Abstract
Health planners often conceptualize improved public health infrastructures, such as the provision of sanitary facilities, as keys to improved public health results. These improvements alone, however, rarely result in the anticipated health improvements. Changes in hygiene behavior, that is, in the way in which people utilize their existing resources along with improved infrastructure. are critical to achieving sustained improvements in public health conditions. This behavioral/human component tends to either be considered last in the planning process or, at best, is thought to happen once infrastructure improvements are in place. This article argues that such components need to be planned for and utilized in the overall planning of infrastructure improvements intended to change public health conditions of the peri-urban and rural poor.
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