National HWTS Policies and Integrated Household Environmental Health Intervention in East Africa Workshop. Entebbe, Uganda June 20011

Transcription

1 National HWTS Policies and Integrated Household Environmental Health Intervention in East Africa Workshop Entebbe, Uganda June 20011

2 Introduction Status of HWTS in Ethiopia Opportunity and challenge Way Forward

3 Health service coverage all villages(kebeles) covered with Extension health workers more than 34,000 deployed both in rural and urban setting Water supply and sanitation coverage 68.5% and 60% respectively(government administrative report) yet to be verified by the current ongoing national WASH inventory. The case of sanitation coverage include both improved and unimproved latrines Like other developing countries disease related to water Like other developing countries disease related to water, sanitation and hygiene account for more than 60% of morbidity and mortality every year

4 Water quality not yet given due attention Rapid water Quality assessment undertaken with support of WHO/ UNICEF in five countries including Ethiopia showed that 28% of water from improved source not compile with national standard and WHO guideline value for microbiological quality. The none compliance was more serious for other improved sources(spring and shallow wells). Household level contamination was 55.5% Open defecation is very common which is responsible for the contamination of the water at source and behavioral change is not to the level which support safe storage and handling of water at HH

5 According to 2005 DHS 92% of HH do not treat their own drinking water & only 2.4% boil their drinking water; Before 2006 there were very little practice of HWTS in Ethiopia Acute Watery Diarrhea outbreak started in April 2006 in Ethiopia and continued until end of 2010 brought wider utilization of HWTS technologies and products such as: Water guard PUR Aqua tab Bishain Gari Biosand filter

6 The 2007 international conference organized in Ethiopia on HWTS open door for wider spread of HWTS utilization Promotional activities specially training of extension health workers integrating HWTS to sanitation and hygiene promotion and also as part of the sixteen health extension package program( Safe water chain) Household Environmental Health(HEH) package of Extension Health program WHTS is among one of the seven HEH Community Lead Total Sanitation and Hygiene(CLTSH) HWTS, Hand washing and Open defecation free implementation frame work, training manual and verification protocol

7 HH water treatment chemicals 3,169 outlets in 87 districts of 3 regions( at high risk of AWD outbreak) In 2008 trained a total of 3,104 extension health workers were on HH water treatment demonstration & communication( since 2006 AWD outbreak 7,500 trained) HWTS played critical role in control of AWD in affected communities of the country. Promotion was critical component both during training of extension health workers and at household level(i.e not only technology or product) d )

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9 HH/pou Level Water Quality improvement intervention HWT/POU chemical Demonstration by health worker, Minjar woreda, Amhara September 2008 Photo Waltaji T/WHO

10 Different NGOs working on HWTS promotion and technology transfer Construction and dissemination of water filters beyond emergency for regular program including fluoride mitigation(use of surface water as alternative to ground water through application of HWTS). Training of district Environmental Officers more than 300 in 2010 on water quality monitoring and surveillance( HWTS was one component of the training) Working currently at national level on HWTS on PPP to support the national effort

11 HSDP IV( ) MoH..Water supply safety measures initiative.target HWTS 8% to 77% Others target supporting improvement of water quality by reducing risk of contamination Increase Proportion of HHs using improved sanitation facility(latrine utilization) from 31% to 84% Increase Proportion of households practice hand washing with soap (a substitute) at critical times from 7% to 77% Increase proportion of villages (kebelles) free of open defecation 15% to 80% In general HWTS become one of the priority component of household environmental health intervention of MoH beyond emergency response

12 National Drinking Water Quality Monitoring and Surveillance finalized early this year.. HWTS as one approach specially promotional aspect National WASH integration to HIV/AIDS care and support program guideline finalized early this year HWTS is a major component National AWD prevention and Control Strategy developed end of 2010 also addressed HWTS as one approach in the control and prevention of AWD

13 Policy backup in place in the 5 year HSDP Presence of community/household based environmental health initiative covering all village of the country Active involvement of private sector including locall production of HWTS technologies and NGOs Community uptake of the HWTS products and technologies due to lessons from the emergency response

14 Sustainability of the HWTS intervention ( specially when HWTS used as emergency response) vs long term intervention Though policy is available in all development aspects including health and water sector absence of strategy t and clear implementation ti guideline for Private sector involvement in HWTS Weak coordination None functional improved water supplies common

15 Development of guidelines for HWTS implementation including private sector involvement, social marketing and technology options and promotional activities( behavior components) Establish the national HWTS networking and support currently ongoing work for PPP establishment t

16 Source: H:\Water_org» Water Facts.htm