Up Scaling Rural Sanitation in

Pakistan Post 2010 FloodsAsia regional sanitation and hygiene practitioners workshop

31 January – 2 February 2012, Dhaka, Bangladesh

Background 48 million people defecating in the open 45% of population have access to improved sanitation (29%

rural and 72% urban) Approximately 116,103 children under the age of 5 in

Pakistan die each year of diarrhoea, 13 children per hour 20.25 million affected by floods in 2010 and 5.3 million in

2011, high incidence of acute diarrhea MDG target for sanitation is 64% by 2015

Pakistan Approach to Total Sanitation, PATS, promoting improved sanitation and hygiene outcomes on a total sanitation model

UNICEF and Ministry of Environment agreement to initiate total sanitation as part of building back better

PATS: Integrated Total Sanitation ModelDemand Creation

InterventionsSupply Side

InterventionsHygiene Promotion

InterventionsDrainage and Wastewater Treatment

Interventions

• IEC Campaigns,• Community

sensitization through CLTS, SLTS

• Marketing of hand washing, etc.

• Creation of sanitation marts and supply chain mechanisms

• Training of masons

• Construction of demo latrines for technical options

• Training of sanitation entrepreneurs

• Incentivizing outcomes

• IEC material on active health and hygiene key messages

• Behaviour change communication

• Use of mass media campaign and IEC campaigns promoting low-cost appropriate and informed sanitation solutions, etc.

• 100 % drainage with community participation with the aim to minimize exposure to human excreta and wastewater management

ER Programme on Scaling up of Rural Sanitation

• To achieve and sustain an open defecation free environment both in rural and urban areas with clear emphasis on behavior change and social mobilization to increase demand for sanitation

• To safeguard and protect the health of flood affected communities from water, sanitation and hygiene related diseases by means of undertaking a series of measures:Ensuring 100 % safe management of excreta, attaining

and sustaining the open defecation free statusPromoting the use of safe, hygiene latrines and other

sanitation facilities for men, women and children living in flood-affected areas

Pursuing for improved hygiene behaviors

• Phased Approach to Implementation

Programme Objectives

Programme ComponentsEngagement Strategy with the Government

Training Session

Orientation on Triggering Plans

Training Workshops for IPs

Project coordination & Implementation Committees

Institutional linkages and capacity building

IEC Strategy

MappingRoll out through a cascade model

Conducting KAP/ Formative research

Mass Media Campaign

Campaigning for improved hygiene behavior

PRA Manual & Tools

Cross Cutting Issues

Demand Creation Interventions

Supply Side Interventions

End of the Pipe Solutions

Incentives

Attaining Total Sanitation

Results based M&E Framework

Best Practices & KM

Roll out of M&E Framework

Monitoring database

Certification Criteria

Mid Term/End Term Evaluations

Monitoring, Evaluation & Learning

Programme Components

Key Achievements ~ 2.6 million people residing in ODF environment in over 1,200

villages; Promotion of ownership and acceptability of this program at all levels

of government: federal, provincial, &district levels Successful partnership Sustainability: support to ensure availability of low cost sanitation

material through creation of 36 sanitary marts, and training of 104 community entrepreneurs;

406 master trainers, 1,945 community based CRPs trained and have supported the triggering. Over 4,787 village sanitation committees formed

Sanitation Marketing strategy Constructed wetlands (end of pipe treatment) in progress, three units

completed

Lessons Learned (…along the way) Sanitation demand should be created through a multitude of

options…CLTS triggering, Behavior change communications through IEC material, interpersonal channels and mass media

CLTS triggering with children… mobilize them as activists and the agents of change

Market for sanitation goods and services should be operative and known…meeting the increase demand for sanitation post triggering

Persistent approach with the communities post attaining the ODF status….functional involvement of the LGIs, continuous support to CRPs/ Activists, introduction of sustainable and quality solutions both at household and community levels

Continuous monitoring and evaluation…external monitor helps integrate the learning's in implementation process

Support for community incentives….. provide encouragement Support to Village Sanitation Committees (VSCs)….cross

learning, financial sustainability

United Nations Children’s Fund

Pakistan Country Office

90 Margala Road, F-8/2

Tel: 051-209-7848

www.unicef.org

© United Nations Children’s Fund

Photo © UNICEF/PAK2011/Shehzad Noorani