Global Handwashing Day: How the Tippy Tap is Making Clean Hands Possible
What is Global Handwashing Day?
Global Handwashing Day is an annual advocacy event held on October 15 to raise awareness about the importance of hand hygiene. It promotes handwashing with soap as a simple, effective and affordable way to prevent disease and save lives. It was founded in 2008 by the Global Handwashing Partnership and held its first event on October 15, 2008, with the backing of the UN General Assembly during the International Year of Sanitation NGOs to promote and integrate handwashing programs.
Photo courtesy of Wells Bring Hope
Why Handwashing Matters
Two of the leading causes of death for children under the age of five are diarrhea and pneumonia. The simple act of handwashing with soap is the most effective and inexpensive way to prevent infection and disease. Handwashing can cut the risk of diarrhea by 50% and the risk of pneumonia by 25% in this age group. Handwashing with soap not only affects health but also nutrition, education, economics and equity. (1)
Health
Washing hands with soap kills bacteria and viruses so that they cannot enter the body or spread to other people. Approximately 525,000 children globally die from diarrheal diseases caused by fecal contamination. Handwashing reduces respiratory infections by removing pathogens from the hands after coughing and sneezing. Handwashing with soap is one of the most effective ways to slow the spread of outbreaks like Ebola and cholera, as well as eye infections like trachoma and intestinal worms. (21)
Nutrition
When children are infected with diarrhea, they often eat less and are unable to absorb nutrients in the food they do consume. Disease-causing bacteria, viruses, and parasites can enter the body and travel to the gut, where they damage the intestinal lining, causing a reduced ability to absorb nutrients. This results in undernourishment and increased susceptibility to other infections. Long-term nutrient deficiency can cause stunted growth, wasting, and death. When combined with access to clean drinking water, handwashing can prevent nearly half of all childhood diarrheal diseases. (31)
Education
Handwashing with soap is an essential component of healthy schools. It helps ensure that children stay healthy and able to attend school and learn. Globally, children miss a total of 272 million days of school per year due to diarrheal disease. Proper handwashing can help reduce the rate of absenteeism due to diarrhea, the flu and conjunctivitis (infection of the eye) by up to 50%. Schools should have handwashing stations at all toileting areas and where food is prepared for students and staff. Handwashing stations with soap and water assist girls in managing menstruation and reducing interruptions in their studies. (41)
Equity
Access to proper handwashing facilities varies widely throughout the world. The unequal distribution of access can lead to inequities in health, education and employment. (51)
- Gender-Women and girls need access to proper handwashing stations and latrines to manage menstrual hygiene in order to avoid absenteeism from school and the workplace.
- Socioeconomic Gap-Rural, poorer regions have lower access to WASH facilities than urban areas.
- Institutions-Globally, 36% of schools have no basic hygiene services, with the majority located in sub-Saharan Africa and Asia.
- Vulnerable Populations-People with disabilities, minority/ethnic groups, and those from marginalized and isolated communities are more likely to lack access to proper handwashing in schools.
Economic Impact
Lack of investment in handwashing systems can lead to additional health care costs, lost productivity, and premature death. Handwashing is more cost-effective than other public health interventions, such as treatment for diarrheal and respiratory diseases and major water infrastructure projects. There is evidence to suggest that the annual cost to developing countries for diarrheal and pneumococcal diseases can be up to 12 billion dollars, while a national handwashing program would cost less than 100 million dollars. (61)
Alternative low-cost handwashing devices include:
- Tippy Taps: A simple plastic jug hung on a frame
- 5-gallon jugs with spigots
- PVC pipes connected to a pressurized tank or barrel
- Foot pump stations: portable sinks connected to a fresh or grey water source
Tippy Tap Station. Photo from Wells Bring Hope
Introducing the Tippy Tap
The Tippy Tap is a hands-free handwashing device specifically used in areas with little to no running water. The Tippy Tap requires no technology, motorized components, or electricity; rather, it can be built cheaply with local materials or even sourced from nature. (72) The Tippy Tap is generally the most cost effective and best-known type of handwashing station.
The first Tippy Tap device was constructed by Dr. Jim Watt and Jackson Masawi of the Salvation Army in Zimbabwe in the 1980's and was called the Mukombe, a type of gourd used as a can. (83) The average amount of water saved using the Tippy Tap is far greater than that of a traditional water tap. A typical hand wash using a Tippy Tap uses about 50 ml of water, compared to a traditional tap that can use up to 500 ml. Tippy Taps can increase handwashing behavior among children in schools because they are easy to use and spark curiosity. (83)
A Tippy Tap device can be built in multiple ways, but a basic setup includes string, two pieces of wood, a container to hold water (such as a plastic jug with a handle, 1 gallon or larger), a heat source to melt the plastic handle and extra tools like pliers and a screw. (72)

Centers for Disease Control and Prevention (U.S.) Published Date: 3/7/12 (Public Domain) (4)
Wells Bring Hope, with the help of our partners, builds sophisticated water systems for long-term sustainability in Mali and Niger. In villages where we’ve drilled wells, people can draw water from one of our wells and set up a Tippy Tap near their home for extra convenience. For areas without an organization like Wells Bring Hope building life-saving water systems, a Tippy Tap can be a simple solution to preventing water and hygiene related infections.
Public health workers, governments, NGOs, and other stakeholders can lead efforts to promote the use of Tippy Taps through public campaigns in schools, churches, communities, and hospitals. Government agencies can promote their use by providing grants and training communities to build and maintain them.
The Tippy Tap is a low-cost, hands-free device that can create a lasting global impact by saving water, improving hygiene, and fighting disease. On this upcoming Global Handwashing Day, raising awareness and understanding of the importance of handwashing with soap and water is an effective, affordable way to prevent disease and save lives.
https://www.youtube.com/watch?v=miF5B8oOIrw
Sources:
- https://globalhandwashing.org/about-handwashing/why-handwashing/
- https://globalhandwashing.org/about-handwashing/why-handwashing/health/
- https://globalhandwashing.org/about-handwashing/why-handwashing/nutrition/
- https://globalhandwashing.org/about-handwashing/why-handwashing/education/
- https://globalhandwashing.org/about-handwashing/why-handwashing/equity/
- https://globalhandwashing.org/about-handwashing/why-handwashing/economic-impact/
- https://healingwaters.org/what-is-a-tippy-tap-hand-washing-device/
- Use, adoption, and effectiveness of tippy-tap handwashing station in promoting hand hygiene practices in resource-limited settings: a systematic review
- https://meganzeni.com/wp-content/uploads/2020/11/0001-copy-scaled.jpg




