Asg Project

ASGP APPLICATION 2015 PREPARED BY SHMGCO

The United States Ambassador’s Small Grants ProgramApplication Form A

Programs for Community Development Projects in the larger community

General Information

1. Date of Application30/09/2015

2. Location of Project (Village/LGA/State)2, Salama Avenue, Tudun Wada, Kujama, Chikun L.G.A, Kaduna State. Kujama is about 20minutes drive from Kaduna town(south), in Kaduna State.

The proposed borehole is proposed to be located on the grounds of Salama Health Centre and will serve the health centre as well as the surrounding households in the community.

3. Type of ProjectWater & sanitation

4. Total Naira Amount RequestedN1, 600,040.00 (One Million six hundred and Forty Naira Only)

5. Project DirectorJock James Ishaku Full Name (underline surname):

Mailing AddressP.O. Box 32, Kasuwar Magani, Kaduna. State

Street Address2, Salama Avenue, Tudun Wada, Kujama, Chikun L.G.A, Kaduna State. Telephone: 234 81 29296797 / 234 80950 76769 Email: [email protected] /[email protected]

6. Project Committee Members (use attached list if necessary):Name (underline surname)Full Name AddressMuhammed Saidi Tundu Wada, Kujama.Yakubu Auta Same as above


James Tanko Same as aboveJock J. Ishaku Same as above

7. Name and address of organization or community sponsoring the projectSALAMA HEALTH MINISTRIES AND GOSPEL CRUSADE OUTREACH. (SHMGCO)2, Salama Avenue, Tudun Wada, Kujama, Chikun L.G.A, Kaduna State. Kujama is 20 minutes drive from Kaduna town(south), in Kaduna State.

8. If the community or project director has submitted other project proposals within the past three years to the U.S embassy, other embassies or organizations, please answer the following (use extra pages as necessary, circle yes or no as appropriate):

Project Tittle Submitted to Funded? Amount (Naira) Completed

Project Information

9. What is the purpose of the projectConstruction of a borehole at Tudun Wada Kujama, in Chikun Local Government Area of Kaduna State aiming at providing clean and safe water to about 3,000 people (1,700 women, 1,300 men) community members, and as well as to Salama Health Center run by the implementing organization (serving about 250people weekly staff and patients)

10. Briefly describe the project. Include a description of how the project will managed and who will be responsible for the management. Where will the project get any technical advice or assistance it may require? Who will volunteer to assist in the project and what are their qualifications? (Attach an additional sheet if necessary.)

Project Description Water is a perennially problem in the proposed project community of Tudun Wada Kujama settlement in Chikun local government area of Kaduna state and the clinic, the provision of a borehole will be a major means to ease the health related issues children encounter due to non-availability of a portable source of clean water. With the acute shortage of water especially in dry seasons in the community, women and children often travel long miles each day in search of clean water from nearby locations to retrieve water for their families, a task that adversely affects their health and prevents


them from pursuing their education and other relevant matters in life, water had therefore been a scarce commodity to the inhabitants. Dysentery, diarrhoea and other water-borne diseases kill many people in the proposed project community each year, and make many others ill. Many community members get their water from open wells, unprotected springs, river, and ponds-often some distance from the village, and this is usually contaminated. Many member of the community do not make a link between poor water quality and diseases such as diarrhoea and other water-borne diseases. This project will help community members to get a reliable supply of safe drinking water-

Salama Health Centre Kujama, is among different programs formed by Salama Health Ministries and Gospel Crusade Outreach aiming at supporting vulnerable groups in the community. The Health centre has been established at the moment and is supporting over 3,000 people from different groups of women, children, youths and older people.

The services offered by the centre include venue for women (widows) and youths vocational skills training, spiritual seminars and meetings and clinic services. All these services need the availability of clean water, at the moment the health centre only source of water supply is from a well, which also serve the community during dry season. The supply is not enough to the actual requirement of water due to fact that water supply from the well is only constant during the raining season but almost dried up in the dry season, the health centre need to have daily water supply for drinking, toilets and sanitation.

The present source of water at the moment does not suffice the requirement of the centre and the community. In 2011 Rotary Club donated LifeStraw to Salama Health Ministries and Gospel Crusade Outreach and was distributed to the community member in kujama as means to provide the community member proper a clean source of drinking water, but it was only a temporary measure, providing a borehole will give a lasting solution.

In this case, therefore request for funding from The United States Ambassador’s Small Grant Program is presented in order to construct a borehole with a Steel tank with capacity of 20 cubic meters on a 6meter tower to minimize the gap as the present source of water is only able to support few activities than the present plan.

Approach and Technology:The proposed water supply from a borehole: The existing facilities include electricity supply which runs along the proposed site. A borehole to be drilled in the area to the depth of between 36m and installed with PVC pipe casings after well development and pump test target will yield great quantities of litres per hour.


A water tower of 6m to carry the 20 cubic meters steel storage tank will be constructed. Also electricity supply to power the pumps will be required. In addition pipe lines to carry the water from the bore hole to the tank and distribute the water to the distribution point/consumers points from the tank, after conducting water quality analysis at water laboratory (see the attached pre-drilling survey report).

Management and Volunteer of the ProjectThe community and team of the Health Centre will be involved in all process of project implementation from site survey, project monitoring, forming water committee and water maintenance fund, forming Water maintenance fund (WMF) and paying electricity bill and electricity service line costs.(the entire project management)

Technical Advice or AssistanceThe proposed work is going to be executed by an experienced drilling company (Josig –Technical Nig. Ltd) with both manual and mechanical/electrical drilling equipment at reasonable rates.

11. What are the social and economic benefits of this project to the community?The project will provides for the needs of the people by availing clean water from secure sanitary sources to minimize their long journeys in search of water and most importantly eradicate death and disease.

The problems that this project will address are the eradication of prevailing diseases such as; typhoid, dysentery, black water fever and diarrhea. These illnesses are commonly treated through clean, safe water and proper sanitation.

Through this project, there will be improvements in the lifestyles of people within the community. The provision of clean drinking water will result in better health as water borne diseases are eradicated.

The people in the community will also see a drastic change in their lifestyle and health. Women and children will no longer have to spending all day searching and hauling contaminated water for their family’s needs.

12. How many people will benefit from this project?The provision of clean and safe water will have a direct impact to about 3,000 people (1,700 women, 1,300 men) community members, and also the Salama Health Center run by implementing organization (serving 250people weekly staff and patients).

13. What are the primary economic and social activities of the community?

Peasant Farming and Micro Businesses (Petty Traders) – An agrarian community.


14. Describe all local contributions to the project, including those of other sponsoring organizations. Do not forget to include contributions of land, labor, materials, cash, or expertise.

N400,010.00 will be contributed by Salama Health Ministries and Gospel Crusade Outreach representing 20% of the total project cost as a matching grant.

Electricity Service line costs will be contributed by the community including paying monthly electricity bills and forming Pump maintenance fund.

The community and team of the Health Centre will be involved in all process of project implementation from site survey, project monitoring, forming water well committee and water maintenance fund, forming Water maintenance fund (WMF) and paying electricity bill and electricity service line costs.

It is planned to collect a total of N240, 000.00 for electricity service line costs, N5,000 for monthly electricity bill and N50, 000 yearly as maintenance costs, all these funds will be contributed to the project by income earned by the community from a meager fee charges paid by Community members for fetching water, which is given an estimated income ranging from N15,000 -20,000 per month.

15. Has any work been completed on the project? If so, what work has been done?No work yet has been completed.

16. Attach a separate paper with a work plan indicating how the project work will be done and who will be responsible for the work. How long will the work take? When will the project be completed? Include a timeline with the work plan. Remember that projects should take no longer than six months to complete

1. Mobilizing community to fully participate in project implementation. (2weeks)

In mobilizing the community, the project will conduct meeting to the Community of the requested water support. During these meetings the community will be explained on how the project will be conducted and other project condition which include community contribution, formation of Water Maintenance Fund (WMF) and Wells Monitoring Committees (WMC). The meetings will help to create awareness and readiness of participating in the project implementation. In this project the communities are required to mobile funds to support the electricity bill payments and pump repair and maintenance.

2. Formation of Wells Monitoring Committees (WMC) which will consist of about 10 people who will be from the village community and they will be responsible in the borehole maintenance and repair, day to day care of the borehole and managing the Water Maintenance Fund (1week)


3. Formation of WMF which will be formed by the community, the fund will be contributed by the communities to support them manage, maintain and repair the borehole. Also (1week)

4. Purchasing and transportation of the borehole construction and installation materials this activity will be done soon after receiving fund (2weeks)

5. Drilling Tube Well to the Depth of 36 m. The work will be done by water technician (6 weeks)

6. Conducting training of the WMC on how to care and maintain the borehole. (1day)

17. Will weather or other activities in the community, such as holidays, harvesting, or religious ceremonies, affect the project timeline? how?

No such activities mentioned above shall affect the project execution and timeline as the borehole construction and installation shall be constructed by a technical specialist with minimal assistances from the community members.

18. Attach a detailed budget showing how much each item necessary for the completion of the project will cost. if you have already obtained pro-forma invoices for items as part of your budget planning, attach them as well.

Please see the attached Proforma Invoice as submitted by Mssr, Josig-Technical Nig. Limited.

19 How will the project be sustained once the small grants funding stops?

To make the project sustainable the following action is going to be done.

i. The community members will be selected to form committee consisting about 10 members (5 men and 5 women) to support monitor the borehole progress from the beginning of the project and after.

ii. The community members will be sensitized to form Water Maintenance Fund (WMF) which will help to support paying electricity bill, borehole maintenance.

iii. Participating in a training session which will be conducted to 10 people who are members of Well Monitoring Committee (WMC) on how to manage to perform miner repair, clean, maintain the pump and monitor any problems associated with their functioning


20 Have village or community leaders or local authorities approved your project? If so, who has approved it and how can they be contacted? Please include addresses and phone numbers where possible.The project has been discussed with and approved by the Village Head of Tundu Wada, Kujama, Chikun LGA, were the project is planned to be situated his details are;

Mallam Yakubu Auta (Village Head of Tundu Wada, Kujama) Phone Number- 0808 4777 773

21. Using a separate sheet, please describe your monitoring plan for the project.AS described in item 19 above please.

21 Using a separate sheet, please describe the evaluation indicators for the project. What information will be collected? List the indicators of impact or change you will use to assess the achievement of project objectives. Who will participate in the evaluation and when? Who will be interviewed? How will project statistics be collected? Give details of the evaluation plan. Specifically in the case of infections averted – how will that be Measured?

EVALUATION INDICATORS FOR THE PROJECT ARE;1. Women and children will no longer have to spending all day searching and

hauling contaminated water for the family’s needs. 2. Gaining of school time by children due closeness of clean water sourced.3. The provision of clean drinking water that resulted in better health and change in

lifestyle as water borne diseases are eradicated.4. Community accessed to a safe water source.5. Ownership and responsibility for clean water sourced by the community.

INFORMATION THAT WILL BE COLLECTED IN EVALUATION;1. Monthly percentage of patient visit to the clinic for treatment of illnesses that related to

water borne diseases.2. Daily collection of payment of water rates.3. Percentage of numbers of people who come to fetch water.

INDICATORS OF IMPACT OR CHANGE TO BE USED TO ASSESS THE ACHIEVEMENT OF THE PROJECT OBJECTIVES;

1. Access of Women and children to closer clean water sourced2. Gaining of school time by children due closeness of clean water sourced.3. Better health and change in lifestyle witness in the community due to the

provision of the water point.4. Number of daily community members who fetch water from the water sourced.5. Community acceptance to ownership and responsibility for the clean water

sourced.


WHO WILL PARTICIPATE IN THE EVALUATION AND WHEN;1. Community members (Monthly)2. Patient at the clinic (Monthly)3. Staff of the Clinic (Monthly)

WHO WILL BE INTERVIEWED?4. Community members5. Patient at the clinic

HOW WILL PROJECT STATISTICS BE COLLECTED?1. Record of the clinic being operated by Salama Health Ministry and Gospel

Crusade Outreach2. Cash book payment for rate collected

DETAILS OF THE EVALUATION PLANTo be provided

22 Attach a list of names, addresses and telephone numbers of individuals or organizations that can be contacted about this project if different from those listed in items 5 and 6. also attach a list of the names of community members supporting or assisting in this project and their signatures.

Same as listed above – Items 5 and 6

23 Attach a detailed description and a map of how to reach the project site from the nearest state capital.2, Salama Avenue, Tudun Wada, Kujama, Chikun L.G.A, Kaduna State. Kujama is about 15minutes drive from Kaduna town(south), in Kaduna State.

Please see attached map showing detailed direction to the project site from the state capital, Kaduna.

24 Please attach any additional information you may wish to provide, such as letters of recommendation, reports from other completed projects, pro forma invoices, or background information on project participants at the end of this application.

Please see attached APPENDIX

1. PROFORMA INVOICE2. PRE-DRILLING(GEOPHYSICAL) SURVEY REPORT.3. MAP OF DETAIL DESCRIPTION TO PROJECT SITE 4. PICTURE OF SOURCES OF WATER IN THE COMMUNITY5. CAC CERTIFICATION INCORPORATED TRUSTEES


Acknowledgement

I have reviewed the completed application n form for funding under the U.S. Ambassador’s Small Grants Program. The application is complete, and the answers are true and correct to the best of my knowledge.

________________________________ _____________________(Signature of Project Director) (Date

Asg Project

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