This guide is mainly aimed at teachers and others who want to design participatory learning activities on hygiene and sanitation. It includes a theory section and lesson plans. The lesson plans are organized into three sections: hygiene, sanitation and water. The guide provides: materials which will help educators to deal with sanitation, water supply and hygiene as part of primary school education and teachers’ training; an ‘ideas’ book for lesson plans on School Sanitation and Hygiene Education (SSHE); and ‘hands on’ learning tools - presenting not only concepts, methodological and content issues, but also practical learning materials and methods.