Considerations for incorporating WSPs and HWTS as part of national policy

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1 Considerations for incorporating WSPs and HWTS as part of national policy Prepared by Soutsakhone Chanthaphone and Soulivanh Souksavath Ministry of Health and WHO, Lao PDR Annual Meeting of the International Network on Household Water Treatment and Safe Storage and Joint Workshop on Household Water Treatment and Safe Storage and Water Safety Plans; Nagpur, India, November 2013

2 Situation Analysis Highlights PDR Lao has made very good progress in water and sanitation But challenges remain: High coverage disparities: on a regional basis, between rich-poor, between urban-rural High open defecation rates The majority of primary schools do not have adequate water and sanitation Hygiene practices are poor

3 Rural Urban Disparities Sanitation Water People in rural communities without roads are twice as likely to not use improved water as people in urban communities, and 5 times more likely to not use improved sanitation Source: LSIS

4 WASH in Schools Water and sanitation coverage in schools in Lao PDR is low compared to the global average 100% 80% 60% 40% 71% 68% 53% 42% 20% Average of countries with available data. Note that data is only on existence of facilities, not functionality of systems. 0% Water Sanitation World Avg. (126 countries average) Lao PDR Source: UNICEF 2012 COARs and EMIS

5 Household Water Treatment Only 53% of people in households without improved water treat their drinking water with an approved method Thus almost half of the 30% without an improved source (or 15% of the total population) are drinking water that is likely contaminated Water treatment practices are very different in different parts of the country Source: LSIS

6 Work Plan (Jul 12 Dec 13) 1. Institutional Strengthening 2. Strengthening MoH Capacity for surveillance and independent testing 3. Normalize WSP in urban areas

7 Work Plan (Jul 12 Dec 13) Cont. 4. Establishing WSPs in Rural Areas Dispatching international consultant to mobilize the activities of rural and urban WSPs Cooperate with NGOs and WASH Center to adapt the rural WSPs manual to the situation of Lao PDR Developing IEC materials on WSP for rural water systems ToT and training for central and provincial WASH Center staff Pilot with NGO partner and WASH Center for implementing WSPs for community water system in two provinces (Bokeo and Savannakhet provinces)

8 Plan to scale up the HWTS and WSPs 1. Strategies: Integrating these activities within the overall Urban WSS and RWSS programme. Application HWTS and WSPs into the RWSS field methodology steps. Dissemination HWTS and WSPs concept and hygiene promotion through IEC material. Building capacity on HWTS and WSPs promotion.

9 Plan to scale up the HWTS an WSPs (cont ) 2. External systems or support require to maintain these strategies: Technical assistance Transfer knowledge to government staff and other concerned Assist to develop action plan and communication with donors

10 Plan to scale up the HWTS and WSPs (cont ) 3. Criteria used in selecting indictors of success: Affordable to pay and contribute Sustainability in O&M Acceptable by household communities Diarrhea incidence decreases..

11 Plan to scale up the HWTS and WSPs (cont ) 4. Progress measurement toward our goals: Widely used by household Could be demonstrated as pilot project Could be replicable Acceptable for both HWTS facilities, WSPs and water quality Link with WSS communicating to MDGs.

12 Constraints Most of the staff has limited capacity on HWTS and WSPs. Monitoring system not strong enough. Healthy education promotion not well functioning. Distribution system of chlorine and limited HWTS methods not well developed. Lack of coordination with concerned agencies. Limitation of support fund for the HWTS and WSPs.

13 Ideas still to be considered. An additional component targeting the Ministry of Water Resources and Environment (MONRE) on catchment issues Sensitization of provincial authorities as key budget holders to HWTS and WSPs Advocating for HWTS and WSPs to be considered in IWRM projects Establishment of a model urban and rural WSPs for learning exchange as set out in the National Plan of Action for Rural WASH Outcome/Impact assessment studies Eventual launch of a town where it s safe to drink the tap water

14 Thank you for your attention