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STATUS OF HOUSEHOLD WATER TREATMENT AND SAFE STORAGE IN

KENYA

JOHN G. KARIUKIDeputy Chief Public Health Officer

MINISTRY OF PUBLIC HEALTH AND SANITATION.

IHWTS CONFERENCE ENTEBBE UGANDA

27TH-30TH JUNE 2011


BACKGROUND•HWTS is also referred to as Point of Use Treatment (POU) and household water management .

•It’s an approach used by stakeholders in public health as means of preventing and controlling water borne diseases.

•It’s an approach that has gained momentum in the last 10 years.

•Due to emerging and re-emerging of waterborne diseases world wide, WHO organized the first stakeholders forum in Kenya(2003)


WHY HWTS ?• 1.1 billion people lack access to an improved

drinking water

• 4 billion cases of diarrhoea occur annually, of which 88 % is attributed to unsafe water, and in adequate sanitation and hygiene.

• 1.8 m people die every year from diarrhoeal diseases, the vast majority being children under 5.

• Lack of safe water perpetuates a cycle poverty

• WHO estimates that 94% of diarrhoeal cases are preventable through WASH interventions


BENEFITS OF HOUSEHOLD WATER TREATMENT & SAFE STORAGE?• Safe water is pre-condition for health, development and a

basic human right• Significantly reduces diarrhoea• Dramatically improves microbial water quality • Is among the most effective of WASH intervention.• Is highly cost – effective• Can be rapidly deployed • Contributes much to MDGs

– MDG 7. target 10, which calls for reducing by half the proportion of people without sustainable access to safe drinking water by 2015.

– MDG 4: reduction of child mortality


Kenyan situational analysis• Diarrhoea is top 5 killer of

children under 5 years • Major causes of diarrhoea

– Drinking contaminated water– Poor Sanitation– Poor hygiene

• KDHS 2008/09 reports;– 3 out of 5 Kenyans have access to

improved water sources– 45% of Kenyan HH use

appropriate treatment methods– 54% are NOT treating their

drinking water


Kenyan situational analysis• KDHS 2008/09 reports

– Boiling 28.6%– Chlorination 17.6%– Filters 1.2%– Sodis 0.2%

• House hold water treatment technologies

• Chlorine Based:– Aquatabs, Waterguard, Aquaguard, Pur

• Solar Disinfection– SODIS, Solvaten

• Filtration– Ceramic– Lifestraw– Slow Biosand– Others

• Boiling, Muringa , etc

• There is great opportunity


HWTS Demonstration


School Sensitization on HWTS

Safe storage


HWTS TWG• MoPHS and partners stakeholders are now

implementing HWTS in a co-ordinated manner, through the HWTS-TWG

• In 2003, the first network for HWTS meeting was held in Nairobi, organized by WHO.

• MOPHS/MOWI/UNICEF Water Safety Planning programme is being implemented

• A study on the Evaluation of field performance of HWTS technologies is ongoing


HWTS Work Plan

WHAT ACTIVITY DUE

1.National Guidelines for HWTS

•Review existing guidelines•Update and adopt

July 2011

2. Stakeholder Mapping

•Develop a tool•Identify stakeholders, intervention

30th June

3.Communications StrategyAwareness & advocacy

•Diarrhoeacommunications

•Communicationsplan

•Diarrhoeacampaign ongoing

•HWTS fair done•17TH-18TH March 2011


WHAT ACTIVITY DUE4 Baseline & HWTS regular

monitoring •Develop protocols, •Tools, •Indicators, •Pretest and •Adopt

30th July 2011

5 Capacity Building •Training needsassessment•Develop training standards,•outlines/modules

August 2011

6 Knowledge Sharing and Networking

•Quarterly meeting•Documentation –MOPHS newsletter •National HWTS Workshop

30th June 2011

7 Formative research •Dissemination of research reports

September 2011


Routine HWTS TWG activities• Emergency response

countrywide• Routine water quality

surveillance done in districts with rapid testing kits.

• The MoPHS & MWI strategic plans emphasis on safe HH water supply.• Under the current MoPHS AOP

7 , It appreciates water quality surveillance, gave itself the target of increase WQS by 30%.


Summary of HWTS achievements • Hosted national HWTS stakeholder workshops In

2008 and 2009, courtesy of UNICEF.• Training of over 360 PHOs and Water officers across

the country on water quality surveillance.• Use of field water testing kits

• (paqualabs, potalab, pota test, H2S kits ) were received from UNICEF & WHO.

• Community testing kits

• Chlorine based HWTS products supplied for emergency interventions


Summary of HWTS Achievements• HWTS TWG with quarterly meetings• HWTS National Fair and Conference• HWTS defined Work plan• HWTS recognized in the NESH Strategy/

School health policy and Child Health strategies

• Water Safety Planning Program• Ongoing research in HWTS by government,

UNICEF and partners


HWTS National Fair and Conference


Major Challenges

• Appropriate / comprehensive M & E tools still under development by the HWTS TWG.

• Lack of standardized strategies in the promotion of HWTS technologies

• Mainstreaming of HWTS into Community Strategy


Major Challenges

• National guidelines ongoing

• Most activities have been in a form of crises mgt, i.e when there is Cholera outbreaks and most partners are on emergency / research based and have poor exit strategy.

• National vetting and accreditation of HWTS options still in progress


Challenges


END

THANK YOU

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