Sanitation Updates

Zimbabwe – Scaling up the Community Health Club Model

November 30, 2009 · Leave a Comment

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Zimbabwe – Scaling up the Community Health Club Model, 2009. (pdf, 645KB)

Juliet Waterkeyn & Andrew Muringaniza. Africa AHEAD Association.

It is clear that CHCs are not only a popular strategy but that they do in fact produce high levels of hygiene behaviour change. Zimbabwe is not the only country to report good case studies of the CHC approach. In West Africa, Community Health Clubs are being used to rebuild society after a devastating civil war. In Guinea Bissau CHCs in remote rural villages complement an intervention to improve infant mortality, and in Uganda, CHCs have been used to improve home hygiene and create a demand for sanitation in the war toen IDP camps of the north. Whilst in these examples the CHC approach is being done through NGOs on a fairly small scale, in Rwanda the Ministry of Health is planning to introduce health clubs into everyone of the 14,000 villages in the country. In Asia, Vietnam leads the way with training through the MoH which aims to start CHCs in all 25,000 villages. Countries where this can be scaled up may well be able to meet the MDG
targets, given the power of CHC to stimulate demand led safe sanitation.

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Zimbabwe – Community Health Clubs in Urban Areas

November 30, 2009 · Leave a Comment

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Zimbabwe – Community Health Clubs in Urban Areas, 2009. (pdf, 446KB)

Juliet Waterkeyn & Regis Matimati. Africa AHEAD Association.

Most countries in Africa will fall short of meeting the MDG targets for the provision of water and sanitation due to lack of financial and institutional capacity (WSP-Africa, 2006). Although safe sanitation has been found to be the most effective single intervention in reducing diarrhoea (Esrey, et al.1991), this does not necessarily mean the building of latrines, as these can become a fly breeding ground if they are not sealed properly, and further compound the spread of diarrhoea. The faecal-oral route can be broken much more easily and a lot more cost-effectively through faecal burial and hand washing with soap (Curtis & Cairncross, 2003). After more than a decade of pilot projects in many countries in Africa the Community Health Club (CHC) Approach can reasonably predict behaviour change, and ensure zero open defecation and handwashing with soap. By creating a strong demand for safe sanitation and a ‘Culture of Health’ that insures good hygiene (Waterkeyn & Cairncross, 2005) Community Health Clubs can become a potent mobilisation strategy in emergencies not only in rural areas but, as this case study shows, in urban areas as well. During the cholera outbreak that affected 12,700 people and claimed 420 lives in Zimbabwe, the a high density suburb of Sakubva, in Mutare, only had 4 cases and no deaths. This has been attributed to an environmental clean-up and improved the hygiene behaviour due to the efforts of 5,400 members in 36 Community Health Clubs.

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Uganda – Community Health Clubs in IDP Camps

November 30, 2009 · Leave a Comment

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Northern Uganda – Community Health Clubs in IDP Camps, 2009. (pdf, 444KB)

Juliet Waterkeyn. Africa AHEAD Association.

CHCs can be successfully replicated in a variety of contexts: urban and rural, informal and high density, underdeveloped and partially developed as well as within both Christian and Moslem societies. It has also been demonstrated that the Community Health Club Approach is particularly cost-effective when it is scaled up and that family health can be improved for as little as 33 cents per beneficiary (Waterkeyn & Cairncross, 2005). There is now no doubt that the CHC approach can achieve high-impact and sustainable hygiene behaviour change but it is questionable whether scaling up can be achieved fast enough through local NGOs or international agencies. As it is unlikely that the water & sanitation MDG targets will be achieved in many African countries, it is perhaps more realistic to invest in health promotion for self reliance and halve the number suffering from many preventable diseases through improving family hygiene. As demonstrated by countries like Rwanda and Vietnam, it should be possible to roll out health promotion through existing health extension staff and, at a minimal cost, introduce Community Health Clubs into every village in the country. If using this process, the minimal standard of Zero Open Defecation is the target in every village, the MDGs could in fact be achieved to some limited extent.

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South Africa – Monitoring Hygiene Behaviour Change Through Community Health Clubs

November 30, 2009 · Leave a Comment

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South Africa – Monitoring Hygiene Behaviour Change Through Community Health Clubs, 2009. (pdf, 366KB)

Juliet Waterkeyn & Jason Rosenfeld, Africa AHEAD Association.

Umzimkhulu Municipality in Kwa Zulu Natal Province has one of the lowest levels of development in South Africa. The base-line survey highlights that only 15% of households have access to a safe water source whilst the remaining households have to use open ground water, usually in the form of unprotected springs. Sanitation usually consists of a household pit latrine. Although the coverage is high at 90%, around 50% were unhygienic and attracted flies. A health promotion campaign was introduced to build the capacity of the community, with the objective of developing a community-led demand for improved water and sanitation. As the Community Health Club Approach is known to be capable of achieving high levels of behaviour change (Waterkeyn & Cairncross, 2006) it was chosen as the strategy for a health promotion campaign in nine wards of Umzimkhulu. Although Africa AHEAD has initiated Community Health Clubs in informal settlements in Cape Town, this is the first pilot project in South Africa to be implemented in a rural community.

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Uganda: resident demolishes latrine over phone

November 30, 2009 · Leave a Comment

Residents in Kitagata sub-county were shocked when a man demolished a neighbour’s latrine over a mobile phone recently. The man, only identified as Byamugisha had gone to answer nature’s call from a neighbour’s latrine.

As he was leaving, his phone slipped through his hands and fell in the latrine. He begged neighbours to assist him to get his phone to no avail. Not wanting to lose the phone, he demolished the latrine and got out his phone. He however refused to reconstruct it. This prompted the owner to report the matter to the LC officials.

The local council chairman ordered Byamugisha to construct the latrine or he would be taken to Police and jailed. He has since not been seen in the village.

Source: New Vision Online, 27 Nov 2009

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ToiletFinder UK for iPhone

November 27, 2009 · Leave a Comment

WaterAid is offering an iPhone application “ToiletFinder UK” using geolocation to find public toilets in the UK.

The application locates the nearest public toilet(s) and displays them in map or list format.

It is also a User Generated Content (UGC) application, as the toilet database is created entirely by users, who can add new or flag missing toilets.

To get the application, download it from the Apple Store using iTunes, or directly on your iPhone. Just search for “ToiletFinder”.

The application is free, but WaterAid hopes users will be encouraged to make a small donation vi atheir web site.

ToiletFinder UK was created for World Toilet Day by French agency BeTomorrow and is currently only available on the iPhone.

Earlier, the US NGO Africare, developed an iPhone application as part of its “Pass It On! fund raising campaign.

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Company starts marketing urine-separating toilets in Chile

November 25, 2009 · Leave a Comment

Chilean chemical solutions firm Sinquiver is looking into marketing urine separation systems in Chile, the firm’s wastewater manager Alistair Marsh told BNamericas.

There are several advantages to the system, according to Marsh. “First of all, you don’t need freshwater to flush urine so you save on water use and costs,” he said.

The concept involves installing a different pipeline which would channel the urine to be stored in a tank. “Urine is a huge source of nitrogen and phosphate which could then be used for the production of fertilizer,” Marsh said.

“This kind of system would be especially useful in mining operations which involve a large number of people,” said Marsh, adding: “It would save water while simultaneously providing a source of fertilizer for local farmers.”

An additional benefit is that by taking the urine out of sewage, wastewater is easier to treat.

Urine accounts for less than 1% of wastewater but it contains about 80% of the nitrogen, 50% of the phosphate and 70% of the potassium, all of which must be removed. Nutrient removal is the most difficult aspect of wastewater treatment. By separating the urine at source, studies have shown energy savings of 25% at wastewater treatment plants.

“We are looking to offer urine-separating toilets to municipalities and companies that employ a large number of people such as malls and hotels, among others,” Marsh said.

“Wastewater treatment is still very new in Latin America but there is a great need for it and that is where we come in,” said Marsh, adding: “Sinquiver is looking for the best technology and solutions to introduce into the local market.”

In addition to wastewater treatment, the company provides solutions for the wood and paper industry, and sells industrial equipment.

Source: Greta Bourke, BNamericas.com [subscription site], 19 Nov 2009

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Zambia – Putting waste to work

November 24, 2009 · Leave a Comment

NDOLA, Zambia, Nov 23 (IPS) – When Obed Mumba first came to the Zambian copper mining town of Ndola in search of work, it was still known reverently as “Ku kalale” – the land of the white man. In the decades since, he has witnessed his Kabushi township outgrow the limited dreams of its planners.

Now 56, he is affectionately known in the Kariba section of the location as “Ba Shikulu-Mumba”, Grandpa Mumba. The neighbourhood was built in the 1940s specially to accommodate single men like Mumba, who came to Ndola from the northern region of Luapula to work in the Bwana Mkubwa Copper Mine.

Kariba comprised 130 housing blocks of six rooms each that were the envy of many native workers at the time. The changed fortunes of the town are felt keenly here, as the bright young men of today have quickly learned that it pays to follow revered sons of the city like Frederick Chiluba and Levy Mwanawasa (both former presidents of Zambia) to Lusaka, where fame and money are more readily found.

Hostels long outgrown

Established in the 1940s, Kariba section was built specially to accommodate people like Mumba who came to Ndola from Luapula as a single and eventually found work with Bwana Mkubwa (which means Big Boss).

This section comprised 130 swanky new housing blocks of six rooms that were the envy of many indigenous workers of the time.

But in the years since the rules preventing miners’ families from living with them were cast aside, each room became living quarters for a family of five or more. Shacks, known locally as “cabins”, were thrown up to house teenaged sons and daughters and extended family members.

The original sanitation arrangements, eight communal ablution blocks, each designed to serve 100 people, were soon overwhelmed. By the early 1980s the communal showers and toilets were completely abandoned.

“We had to dig shallow pit latrines near our houses and children who feared to fall into them began to defecate in the open. The whole place began to smell terrible with flies everywhere,” Mumba, who today runs a small grocery store, recalls.

Among those who had left Ndola to make his career was Bernard Phiri. He had risen to become chief executive officer of the Kafubu Water and Sewerage Company, responsible for the town’s water and sanitation, when in 2007 a non-governmental organisation from Germany established links with the Water and Sanitation Association of Zambia.

Appropriate technology

BORDA, the Bremen Overseas Research and Development Association, had been working on biogas projects in India since the late 1970s, and was interested in setting up a pilot project in Zambia.

Kabushi township was chosen for the pilot for a decentralised wastewater treatment system, intended as a waste and energy solution for a poor neighbourhood lacking sanitation. The system depends on bio-digesters to process human waste to give off methane gas.

A bio-digester is a reservoir – typically round – built out of burnt bricks and mortar or plain concrete with two vents fitted with valves. Through one vent, raw human waste flows in, which is hungrily fed on by bacteria, until out of the other flows an odorless, biodegraded slurry that can safely be used as manure in a vegetable garden.

Methane gas released by the bacteria collects at the top of the structure’s convex roof, and is piped away to feed stoves in the nearby homes.

Five hundred forty-seven toilets were constructed by Kafubu in Kabushi. “These are pour flush toilets with an integrated shower. The water supply is metered and the effluent from 156 households feeds the two biogas digesters that have already been constructed,” Phiri explains.

Waste not, want not

Each household is expected to pay for the piped water used in the toilet, kitchen and shower – billed at a rate of 59,200 Zambian kwacha – just under $13 – for 38 cubic metres of water.

Ba Shikulu-Mumba is one of the 30 grateful homeowners who has been connected to the gas network. He says it is much cheaper to cook on gas than on charcoal.

“A bag of charcoal costs about 30,000 kwacha and if your wife is careless you can end up with a bill of more than 150,000 ZMK (just over $30) a month,” he observed. A typical household in Kabushi gets by on roughly $100 each month.

As more digesters are built in the area, the plan is to connect all the houses as raw sewerage is expected to come in from more affluent neighbourhoods.

Sustainable development

The Kabushi project is the first integrated water treatment system in Zambia, and has already been copied by four of the country’s ten other water utilities.

Bwalya Nondo, spokesperson for the ministry of environment and natural resources points out that the project’s benefits extend beyond refurbished toilets and cheap fuel for residents. Harnessing renewable energy from human waste will also go a long way to protect Zambia’s fast-disappearing forests.

“At the moment charcoal burners destroy as much as 300,000 hectares of forest cover each year,” Nondo said.

The two biodigesters, and the gas pipes and support structures built in Kariba section of Kabushi has cost Kafubu Water and Sewerage Company around $830,000. The biodigesters have put Kabushi and the city of Ndola on the road to a sustainable new order for their city.

Source – http://www.ipsnews.net/news.asp?idnews=49381

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Ethiopia: Sanitation Coverage Reaches 54 Percent

November 24, 2009 · Leave a Comment

Addis Abeba — Sanitation coverage of Ethiopia has made progressive achievement reaching 54.8% in the current year from11.5% in 2003, the Federal Ministry of Health (MoH) disclosed.

The country is working hard on sanitation to half the current population without access to sanitation by 2015(E.C) as the Millennium Development Goals (MDG) has it, said Tesfaye Zewde, MoH representative, at the 2nd National Sanitation and Hygiene Festival focusing on urban sanitation celebrated recently, held at the Christian Relief and Development Association (CRDA) hall in Addis Ababa.

In Ethiopia, it is estimated that about 35 million people do not have access to sanitation services and over half a million children under the age of five die every year from diarrhea. In other words, for every five children born, one will die from diarrhea before they reach their fifth birthday. Safe and adequate water supply, improved sanitation and hygienic practices can save thousands of children’s lives each year, he added.

According to him, over 24,000 health extension workers, primarily women, are working with households to promote sanitation through small do-able actions like building and using a simple latrine and washing hands with soap or ash at critical times. Beyond the health extension workers, civil society organizations, private sectors, churches and international organizations are all dedicating money and human resources towards improving sanitation.

This year festival which focuses on urban sanitation is organized with the objectives of appreciating the existing efforts and achievements on urban sanitation, opening up discussion with concerned government and non-government actors and also creating the opportunity for regional groups to share experiences and enhance their commitment in the sector in general and on urban sanitation in particular.

The Ministry of Health, Ministry of Education and the Ministry of Water Resources jointly work to improve urban sanitation.

According to the representative from the Minster of Ministry of Water Resources (MoWR) the Ministry had also developed an Urban Sanitation Master plan and model designs. This is expected to help municipalities to for implementation in their own context. The Ministry is also keen in integrating urban water supply and sanitation in all the studies. More than 50 small, medium and large towns have sanitation studies that made along the water supply project.

The three days festival was organized by WASH Ethiopia Movement, and around 250 participants from the Ministry of Water Resources, officials from Ministries of Health, Education and Finance and Economic Development, Federal Environmental Protection Authority, Water Resources, and Works and Urban Development, Environmental Protection Authority, and other invited guests attended the festival.

Source – http://allafrica.com/stories/200911240360.html

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Ghana’s Ato Kwamena Dadzie – More tales from the loo

November 23, 2009 · Leave a Comment

Thursday, I had a lot of fun talking about one of my favourite subjects – the toilet. How we do it. Where we do it and when we do it. It was World Toilet Day, in case you didn’t know and I had every opportunity to let ‘everything’ out. I also did a little ‘squat’ in genuine respect for all those who don’t have toilet facilities and are forced to use public toilets as well as those who ‘free range’ or ‘tie-and-throw.’

I joined some friends to discuss our toilet experiences on ‘Drive Time’ on Joy FM. I spoke about how in Essikado I had to walk about 10 minutes to get to the KVIP. I also touched on why ‘Graphic’ is a better substitute for t-roll and how a trip from Kumasi took longer than usual because my colleagues kept asking the bus driver to stop so they could dash into the bush to do their own thing.

Sammy Darko spoke about how he had to travel from Mamprobi to Dansoman every morning to do it.

Israel Laryea was kind enough to give some useful tips on how regular users of public toilets could avoid diseases. He says it is better cover the seat of the WC with a lot of t-roll before sitting to ‘download’. Obviously, he has never been in the sort of public toilet I am used to.

DJ Black spoke about how he was once so hard-pressed that he had to dash into a house in Begoro to beg to be allowed to use the toilet. Instead of just showing him the door to the loo, the old woman he met wanted to engage in idle chatter.

“So where are you coming from gentleman,” the old woman asked. He screamed and the old woman got the message.

After he had concluded the ’small room’ enterprise, DJ Black was more than willing to pour his heart out to the old woman.

So that’s how I celebrated World Toilet Day. I had fun. But I still want to hear more tales from the loo. Do you care to share yours?

Ato Kwamena Dadzie (www.atokd.com)

Source – Ghana News

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