AAID (AFRICAN AGENCY FOR INTEGRATED DEVELOPMENT)

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1 AAID (AFRICAN AGENCY FOR INTEGRATED DEVELOPMENT) IMPLEMENTATION PROJECT FOR Improving Water, Sanitation and Hygiene Education in Hakibale Subcounty IN Kabarole District Western Uganda August

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3 I. PROJECT SUMMARY Project Name: Project Location: Project Duration Amount Requested Hakibale Water supply, Sanitation project Hakibale sub county, Kabarole District, Western Uganda 12 Months 200,000,000 (two hundred million Uganda shillings only). Approx. $ 100,000 Recipient Organization Contact Person: Name: Address: Telephone No. Address AAID African Agency for Integrated Development Asumani Kisembo Executive Director AAID (African agency for Integrated Development), P.O. Box 815, Fort Portal, Uganda, Tel african.agency@yahoo.com ateenyik@yahoo.co.uk 3

4 II. PROPOSAL OUTLINE 1. STATEMENT OF THE PROBLEM AND JUSTIFICATION OF THE PROJECT Introduction Kabarole district is bordered by kyenjojo, Kamwenge, Kasese and Bundibugyo districts and it covers an area of approximately 4,000 sq km. The district has a population of 436,669 people. Table 1: District Population POPULATION YEAR MALES FEMALES TOTAL ,616 83, , , , , , , , (Projected) 213, , ,669 Total number of Households as per 2006 projected figures 95,756 Source: UBS 4

5 Economic Situation: Most of the people in Hakibale, Kabarole district depend on agriculture and most crops are grown for domestic consumption and the surplus is sold. The crops grown include maize, sweet potatoes, Soghum, ground nuts, Irish potatoes and cassava. Some people rear animals especially goats and some cows and sheep which are purposely for domestic income. Coffee. Some people are self employed as they are engaged in subsistence farming, the main sources of employment are: tea plantation, construction of local houses on a hired labour basis, making bricks for sale, selling the surplus food and tea as a cash crop. The average wages per house hold is estimated to be 40,000/= Ug shillings per months. The percentage of employment is 5% and the informal employment is 30%. The income rate is 200/= Uganda shillings per head and poverty rate is 70% and the Data source is from the district population office of Kabarole. Political environment: At the moment the area is politically stable, there is enough security provided by Kabarole district administration, so the area is secure. Health situation: Most of the diseases in the area are water related like malaria, typhoid, cholera, diarhea, the information was obtained from the district administration. THE PROBLEM STATEMENT Over 50% of the rural population in Kabarole district do not have access to safe water. Lack of safe water in adequate quantity and quality is a leading cause of diarrhea and other water related diseases, which is the second highest killer of U5 children and a major cause of diseases, but also affects children s productivity and attendance in school, particularly among girls. The poor access to and uneven coverage of water sources in Hakibale has forced people to draw water from contaminated open traditional wells which are shared by people and their animals and consequently, the lives of many children and women in the area are at risk and many children fall sick from preventable water-borne diseases. Most communities drink unboiled and practice poor hygiene and sanitation due to lack of information and high level of poverty. The water coverage is (46.7%) in the sub county of Hakibale. AAID selected to work in Hakibale sub countiy because they are more marginalised, this was identified by AAID administration and the preliminary survey conducted by its staff. 5

6 Latrine coverage in Hakibale has not increased over the last two years. The latrine coverage performance gap in this rural area is still very big. This can be attributed to low funding of sanitation programmes by the local government. Most people of Hakibale suffer from water borne diseases, water related and water washed diseases like malaria, typhoid, worms and diarhoea. The data obtained during the baseline survey that was conducted in the sub county reflect that there is a remarkable improper hygiene and sanitation practice in some homesteads. This is attributed to negative cultural practices prohibiting pregnant women to use latrines until they deliver, fear of dropping children s faeces in latrines before they develop teeth and many others, have aggravated the problem of poor hygiene and led to high prevalence of preventable water borne diseases as a result of poor disposal of wastes. Another belief to most of the people of Hakibale is that unboiled water is sweeter (tastes better) than boiled water. Child mortality rate in Hakibale is at 86/1000 while at the national level it is at 83/1000, this implies that more children lose their right of life in Hakibale and this partly due to the existence of two biggest killers of children in the developing world today are diarrhea diseases and respiratory tract infections. The health centres which are also located very far from the people are becoming over loaded as more people are falling sick from preventable diseases. The simple act of washing hands with soap can cut diarrhea risk by almost half, and respiratory tract infections by a third. Wide spread poverty remains the basic cause to all the above hygiene and sanitation related problems, Hakibale Subcounty shows the highest levels of human poverty with a HPI of over 50 (2005, SITAN). 75% of the households in Hakibale fall within the lowest quintile; this reflects one of the highest level of deprivation and violation of Children rights. This vicious circle has to be broken if Uganda is to fulfil the Child Mortality targets for the MDGs by JUSTIFICATION Improving Sanitation Situation and Reducing Prevalence Rate of Water and Sanitation Related Diseases Hygiene and sanitation are among the five most effective steps singled out within the Government of Uganda s reach to reduce infant and maternal mortality rates in Uganda (under 5 mortality rate of 152 deaths per 1000 live births and maternal mortality rate of 505 deaths per 100,000 live births UDHS )96. Over 75% of Uganda s disease burden is considered to be preventable. It is primarily caused by poor personal and domestic hygiene and in-adequate sanitation practices. There is also need to give hygiene and sanitation the deserved attention in order to maximize the benefits of safe water. It is for these reasons that hygiene and sanitation are given prominence in the National Health Policy, Health Sector Strategic Plan II and the PEAP. The National Environmental Health Policy defines environmental sanitation as the safe management of human excreta and associated personal hygiene; the safe collection, storage and use of 6

7 drinking water; solid waste management; drainage; and protection against vermin and other disease vectors. If Uganda water and sanitation sector target is to attain the above targets, then, the situation in Hakibale has to be addressed immediately. It is also important to note that poor sanitation and unsafe water are the leading causes of morbidity and a major cause of mortality in young children. More than 50 percent of all illnesses, for children under five, in Uganda are related to poor sanitation and water, as well as at least 30 percent of underfive child mortality. Malnutrition is partially attributed to the high incidence of diarrhoea 1. Improvements in safe water supply, and in particular in hygiene and sanitation, could reduce the incidence of diarrhoea by about one fifth and the number of deaths due to diarrhoea by more than half. The Government of Uganda UNICEF Country Programme is based on the PEAP, therefore, the country programme support to Hakibale is also based on the District Development Plan (DDP) which reflects the needs and priority areas of Children and Women of Hakibale. It is against this background that AAID proposes to implement a water, hygiene and sanitation project in sub county of Hakibale in Kabarole district in coordination and partnership with Kabarole district WES sector and sub county authorities. The project aims to address these problems by: Improving community access to safe water sources; Promoting behaviour change at individual, household and communal levels; and building capacity and systems for community-based operation and maintenance of waters sources, through use of participatory approaches in planning, mobilisation, implementation and monitoring of project activities. By the end of the project: A population of 3000 people in Hakibale sub-county will have access to safe and clean water and improved hygiene and sanitation at house hold and at water source level. 1 On average, each child, less than five years old has 5.2 episodes of diarrhoea per year. 7

8 2.0. OVERVIEW OF THE PROJECT The main problems are in equitable access to safe water sources and a threatening hygiene and sanitation situation leading to high morbidity and mortality of children from preventable diseases. The project aims to address these problems by: Improve community access to safe water sources: The Project will increase rural safe water coverage in the five sub-counties by putting in place effective measures through protection of existing unprotected water sources; construction of low cost water sources like shallow wells and protected springs. Promote behaviour change and community based hygiene: There is need to empower the community in the prevention mechanisms through strategic hygiene education, regular dialogue with a wide range of different community members and home improvement campaigns, to bring the right attitude and good behaviours and practices in the area; and training of community resource persons to ensure consistency in message delivery and existence of community-based champions. The Village Health Committees (VHCs) provides a good entry point to the community and a core team of community resource persons. VHCs will be trained and equipped with basic knowledge on water, hygiene and sanitation, safe water chain disease transmission routes and equipped with skills in use of participatory approaches to mobilise and dialogue and plan with communities. Build capacity and system for community-based operation and maintenance of water sources: The community members of Hakibale subcounty in Kabarole district assured AAID through local councils that they are willing to contribute to any project of water, hygiene and sanitation which comes to their area, that their contributions are to be local materials (stones, sand, clay and aggregates) manual labour and cash contribution for maintenance of constructed structures. Through manual labour the community itself will participate using their energy in the project activities such as construction work. The project results will be sustained though working closely with communities and creating partnerships with different teams listed below: a) District: members of the District implementation team (DIT) will provide technical support, supervise, coordinate and monitor the project activities to ensure quality and timely implementation. The Local Council will present the community as the legal holder witnessed by the government represented by the Chief Administrative Officer (CAO) who is the head of the district on the government side. b) Subcounty local leaders and technical officers (SIT): will provide routine supervision of the project and give technical advise to the implementers and will also participate in some project activities such as community dialogue and sensitization meetings with different stakeholders at s/c and parish levels, conduct trainings to established committees e.g. Water user committees; supervise construction works and resolve conflicts that may raise between the community and the elected structures. 8

9 c) Community leaders at Parish and Village levels: The community members of Hakibale subcounty in Kabarole district will contribute local materials (stones, sand, clay and aggregates) manual labour and cash contribution for maintenance of constructed structures. Through manual labour the community itself will participate using their energy in the project activities such as construction work... d) AAID: will implement the project and will play a proactive role in to ensure regular coordination and provide feedback to all the partners involved in WES sectors especially the district officials and the sub county authorities since they are the supervisors of the implementation. 3.0 ORGANIZATIONAL PROFILE African Agency for Integrated Development (AAID) is a national NGO whose mission is to empower the marginalized and needy among the community to attain sustainable, low cost and gender responsive solutions to their problems. AAID aims at the improvement of living conditions of communities through implementation of sustainable long term programs with a major focus on water supply, health and sanitation projects in Uganda. AAID was registered in 2000 with the Non Governmental Organizations registration Board, of the Ministry of Internal Affairs of Uganda. Bankers: branch Account number and name: No Centenary Rural Development Bank, Fort Portal African Agency for Integrated Development: A/c The organization is registered in Uganda under the Non-Governmental Organisation s statute, and has its Branch office location for western region: Bwamba Rd,1km from fort portal town, Rwengoma, P.O BOX 815, FORT-PORTAL, Uganda. Value for money will be greatly upheld with proper accountability for the funds AAID. 9

10 AAID ADMINISTRATIVE STRUCTURE BOARD OF DIRECTORS EXECUTIVE DIRECTOR TECHNICAL ADVISER TECHNICAL WORKERS FOR CONSTRUCTION WORKS FINANCE SOCIAL WORKERS COMMUNITY SECRETARY FOR COMMUNITY DEVELOPMENT TRAININGS OFFICER MOBILISERS OFFICE ASSISTANT COMMUNITY 4.0 PURPOSE OF THE PROJECT Uganda has a population of about 30 million people, of which 88% live in rural areas. The project is intended to benefit the most vulnerable groups in Hakibale subcounty. The current water and sanitation situation in the area, if addressed will enable Uganda to progress towards the realization of one of the Millennium Development Goals, which aims at halving, by 2015, the proportion of people without sustainable access to safe drinking water and without access to basic sanitation. The project results are linked to the UNICEF/GoU Country Programme outputs and The project aims to achieve the following results by the end of 2010: In 22 districts at least 80% of villages (LC1s) develop and implement community based hygiene improvement and water safety plans that lead to reduction in childhood diarrhoea and other water related diseases (MTSP Key Results Area 1.8) At least 80% of households have access to functional safe water points with in 1.5 Km (MTSP Key result). 10

11 20% of the Households in the subcounty in Hakibale subcounty access safewater points by end of 20010; 25% of HHs in 1 s/c in Hakibale subcounty with appropriate sanitation package (to include: latrine, dry racks, HWF, bath shelter, refuse pits, storage for drinking water & clean compound), by end of 2011 The implementation of the proposed projects will strive to achieve the following objectives: 1. Within one year the project will protect 20 water sources in 25 villages and improvement in hygiene and sanitation among the targeted household in the area of operation which can be assessed by the reduction water and sanitation related diseases. 2. To increase safe and adequate water coverage by at least 5 % in sub county of Hakibale by the end of the project (2011). 3. To reduce the prevalence of water and sanitation related diseases by 10% in the area. Improving Water and Environment Sanitation in Hakibale subcounty, the project will also contributes to the overall goal to control the water-borne diseases that undermine child survival and development, and to reduce the burden on girls and women, by addressing the need for increased access to improved water and sanitation systems through the following strategies: Improving community through access to safe water o Participatory assessment and planning with local leaders at subcounty, parish and village levels. This process will led to mapping of existing resources, identification of most vulnerable groups / households and development of strategies for action, mobilisation and participatory monitoring of project activities and desired results. o The regular meetings will inter help in information gathering about the performance of the project, help in sharing the decisions with the community leaders and community structures/committees and feel the sense of ownership of project done in the community. o The committee and village councils will collect funds from the water users. The funds collected from each homesteads will be used in child and sanitation days for the purpose of sustainability. The community will be the ones to select the committee members amongst themselves; they select the capable persons they know. o WSC members will be trained on O and M for the purpose of project maintenance. 11

12 o Water users who belong to the WSC will be trained on their roles by AAID extension staff, AAID will use the guiding book known as Water Sector Extension Hand book. o Hand pump mechanics will be selected by the water users and trained on their roles for the purpose of maintenance of facilities put in place, on practical learning the pump mechanics will learn during the construction phase. o The water users will also be involved in the construction of facilities by providing manual labour and local materials for the construction of water and sanitation facilities. o There will be continuous follow up/mobilisation for O&M, behaviour change and environmental issues by the structures and stake holder of the project like the government extension staff, committees, county water officers and AAID extension staff. The Purpose is to maximise the benefits of the installed water and sanitation facilities. The content in this will include operation and maintenance of installed facilities as well as the safe water chain and other hygiene practices, and environmental issues around the facilities. o The government staff at the district and government extension staff at the sub county level will be involved right from the beginning of the project implementation so that after AAID phase out the beneficiaries will maintain the project assisted by Government extension staff. The government staff will be involved through planning for the project activities, provide technical advise on the project activities, supervise the project activities and give the reports to UNICEF on the performance of AAID in the district. o Construction of water and sanitation facilities will be participatory with the implementer and the beneficiaries in the project area. Promoting behaviour change and community participation in hygiene promotion and substance through creation of model homes and village-based monitoring system through trained VHC o Training of Village Health Committees. VHCs are composed of a team of community resource persons who in most cases are already recognised and exposed to a range of community level activities like immunisation campaigns, drug distribution and promotion of sanitation practice in the villages of the project area. This is done not only during the implementation but even after implementation because these committees are selected from the communities on voluntary basis for the purpose of sustainability. o Creation of model homes by communities themselves with sanitary and ideal latrines, rubbish pits, bathing shelter and hand washing facilities in 12

13 selected homes and this will be done through community led efforts to promote household sanitation. These demonstration homes will be built using affordable locally available materials and with support from the community members. This strategy has proved to be very effective with a high multiplier effect and it enhances community ownership. o Introduce health education and promotion campaigns at village level with focus on water and the food chain, the need to wash hands and to use clean utensils, proper preparation and treatment of clean water drinking water. This will be done through the trained VHC got from the beneficiaries and special women groups from various religious groups in the community/ beneficiaries. Village level trainers will be equipped with simple basic messages on key family health practices translated in local languages. The above information show how sanitation component will be conducted in partnership with the local community in the project area. Build capacity and system for community-based operation and maintenance of water sources. o Train the communities, local councils and the formed community structures on hygiene and sanitation then influencing the laws related to hygiene and sanitation as a motivation factor. The local council leaders will mobilise and facilitate the formation of the community committees at parish and village levels. o Established and trained water user committees will sign an agreement with representative of Hakibale subcounty administration witnessed by AAID; this agreement with continued support supervision will make the community to be committed in contributing to the project through local contribution, manual labour and sustainability and take the responsibility of ownership and sustain the project results. o Training of Village Health Water user committees will be established and trained in each village and headed by village level local council leaders and monitored by parish chiefs and supported by the community development workers at subcounty level in charge of WES activities. o The communities will be trained on human rights in relation communitybased operation and maintenance of water sources, water storage and use at household level. AAID shall review the policies set aside by the village council and committees if it is being followed and challenges faced. o Trained Hand pump mechanics, artisans and spring caretakers in affected villages will maintain the constructed water sources Construction of safe water sources, in form of shallow wells and protected springs. 13

14 5.0 BENEFICIARIES/PARTICIPANTS The direct beneficiaries of the project are 3,000 people (men and women including children) in Hakibale subcounty will have access to safe water supply and improved household hygiene and sanitation by the end of the project. The community contribution to the project will include the following: Elect the committee members among communities themselves; Discuss on financial management with the committees; AAID reports from the committees and comment on them then give suggestions; Bring new ideas to the committees; Plan on how finances can accumulate in committees; Participate in Project meetings organized by AAID as an implementer; Contribute local materials and manual labour to the water sources to be protected. The trained committees with support from the village councils will over see the contribute local materials and Contribute manual labour, collect funds for their water sources to assist in repairs in future and be in charge of hygiene and sanitation. These committees will also assist in sustainability of the project. In conclusion the implementation of the project will be participatory by the implementer/aaid, community, local leaders and Government extension staff. 6.0 DESCRIPTION OF ACTIVITIES Operational Result 30% (30,000) of HHs in 1 s/c in Hakibale subcounty with appropriate sanitation package (to include: latrine, dry racks, HWF, bath shelter, refuse pits, storage for drinking water & clean compound) Project Outputs 25 villages (LC1s) develop and implement community based hygiene improvement and water safety plans. Proposed Activities 1.1 Meeting with District and SIT stakeholders 1.2 Conduct one sensitization and planning mtg at subcounty level with administrative and political leaders. 1.3 Conduct community sensitization mtgs and participatory assessment and analysis mtgs with community level leaders and members Train PDCs & VHC on how to collect critical information on WES, develop and implement action plans. collect info &Update village records bks on water sources by type, place and functionality; latrine coverage by H/h; hygiene and sanitation etc. 14

15 1.5 Orient Village level animators and Community Resource Persons e.g., (local dramatists or entertainers) on Basic Health messages on WES, to promote dialogue and instigate home improvement. 1.6 Conduct Home visits-follow up on hygiene and sanitation, this is done by moving from house to house checking sanitation facilities and record the house holds which lack the facilities to the sanitation structures then the structures will enforce the law to families which lack the facilities (action plans) this will assist in timely internal project monitoring and assessment. 1.7 Conduct meetings with Community leaders and members of the VHC and facilitate selection of committee members Train selected committees members on basic sanitation, criteria for selecting most vulnerable homes that will be transformed into model homes, how to mobilise household members and promote and track household sanitation and hygienic practices Conduct door-to-door health education by VHC Construction of model homes with sanitary and ideal latrines and hand washing demonstration facilities in select homes through community led efforts to promote household sanitation. Initiate Community out-reach radio programme to promote hygiene and sanitation at individual, household and community levels. 1.8 Train water and sanitation committees in operation and maintenance 1.9 Training of selected Fundis and Technicians 2,000 H/H (20%) access safe water points. 5% increase in rural safe water coverage in the 5 sub-county of Hakibale 2 Shallow wells 2.1 Train care takers Conduct quarterly supervision, visits to water points sources and testing water quality 2.4 Financial Management Workshop: Sensitization of local leaders - sustainability; O&M of newly established sites etc 3 Conduct Hand over ceremony in the sub-county; 3.1 Conduct Evaluation Exercise and mtg with Dist and SIT team Role of the District: Members of the District implementation team (DIT) will provide technical support, supervise, coordinate and monitor the project activities to ensure quality and timely implementation. Role of the Subcounty Implementation team: SIT members will provide routine supervision of the project and give technical advise to the implementers and will also participate in some project activities such as community dialogue and sensitization meetings with different stakeholders at sub county and parish levels, conduct trainings to established committees e.g. Water user committees; supervise construction works and resolve conflicts that may raise between the community and the elected structures. 15

16 ACTIVITIES OF THE PROJECT AMOUNT IN DOLLARS Meeting with District and SIT stakeholders 200 Conduct one sensitization and planning mtg at subcounty level with administrative and political 500 leaders. Conduct community sensitization mtgs and participatory assessment and analysis mtgs with 3,000 community level leaders and members and purchase of first training materials Train PDCs & VHC on how to collect critical information on WES, develop and implement 2,500 action plans. collect info &Update village records bks on water sources by type, place and functionality; 2,500 latrine coverage by H/h; hygiene and sanitation etc. Orient Village level animators and Community Resource Persons e.g., (local dramatists or 5,000 entertainers) on Basic Health messages on WES, to promote dialogue and instigate home improvement. Conduct Home visits-follow up on hygiene and sanitation, this is done by moving from 2,500 house to house checking sanitation facilities and record the house holds which lack the facilities to the sanitation structures then the structures will enforce the law to families which lack the facilities (action plans) this will assist in timely internal project monitoring and assessment. Conduct meetings with Community leaders and members of the VHC and facilitate 2,500 selection of committee members Train selected committees members on basic sanitation, criteria for selecting most vulnerable 5,000 homes that will be transformed into model homes, how to mobilise household members and promote and track household sanitation and hygienic practices Conduct door-to-door health education by VHC 5,000 Construction of model homes with sanitary and ideal latrines and hand washing 3,000 demonstration facilities in select homes through community led efforts to promote household sanitation. Initiate Community out-reach radio programme to promote hygiene and sanitation at 2,000 individual, household and community levels. Train water and sanitation committees in operation and maintenance 2,500 Training of selected Fundis and Technicians 2,500 Shallow wells construction and equipment purchase 57,300 Train care takers 1,000 Conduct quarterly supervision, visits to water points sources and testing water quality 1,000 Financial Management Workshop: Sensitization of local leaders - sustainability; O&M of 1,000 newly established sites etc Conduct Hand over ceremony in the sub-county; 1,000 Conduct Evaluation Exercise and mtg with Dist and SIT team 2,000 Grand Total 100,000 16