Tasleem Hasan Training local facilitators to empower households on drinking water safety plans.
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Transcript of Tasleem Hasan Training local facilitators to empower households on drinking water safety plans.
Presentation Outline •Pacific island countries – Location
•Introduction
•Issue
•Methodology
•Results and Discussion
•Conclusion
Introduction Access to safe drinking water is a basic human need and essential to public health
Resolution of 64th UN General Assembly – right to water and sanitation declared as a human right
United Nations Secretary General's statement on World Water Day 2010 (March 22):
More people die from unsafe water than from all forms of violence, including war.
In Pacific island countries, every year 2800 deaths result from diarrhoea
Preventable as often linked to unsafe water, lack of proper sanitation and poor hygienic practices
Drinking Water Safety Plans is an efficient mechanism for ensuring safe quality of drinking water thereby improving public health Risk assessment and risk management approach, from catchment to consumer
Issue
81% of the Pacific population live in rural areas or outer islands Most have own water supply e.g. rainwater tanks, boreholes, dug wells, and water is consumed untreated These communities are remote and isolated.
The national surveillance agencies in Pacific island countries often have limited human and financial resource baseHence the national agency do not (cannot) regularly visit and provide advice on drinking water quality issues
What then? What can be done?
Simple answer – empower the community to keep their water supply safe (water safety plans) through effective communicationHow to do this in the Pacific? Many different cultures, over 1000 different languages
Use trained local facilitators and simple water safety plans to deliver the message
Methodology
The approach of training local facilitators to empower communities has been implemented in the Republic of Marshall Islands by SOPAC and WHO (South Pacific office)
Done in partnership with the national surveillance RMI Environmental Protection Authority (EPA)
Local facilitators targeted are from local NGOs, College of Marshall Islands water quality section, MoH and MoE field workers, planning office. This builds the capacity in-country for water safety plans
SOPAC and WHO developed a training package
3 day course with 8 modules and delivered the training in Marshalls Module 1 – What is Drinking WSP
Module 2 – Sanitary Survey
Module 3 – Water quality testing using hydrogen sulfide test
Module 4 – How to interpret hydrogen sulfide result
Module 5 – Field visit
Module 6 – Basic household level treatment processes
Module 7 – Field visit outcomes
Module 8 – Simple assessment
Simple Tools - Sanitary Inspection
Greatest facet of WSPs is its applicability to any water supply system (large or small, urban or rural)
Main water supplies in outer islands of Marshalls are rainwater harvesting and hand-dug wells
WHO already has sanitary inspections which are in fact simple WSPs
Example of rainwater harvesting sanitary inspection
1. Is there any visible contamination on the roof catchment area (plants, dirt, excreta etc)? Y / N
2. Are there overhanging trees or branches? Y / N
3. Are the guttering channels that collect water dirty? Y / N
Is the tank inlet screen absent? Y / N
Etc etc
The sanitary inspection forms were modified to suit the local Marshalls situation
The forms were also translated into the local dialect for greater effectiveness
The trained facilitators fill the sanitary inspection form with the household owner and leave a copy with them to act on managing the risks identifiedTransfer knowledge, help them identify the risks, inform how to manage the risks – EFFECTIVE COMMUNICATION – EMPOWER households.
Simple Tools – Hydrogen Sulfide Kit
Very important to find the impetus for WSPs (it is not the “health” angle)
It can be pride, sense of security or knowing that the water you drink is of good quality
How can communities know this? Lab testing is irregular, expensive, results don’t make much senseThe presence/absence hydrogen sulfide test can be utilised in such situations
The H2S test is a visual test.
If the water is contaminated with bacteria (H2S producing) then the color will change from light yellow to black.
Clean water sample
Contaminated water sample
Shown to have good correlation with faecal contamination
Visual color change has more impact on the community than lab numbers and drives them towards taking action – impetus for WSP
Results from Marshall Islands
Translation of the WSP training package developed by SOPAC and WHO into Marshallese language by the RMI counterparts
Effective communication by local facilitators to empower households as positive outcomes noted by trained facilitators upon return visit after 3 months
Replication of training to train close to 40 local facilitators from all outer atolls in RMI on WSP by EPA
Conclusion
WSP is the framework to ensure safe drinking water supplies For implementing WSPs in communities (with non-technical people) it has to be very simple
Tools such as sanitary inspections and hydrogen sulfide test can be used
Training local facilitators for effective communication to empower communities is an effective approach for spreading the WSP concept and ensuring safe and secure household level water supplies