Tag Archives: Global Sanitation Fund

Understanding ‘slippage’

As sanitation and hygiene programmes mature, the challenge shifts from helping communities achieve open defecation free (ODF) status to sustaining this status. In this context, many programmes are confronted with ‘slippage’ – the return to previous unhygienic behaviours, or the inability of some or all community members to continue to meet all ODF criteria. How should slippage be understood and addressed? A new report – primarily based on experiences from the Global Sanitation Fund (GSF)-supported programme in Madagascar, provides comprehensive insights.

Download the complete paper or read the feature article below.

feature-photo-reflection-paper-understanging-slippage

Eugène de Ligori Rasamoelina, Executive Director of the Malagasy NGO Miarantsoa, triggers commune leaders. Miarantsoa pioneered Follow-up MANDONA, a proven approach for mitigating slippage. Photo: WSSCC/Carolien van der Voorden

Slippage is intricate because it is hinged on the philosophy and complexity of behaviour change. Moreover, the definition of slippage is linked to the definition of ODF in a given country. The more demanding the ODF criteria are, the more slippage one can potentially experience.

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Toilet touring in Uganda: experiencing the true spirit of Community-Led Total Sanitation

Patrick England, who recently joined the Global Sanitation Fund secretariat, travelled to Uganda to participate in a learning exchange mission. The mission turned out to be a unique opportunity to experience the true spirit of community-led total sanitation (CLTS). Read about his experiences below.

Representatives from Madagascar’s Fond d’Appui pour l’Assainissement (FAA) programme demonstrating CLTS facilitation in Amuria District. Credit: Patrick England/WSSCC

Representatives from Madagascar’s Fond d’Appui pour l’Assainissement (FAA) programme demonstrating CLTS facilitation in Amuria District. Credit: Patrick England/WSSCC

When I first entered the field of international development, I had no idea that ‘shit’ would become a standard part of my professional vocabulary. But as a Portfolio Support Analyst with the WSSCC’s Global Sanitation Fund (GSF), my mission is to discover and document everything about shit: how communities are dealing with it, and how to support our programme partners to tackle the world’s growing sanitation and hygiene crisis. So in June 2015, I received my first opportunity to become a professional toilet tourist with the GSF during a cross-programme exchange to Uganda.

Just prior to my Ugandan journey, I was working with Concern Universal, the GSF Executing Agency in Nigeria. I supported the development of case studies and lessons learned for the GSF-supported Rural Sanitation and Hygiene Promotion in Nigeria programme, which carries out Community-Led Total Sanitation (CLTS) activities in the south-east of the country. Similar to Uganda, Nigeria’s GSF-supported programme is fully owned and implemented by government agencies. However, for local officials and civil servants, the participatory, spontaneous, and dynamic ethos of CLTS often runs in direct contrast to decades of enforcing toilet construction. Not only must CLTS trigger improved sanitation and hygiene behaviour in communities themselves, but it must also trigger government authorities to create enabling environments for communities to climb the sanitation ladder.

CLTS learning journeys converge: the GSF cross-programme exchange
Dazed after two days of travel from Calabar to Kampala, I met my new Uganda colleagues in the rural district of Pallisa. Accompanying them was a delegation from Madagascar’s GSF-supported programme. While much could be written on this band of Malagasy medical doctors-cum-sanitation crusaders, let’s just say that they definitely know their ‘shit’. For them, CLTS isn’t just an approach to increase sanitation coverage and reduce under-five mortality; it’s an action-affirmative philosophy that underpins a movement to improve the health of entire countries. Most importantly, this movement must be wholly owned by communities themselves – a point continuously emphasized throughout our district visits in Uganda.

Map of districts visited in Uganda, based on image retrieved on d-maps.com.

Map of districts visited in Uganda, based on image retrieved on d-maps.com.

Our exchange crossed the entire country – from the shores of Lake Victoria to the jungles along the border with the Democratic Republic of the Congo – working alongside District Health Office staff to improve their CLTS approach. Led by the Malagasy doctors, each visit comprised a systematic review of existing practices, a hands-on demonstration of best-practice triggering and follow-up, and a critical self-analysis by health staff to enhance their community engagement. As was the case in Nigeria where decades of latrine enforcement and health sensitization failed to achieve any notable impact, this intensive learning process focused on ‘de-programming’ the old behaviours of local government facilitators.

Compared to Nigeria, where 25 percent of the population practices open defecation, Uganda has a relatively high level of sanitation coverage (where seven percent practice open defecation)[1]. This was made evident by the number of well-built latrines I observed during our visits to rural communities. Until then, I never entertained the notion that a toilet could be beautiful: walls carefully smoothed and polished, meticulously patterned with charcoal and red mud paint, all topped with round thatch roofs. One elderly woman in Koboko District proudly demonstrated how she used a local weed to give her latrine’s mud floor a glossy sheen. However, the presence of toilets – even those ornately designed – did not mean that these communities were open defecation free (ODF). These latrines frequently went unused, especially during planting and harvesting seasons, while a lack of adequate fly-proof covers and handwashing facilities meant that these community members were still unintentionally eating their own, and others’, shit.

Read the full blog on the WSSCC website

Learning, progress and innovation: Sanitation and hygiene promotion in Madagascar

Learn how the Global Sanitation Fund-supported programme in Madagascar is promoting sustainability and achieving strong sanitation and hygiene results trough a cycle of learning, progress and innovation.

Download the complete case study or explore the sections below:

The national context

Photo: Members of a local sanitation and hygiene advocacy group in the fokontany of Anjalazala celebrate achieving open defecation free status. Credit: FAA/Nirina Roméo Andriamparany

Photo: Members of a local sanitation and hygiene advocacy group in the fokontany of Anjalazala celebrate achieving open defecation free status. Credit: FAA/Nirina Roméo Andriamparany

The latest report from the Joint Monitoring Programme of the United Nations Children’s Fund and World Health Organization highlights revealing statistics on Madagascar’s sanitation and hygiene situation. Approximately 12 percent of the country’s population have access to improved sanitation, while 18 percent have access to shared sanitation that is unimproved, and 30 percent have access to other types of unimproved sanitation. Furthermore, 40 percent defecate in the open. Ensuring improved sanitation and hygiene for all remains a major challenge in the country, but innovations from local partners supported by the Global Sanitation Fund (GSF) are vigorously helping to transform this situation.
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The CLTS journey

Photo: ‘Triggering’ children in the commune of Mangarano, using the open defecation mapping tool. Credit: FAA/Fano Randriamanantsoa

Photo: ‘Triggering’ children in the commune of Mangarano, using the open defecation mapping tool. Credit: FAA/Fano Randriamanantsoa

In rural Madagascar, CLTS is the preferred approach for eliminating open defecation, and these actions also drive overall improvements in sanitation and hygiene. CLTS was introduced in the country in 2008, following its success in Asia. The crux of the approach lies in creating an enabling environment in which communities become self-reliant and improve their own sanitation and hygiene situation without external help.

Video: CLTS ‘triggering in action

CLTS focuses on igniting change in sanitation and hygiene behavior within whole communities, rather than constructing toilets through subsidies. During this social awakening, or ‘triggering’ process in Madagascar, the community looks for visible faeces in their environment. When people realize they are eating faeces this provokes disgust, shame and impacts on dignity. The community then makes and immediate decision to end open defecation. These steps are highlighted in the above video.
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Innovations in sanitation and hygiene behaviour change methods
As the first GSF programme, the Fonds d’Appui pour l’Assainissement (FAA) was the testing ground for various approaches based on the essence of CLTS, which helped to drive the programme’s learning and sharing culture. Sub-grantees have utilized a range of approaches within local communities, sharing their challenges and success with the larger FAA team. Through FAA’s strong learning and sharing system, many of these approaches have been evaluated for their potential to be implemented on a larger scale, and some have become best practices, both within and outside of Madagascar. This case study highlights three best practice approaches evaluated and utilized by the FAA programme: Follow-up MANDONA, local and institutional governance and sanitation marketing.

Follow-up MANDONA
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Inspired by CLTS triggering approaches, Follow-up MANDONA is aimed at helping communities speed up their achievement of open defecation free status and initiate the development of local governance mechanisms for sustainability.
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Read the full article on the WSSCC website.

Global Sanitation Fund empowers close to 10 million to end open defecation

The latest results from the Global Sanitation Fund (GSF) show that national programmes stretching from Cambodia to Senegal have enabled close to 10 million people in more than 36,500 communities to end open defecation.

These results are published in the GSF’s latest Progress Report, highlighting cumulative results from the start of the fund up to the middle of 2015. Nationally-led programmes supported by the GSF have helped:

  • 8.21 million people access improved toilets
  • 9.92 million people in 36,524 communities live in open defecation free environments
  • 13.46 million people access handwashing facilities

Currently, 2.4 billion people, close to 35 percent of the global population, lack access to decent sanitation. Of those, close to a billion defecate in the open. Diarrheal disease, largely caused by poor sanitation and hygiene, is a leading cause of malnutrition, stunting and child mortality, claiming nearly 600,000 lives of children under 5 every year. Inadequate facilities also affect education and economic productivity and impact the dignity and personal safety of women and girls.

GSF reaches 10 million - Slider

Established by WSSCC, the GSF funds behaviour change activities to help large numbers of poor people in the hardest-to-reach areas attain safe sanitation and adopt good hygiene practices. These activities are community-led, support national efforts, and bring together a diverse group of stakeholders in order to address, at a large scale, the severe deficiencies in access to sanitation and hygiene.

The GSF is a pooled financing mechanism with the potential to further accelerate access to sanitation for hundreds of millions of people over the next 15 years. Between 2014 and mid-2015, the GSF reported a 95 percent increase in people with improved toilets across target regions in 13 countries. During this same period, the GSF has also supported a more than 40 percent increase in the number of people living in open defecation free environments in those same areas. The United Nations system has identified global funds as an important tool to enable member countries to achieve their national development targets, including those for sanitation and hygiene. Read more

Results reported by the GSF have been achieved due to the work of more than 200 partners, including executing agencies and sub-grantees composed of representatives from governments, international organizations, academic institutions, the United Nations and civil society. One of the strongest success factors in the GSF approach is that it allows flexibility for countries to develop their programmes within the context of their own institutional framework and according to their own specific sanitation and hygiene needs, sector capacity and stakeholders. This implementation methodology is used to reach large numbers of households in a relatively short period of time and is vital for scaling up safe sanitation and hygiene practices.

The Governments of Australia, Finland, the Netherlands, Norway, Sweden, Switzerland and the United Kingdom have contributed to the GSF since its establishment in 2008. More than $109 million has been committed for 13 country programmes, which aim to help more than 36 million people end open defecation.

Download the GSF Progress Update here

Global Sanitation Fund Field Trip in Senegal – Interesting points and reflections by Jamie Myers

By Jamie Myers, Research Officer at the CLTS Knowledge Hub

Photo: Alma Felic/WSSCC

Photo: Alma Felic/WSSCC

Last week in the run up to AfricaSan I joined a Global Sanitation Fund (GSF) field trip and learning event in the Matam region, Senegal. Along with GSF programme managers and Water Supply and Sanitation Collaborative Council (WSSCC) National Coordinators, we visited different villages where local NGOs have been triggering communities. Matam, in the north east of Senegal separated from Mauritania by the Senegal River, has a population of over 550,000 of which 98% are Muslim. In the region, 47.2% practice open defecation.

Following the field trip I also joined a sharing and learning event in Dakar where executing agencies presented the work they had been undertaking in their own countries.

Throughout the week there were a number of interesting points. The ones I found most interesting were use of religious leaders, support mechanisms for the most vulnerable and ways to change and sustain the hygienic management of child faeces. All three are discussed in more detail below.

Religion  

As mentioned above, in Matam 98% of the population are Muslim. The sub-grantees in Senegal have made sure to not just gain the support from local Imams but make sure they play a central role in the intervention. Imams in some of the villages we visited are involved in post-triggering and post-open-defecation free (ODF) activities through their participation in village sanitation and hygiene communities. The use of religious leaders to promote sanitation and hygiene messages appears to have been very effective for collective behaviour change and hopefully the sustainability of ODF villages.

From country presentations in Dakar I learnt that a similar approach is being used in Togo and Nigeria where messages from the Koran and the Bible are used to promote hygienic messages.

In addition, it was also interesting to hear that in one village in Senegal a demonstration latrine had been set up at the mosque – a place frequented mostly by men who are often harder to convince about the benefits of stopping open defecation.

Improved latrine funding mechanism for the most vulnerable

In some communities solidarity funds have been set up. There is a registration fee along with a fee collected each month when members meet. The fund can be used for the construction of new toilets and maintenance of existing toilets for those who need it. In two villages we visited, the funds had been used to build four toilets for the most vulnerable households in the community. Over the whole project area 60 improved latrines have been built through these funds over the past two years.

I learnt that this idea had been taken from another non-sanitation related development programme that was already underway in the region. It shows that it is worth investing time into thinking more about successful programmes in different sectors and thinking about how community-led total sanitation (CLTS) and those working on sanitation and hygiene could borrow and adapt effective initiatives from others.

It is worth noting that the communities visited had the perfect environment for this kind of activity. They were very tightknit homogenous communities.

Read the full article on the WSSCC AfricaSan 4 blog. 

Global Sanitation Fund reports large-scale advances in sanitation and hygiene in 13 countries

Lucie Obiokang with the toilet she built after being triggered.

Lucie Obiokang with the toilet she built after being triggered.

A new report shows that the Global Sanitation Fund (GSF) has supported governments and hundreds of their national partners in 13 countries, stretching from Cambodia to Senegal, to enable 7 million people in more than 20,500 communities to end open defecation.   

These results are published in the GSF’s latest Progress Report (link to report; link to photos), which highlights cumulative results from the start of the fund until the end of 2014. Nationally-led programmes supported by the GSF have enabled:

  • 4.2 million people with improved toilets
  • 7 million people and more than 20,500 communities to be open-defecation free
  • 8 million people with handwashing facilities

Currently, 2.5 billion people, or 40% of the global population, lack access to decent sanitation. Of those, more than a billion defecate in the open. Diarrheal disease, largely caused by poor sanitation and hygiene, is a leading cause of malnutrition, stunting and child mortality, claiming nearly 600,000 under-5 lives every year. Inadequate facilities also affect education and economic productivity and impact the dignity and personal safety of women and girls.

Established by the Water Supply and Sanitation Collaborative Council (WSSCC), the GSF funds behaviour change activities to help large numbers of poor people in the hardest-to-reach areas attain safe sanitation and adopt good hygiene practices. These activities are community-led, support national efforts, and bring together a diverse group of stakeholders in order to address, at a large scale, the severe deficiencies in access to sanitation and hygiene.

The GSF is a pooled financing mechanism with the potential to further accelerate access to sanitation for hundreds of millions of people over the next 15 years. Between 2013 and 2014 alone, the GSF reported an almost 90 percent increase in the number of people living open-defecation free in target regions of 13 countries[1] across Africa and Asia. During this same period, the GSF has also supported a 55 percent increase in the number of people with access to improved toilets in those same areas. The United Nations system has identified global funds as an important tool to enable member countries to achieve their national development targets, including those for sanitation and hygiene.[2]

“These results prove that we are moving closer to our vision of a world where everybody has sustained sanitation and hygiene, supported by safe water,” said Chris Williams, Executive Director of WSSCC.  “This is a crucial step towards achieving better health, reducing poverty and ensuring environmental sustainability for the most marginalized people in the world.”

These GSF results have been achieved due to the work of more than 200 partners, including executing agencies and sub-grantees composed of representatives from governments, international organizations, academic institutions, the United Nations and civil society. One of the strongest success factors in the GSF approach is that it allows flexibility for countries to develop their programmes within the context of their own institutional framework and according to their own specific sanitation and hygiene needs, sector capacity and stakeholders. This implementation methodology is used to reach large numbers of households in a relatively short period of time and is vital for scaling up safe sanitation and hygiene practices.

“GSF is one of the few funds for government-led, donor-funded sanitation and hygiene programmes,” said Williams. “It can uniquely serve as a catalyst to the wider sector as a model that is replicable for others interested in large-scale behaviour change.”

Reaching scale has required that sub-grantees can identify influential, strategic communities, and make effective use of natural leaders, religious and local leaders, or hundreds of others who serve as individual sanitation and hygiene champions. GSF supported programmes apply a local delivery mechanism that engages households in thousands of villages, which enables people to make informed decisions about their sanitation and hygiene behaviour that can improve their health, education and productivity.

The report also highlights the GSF’s impact on national programmes. In Uganda, there are now more than 1.4 million people living in open-defecation free (ODF) environments, thanks to GSF-funded activities, and close to three million people have been reached by hygiene messages as a result of decentralized local government intervention. In Madagascar, over 1.3 million people are now living in ODF environments – in all 22 of the countries regions – and India’s GSF-supported programme has over 782,000 people with handwashing facilities.

“Access to improved sanitation has to be a sustainable reality for every person in the community, regardless of age, gender or disability, in order for the health and other benefits to be enjoyed by all,” said David Shimkus, Programme Director of the GSF. “This report shows that GSF-supported programmes are making major strides in achieving improved sanitation and hygiene for the most vulnerable, and all stakeholders will continue to work together to ensure such progress continues.”

The Governments of Australia, Finland, the Netherlands, Sweden, Switzerland and the United Kingdom have contributed to the GSF since its establishment in 2008. Close to $105 million has been committed for 13 country programmes, which aim to reach 36 million people.

[1] Benin, Cambodia, Ethiopia, India, Kenya, Madagascar, Malawi, Nepal, Nigeria, Senegal, Tanzania, Togo and Uganda.

[2] See draft outcome document for the forthcoming Addis Ababa Accord of the Third International Conference on Financing for Development, and the UN Sustainable Development Solutions Network Financing for Sustainable Development report and its Role of Global Funds in a Post-2015 Development Framework.

Global Sanitation Fund in Malawi

Global Sanitation Fund in Malawi, by Rochelle Holm, Ph.D., PMP, Mzuzu University, Centre of Excellence in Water and Sanitation and SMART Centre Manager. Email: rochelledh@hotmail.com.
The Global Sanitation Fund programme in Malawi is aimed at implementing sanitation and hygiene initiatives that will help the Government of Malawi to attain its vision of ensuring Sanitation for All in the country and its mission of ensuring that all Malawians access improved sanitation facilities, practice safe hygiene and re-use or recycle waste for the sustainable management of the environment and socio-economic development.  gsf-malawi
The programme will help in reducing Malawi’s open defecation which the JMP 2013 Update (World Health Organization and UNICEF) estimates to stand at 7% in 2011. This reduction in open defecation will be achieved through:
  • triggering 3,600 villages and 274 schools in the six districts using Community Led Total Sanitation and School Led Total Sanitation approaches, respectively, and promoting the adoption of improved sanitation and hygiene practices;
  • conducting sanitation marketing in support of the triggering;
  • developing the capacity of government, civil society organizations and private sector actors in hygiene and sanitation promotion;
  • supporting the planning and implementation of sanitation and hygiene activities at district level;
  • documenting lessons learnt to help improve programming in sanitation and hygiene.

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