Category Archives: Africa

USAID GWASH – Lessons Learned: Hybrid CLTS Approach to Improving Sanitation

GHANA WASH PROJECT: Lessons Learned: Hybrid CLTS Approach to Improving Sanitation, 2014. Ghana_WASH_Lessons_Hybrid_CLTS

USAID’s Ghana Water, Sanitation and Hygiene (GWASH) Project aimed to improve rural sanitation access through the provision of household latrines to households in targeted communities. In the beginning of the project, GWASH used a “high-subsidy” approach for household latrine provision, providing households with a 60 percent subsidy per latrine.

It was in this vein that GWASH aimed to meet its project target of constructing 4,680 household latrines over the course of a four-year period. During the second year of the project, the Government of Ghana (GOG) implemented a new sanitation policy that promoted a pure Community-Led Total Sanitation (CLTS) approach.

The strategy is a no-subsidy approach that emphasizes community-level demand creation for sanitation improvements aimed at stopping open defecation and supporting household and community efforts to independently construct improved household latrines.


World Bank targets smarter sanitation communication for rural Ethiopia

By Peter McIntyre, IRC Associate

The World Bank in Ethiopia has commissioned a rapid survey of what motivates people to upgrade their latrines, with the aim of delivering behaviour change communication materials with greater impact.

Ethiopia Worldbank_bcc_launch_2_addis_230317

Sanitation rapid survey launch meeting Addis Abeba, 23 March 2017 (Photo: Sirak Wondimu)

The survey is being conducted in four regions, with the main target audiences being adult women, male heads of households, opinion leaders and existing sanitation businesses.

The aim is to pilot and produce materials that emphasise the dignity, prestige and status of having improved sanitation, rather than focusing only on health messages.

The WB decided a new approach was needed after Demographic and Health Survey (DHS) figures for 2016 suggested that only 4% of rural households in Ethiopia have improved toilets facilities while a further 2% have facilities that would be considered improved if they were not shared. This is well below the Joint Monitoring Program figure of 28% for improved latrines (although we understand this may be revised down to around 14%). Indeed, according to DHS, although access to some form of sanitation has risen, access to an improved latrine has declined in percentage terms over the past ten years. Most latrines in rural areas (55%) do not have an effective slab or lid while more than a third of rural households (39%) practise open defecation.

The Government of Ethiopia has a flagship programme to increase use of improved latrines to 82% by 2020.

At a launch meeting in Addis on 23 March 2017, social market consultant, Addis Meleskachew, said that this initiative will develop a memorable brand for marketing materials that will encourage the private sector to provide materials and will attract rural families to buy them.

Dagnew Tadesse,Hygiene and Environmental Health Case Team Leader for Ministry of Health, welcomed the initiative to attract business but emphasised that the GoE approach is based on a comprehensive health education strategy with multiple messages including hygiene awareness, handwashing and safe food, and said that these important messages should not be abandoned.

Jane Bevan, rural WASH Manager at UNICEF Ethiopia offered to share extensive data that UNICEF has collected for its country programme on attitudes to sanitation, which has identified the high cost of concrete slabs as a significant obstacle. She presented examples of low cost options for upgrading sanitation in a pilot project in Tigray region. It was agreed to collate all existing KAP studies and relevant data including research by SNV.

Monte Achenbach from PSI and John Butterworth from IRC spoke about the work being started by USAID Transform WASH to market innovative sanitation models. John Butterworth said there is a need to make people aware of what is available and to get materials to where they are needed.

The World Bank research is being conducted by 251 Communications.

This blog was originally posted on 5 April 2017 on the IRC website.

USAID Kenya Integrated Water, Sanitation, and Hygiene Project (KIWASH)

USAID Kenya Integrated Water, Sanitation, and Hygiene Project (KIWASH)

KIWASH aims to enable more than one million Kenyans across 9 counties to gain access to improved WASH services & increase access to irrigation & nutrition. kiwash

We are working with Geodesic Water Company in Kamulu, Nairobi County to increase household connections and access to water services, and improve reliability of water supply for more people.

Find out what KIWASH is doing to promote commercial lending to the Kenyan water sector.

Adopt or Adapt: Sanitation Technology Choices in Urbanizing Malawi

Adopt or Adapt: Sanitation Technology Choices in Urbanizing Malawi. PLoS ONE 11(8): 2016.

Authors: Richard M. Chunga1, Jeroen H. J. Ensink, Marion W. Jenkins, Joe Brown

This paper presents the results of a mixed-methods study examining adaptation strategies that property owners in low-income, rapidly urbanizing areas in Malawi adopt to address the limitations of pit latrines, the most common method of disposing human excreta. A particular challenge is lack of space for constructing new latrines as population density increases: traditional practice has been to cap full pits and simply move to a new site, but increasing demands on space require new approaches to extend the service life of latrines.

In this context, we collected data on sanitation technology choices from January to September 2013 through 48 in-depth interviews and a stated preference survey targeting 1,300 property owners from 27 low-income urban areas. Results showed that property owners with concern about space for replacing pit latrines were 1.8 times more likely to select pit emptying service over the construction of new pit latrines with a slab floor (p = 0.02) but there was no significant association between concern about space for replacing pit latrines and intention to adopt locally promoted, novel sanitation technology known as ecological sanitation (ecosan).

Property owners preferred to adapt existing, known technology by constructing
replacement pit latrines on old pit latrine locations, reducing the frequency of replacing pit latrines, or via emptying pit latrines when full.

This study highlights potential challenges to adoption of wholly new sanitation technologies, even when they present clear advantages to end users. To scale, alternative sanitation technologies for rapidly urbanising cities should offer clear advantages, be affordable, be easy to use when shared among multiple households, and their design should be informed by existing adaptation strategies and local knowledge.

At stake in Johannesburg’s ‘recycling wars’: more than trash

At stake in Johannesburg’s ‘recycling wars’: more than trash. Christian Science Monitor, April 2017.

Informal and formal sectors of the economy work side-by-side in many African nations – but can they work together?

APRIL 11, 2017 JOHANNESBURG—In another lifetime, Louis Mahlangu was an electrician. It was a good job, challenging and respectable, the kind of profession that could make his family proud. wastepickers

There was just one problem.

“There was no work,” he says. No matter how hard he looked, Mr. Mahlangu was barely finding enough jobs to scrape by. Then his sister invited him to tag along to her job. The hours were good, she promised, and the pay – well, it was better than anything he was likely to earn replacing wiring in suburban houses.

And so he put on a pair of rubber rain boots, hiked to the top of a squelching mountain of Johannesburg’s garbage, and began digging for plastic.

Twenty-two years later, he’s still there, along with thousands of others like him, collecting dinged Coke bottles and pulverized yogurt cartons discarded by the city’s residents and selling them on to private recycling companies. At his peak, Mahlangu says, he made up to $1000 each month, a respectable wage in a country where the newly proposed minimum wage is around $250 per month.

Read the complete article.

Active trachoma and community use of sanitation, Ethiopia

Active trachoma and community use of sanitation, Ethiopia. WHO Bulletin, April 2017.

Objective – To investigate, in Amhara, Ethiopia, the association between prevalence of active trachoma among children aged 1–9 years and community sanitation usage.

Methods – Between 2011 and 2014, prevalence of trachoma and household pit latrine usage were measured in five population-based cross-sectional surveys.

Data on observed indicators of latrine use were aggregated into a measure of community sanitation usage calculated as the proportion of households with a latrine in use. blt-logo

All household members were examined for clinical signs, i.e. trachomatous inflammation, follicular and/or intense, indicative of active trachoma.

Multilevel logistic regression was used to estimate prevalence odds ratios (OR) and 95% confidence intervals (CI), adjusting for community, household and individual factors, and to evaluate modification by household latrine use and water access.

Findings – In surveyed areas, prevalence of active trachoma among children was estimated to be 29% (95% CI: 28–30) and mean community sanitation usage was 47% (95% CI: 45–48). Despite significant modification (p < 0.0001), no pattern in stratified ORs was detected.

Summarizing across strata, community sanitation usage values of 60 to < 80% and ≥ 80% were associated with lower prevalence odds of active trachoma, compared with community sanitation usage of < 20% (OR: 0.76; 95% CI: 0.57–1.03 and OR: 0.67; 95% CI: 0.48–0.95, respectively).

Conclusion – In Amhara, Ethiopia, a negative correlation was observed between community sanitation usage and prevalence of active trachoma among children, highlighting the need for continued efforts to encourage higher levels of sanitation usage and to support sustained use throughout the community, not simply at the household level.

Could alternative sanitation help South Africa’s water security?

Could alternative sanitation help SA’s water security? Infrastructure News, April 3, 2017.

As the 30th driest country in the world, South Africa is facing greater water security challenges with increasing periods of drought and unpredictable rainfall patterns.

According to a case study on alternative sanitation for water security done by Tomorrow Matters Now, 19.5% of South Africans are still without an improved sanitation service and 4.9% of South Africans have no access to sanitation. Caption-2-Knight-Piesold-768x510

For 60% of water management systems, water demand is overtaken by supply, while 98% of our available water resources are already being used. At the same time, South Africa’s water and sanitation infrastructure is crumbling because of a chronic lack of investment.

Local municipalities are faced with these challenges and its effects on a daily basis.

Some of these include the age old problems of institutional or financial shortcomings and capacity constraints, a delay in sanitation services linked to a delay in housing, and the continued maintenance and improvement of basic sanitation.

Waste management has also become an increasing problem with water treatment plants having released raw sewage into rivers in the past due to poor management and maintenance backlogs.

The case study found the need for alternative means of sanitation.

Providing universal access to conventional waterborne sanitation is one of government’s biggest challenges, and the critical aspects of hygiene and dignity, as well as a healthy and resilient environment need to be addressed.

The study said that ‘flushing’ cannot be the solution as we cannot continue to use clean, potable water to flush waste. “We need game-changing new technologies which require little or no water,” the findings suggested.

Read the complete article.