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Sustainable Development and Environmental Area Local and Urban Development Unit

Regional Scenery Global aspects - Democratic process consolidation - Scarce local participation - Poverty minimization and search for equity unresolved Environmental aspects - Low sustainability of cities for accelerated urbanization - National strategies to solve macro environmental problems - Weak or null environmental mgt. at municipal level - Lack of institutional mechanisms to orient community environmental actions aspects - Poor health difficult poverty combat - Environmental degradation, unsanitary patterns and life styles impact i health - Needed strategic alliances and broader vision inside and outside health sector - Development policies need to take into account present and future e health impacts Education aspects - Without education and participation there is no future - Without leadership there is no change - Without education there is no progress

INTEGRATED ACTIONS Strategic Alliances Community Mobilization Local Capacity Building New unit design: local and urban development

STRATEGIC ALLIANCES HEMA UNEP, HABITAT, UNICEF, ECLAC, OAS MINURVI Prof. NGO: AIDIS and CWWA Shared Agenda (PAHO, WB, IDB) Multisectoral approach Our objectives in their agenda Programs, events, information Technical cooperation, based on countries priorities

Community Mobilization Primary Environmental Care (PEC) Intermediate Networks: Ecoclubs International Network (RIE), Primary Environmental Care Local Authorities Network (work with other PAHO areas and units) Culture and Education: special days: IAWD, DIADESOL, IAQD (water, wastes and air)

Local Capacity Building and the challenge of LOCAL AND URBAN DEVELOPMENT MoH Units of Environmental : the new challenge toward sustainable development The challenge to put together all initiatives in the new design, highlighting the importance of local and solutions to urbanization

Why y Housing Initiative??? Occupancy of Social Settings by Risk Groups 100 90 80 70 60 50 40 MDG 7 Target # 11: Achieve significant improvement in the lives of at least 100 million slum dwellers, by 2030. 30 20 10 0 Homes Children Pregant Women Schools Workplaces Adolescents Seniors Others Settings Local Development Strategy: Surrounding environment as determinant of the state of health in the housing residents. Source: Cuban Study Case

Available tools associated with the Initiative y Housing Initiative Inter-American y Housing Network Work of the national networks: Diagnostic, Projects, Family Program Document of reference Diagnosis Regional Web-Page of the Network List of Discussion (VIVSALUD) Forum Virtual (HIHFORUM) BVSB on ` in Housing` Distance learning Courses Film " y Housing " Multicenter Project: Communicable and Non communicable Diseases and Disasters 18 Countries

On Going Initiatives Initiatives addressing the Environmental Sanitation actions as an instrument to promote Public Analysis of intersectorial context of LAC countries Estimating the contributions of various environmental and social factors to health problems Promotion of strategies for identification of priority projects by using improved indicators of the relationship between health and living conditions Promotion of methodologies to evaluate the health risks related to environmental problems Policy Guidelines to improve the access and use of the Environmental Sanitation infrastructure in priorities countries Reward the people needs Social participation Decision Process and Defense of Environmental Permanent improvement of health and environmental quality Fighting Against Poverty - Quality of Life, City and Natural Resources Collectiveness, impartiality, and inclusiveness

y School Environmental Component Intersectorial strategy (AD/SDE/LU & AD/SDE/HS) to promote better Environmental Sanitation infrastructure. Promote basic sanitation and hygiene, target and benefits its families and the community. Promotion of methodologies to improve the coverage and quality of sanitation services Methodology to evaluate microbiological removal deficiencies related to design of WSP Small towns: methodology to develop sustainable sanitation services Onsite Sanitation Primary Environmental Care - PEC Local Environmental Action Strategy Human right to live in a healthy setting People responsibilities in the environment conservation where they live Information/Empowerment Environment risks Control of risks Alternatives Centers of PEC PECC s- Inter-American Network of Eco-clubs Municipal Network of PEC

Strategies for Strengthening the Drinking Water and Sanitation Sector Reform and Modernization Universal coverage Efficiency Quality

Strategies for Strengthening the Drinking Water and Sanitation Sector Involving Society Community Participation Decentralization Private Participation

Strategies for Strengthening the Drinking Water and Sanitation Sector Priority for National Development Decreasing Risks Reduction of Poverty Human Rights to Services

SA WSS/SW DONE IN THE REGION Background Since 1993 SA ( 21 WSS 15 SW) in the LAC Region Methodology WSS/SW Guidelines: PAHO, IDB, IBRB, USAID/EHP Expected Results Improved status of WSS/SW services: coverage and quality Reform and Modernization of the Sectors Reorient Cooperation and Sector Investments

SA / WSS DONE IN THE LAC REGION Ecuador 1993 El Salvador 1993 Honduras (IDB, WB & PAHO) 1993 Brazil : States Rio Grande do Sul, 1994 Parana,, Santa Catarina, 1994 Mato Grosso do Sul) 1994 Guatemala 1994 Cuba 1994 Mexico (Estado( Estado de Oaxaca) 1995 Belize 1995 Colombia 1996 Venezuela 1997 Dominican Republic 1997 Paraguay 1998 Suriname 1999 Uruguay 1999 Costa Rica 2002 Honduras Nicaragua Started Sept Total = 21

SA / SW DONE IN THE LAC REGION SA / SW DONE IN THE LAC REGION Uruguay 1995 Guatemala 1995 Mexico 1996 Colombia 1996 Cuba 1996 Nicaragua 1997 Chile 1997 Mexico Metropolitan Area 1997 Peru 1998 El Salvador 1998 Venezuela 1999 Paraguay 2000 Panama 2001 Ecuador 2002 Dominican Republic TORs ready Haiti TORs ready Haiti October 30, TORs ready Guyana Started May Total = 15

Mains products of Sector Analysis Proposals for sector policies Action plan for Reform and Modernization Priority projects profiles Investment Programs: Infrastructure review Sector development

Sector Transformations Follow-up Sector Analyses WSS/SW Proposed Plans and Projects Committed Investments

Resources Mobilization for SA preparation WSS PAHO regular budget 1993- $ 672,000 Other sources (IDB, WB, others) $1,995,000 TOTAL $2,667,000 SW PAHO regular budget 1995- $ 462,500 Other sources (IDB, WB, others) $1,050,000 TOTAL $1,512,500 Resources available regular budget 2004-2005 $70,000 Is Sector Analysis a priority for PAHO?

Components of SISAM Water Supply and Sanitation SISAM Solid Waste Environmental Contamination Prevention and Control

Implementation of SISAM Information provided by the sources - responsibility No centralization for data entry Review and Validation: National Group

Líneas Estratégicas para la Implantación n del SISAM Actividades Seguimiento Sostenibilidad Costo y Financiamiento

Sustainability of SISAM ECONOMIC SELF SUSTAINABILITY INSTITUTIONAL SELF SUSTAINABILITY PRIVATE PARTICIPATION SUSTAINABILIT Y PERMANENCE SISAM CONFIDENCE & LEGAL STABILITY MECHANISMS WHICH ARE PROFITABLES EFFICIENT RELATION BETWEEN GOVERNMENT & MARKET

Technical Cooperation Distance education Water and Sanitation FORUM C.A. & DOR. Children and Mothers out of garbage dumps Guidelines for Master Plans Medium Cities Services regulation

Why the Evaluation 2002

Evaluation 2002 Known sanitary and environmental problems due to the inadequate solid waste management Scarce and non reliable information in the countries Isolated Information rather than national Solid Waste Sector needs more visibility

Evaluation 2002 Background Preparation activities Methodology Expected results

Evaluation 2002 Objetives Situation of the services Improve the services management Reduce environmental and health impacts Sector institutional building Reorient Technical cooperation.

Development of the Evaluation 2002 Inter-institutional National Committee Collection and data entry: - Questionnaires: indicators, new approaches - Web site CEPIS: data capture and organization Correction of inconsistencies and validation Country Analytical Report Regional Report Permanent information of results in CEPIS Web site