalwassubmittedbytheSafeWater and AIDSProject(SWAP), an NGOreceivingsupportfromtheCentersforDiseaseControl(CDC).SWAPproposedtointegrateIAQ and HWTS in 10out of 60villagesenrolled in theNyandoIntegratedChildHealth and Education(NICHE)project in Nyanzaprovince,Kenya.NICHEisaprojectattemptingtoincreaseaccesstowatertreatment,nutritionalproducts, and insecticidetreatednets.Thepilotshadatimeframe of 18months,fromJune2008toNovember2009.Itwasenvisagedtoholdafollow‐upmeeting/internalevaluation/workshopattheend of thisperiod,theobjectives and activities of whicharethesubject of thisdocument.1.2EvaluationTerms of ReferenceTheevaluation of theseprojects,carriedoutbyWHOConsultants(AS and NB) in December2009,hadthefollowingobjectives:1. ... Demonstratetheintegration of HWT and IAQinto10 of 60villagesenrolled in an ongoingprogrammotivatingthepurchase and use of healthinterventionsthroughsocialmarketing,communitymobilization, and microfinance Motivatepurchase and regular use of HWTproducts:a) Increase use of HWTproductsfrom15to40% of households in 10interventionvillagesb)...