hygiene promotion in schools after the cholera outbreak in haiti, 2010

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STRIKING WASH COMMUNICATIONROUND 2: URBAN WATER IN DEPTH WORLD WATER WEEK STOCKHOLM 2011 CeTAmb - Research Centre on Environmental Management for developing countries University of Brescia, Italy www.ing.unibs.it/cetamb/ CESVI - International Humanitarian Organization Bergamo, Italy www.cesvi.eu HYGIENE PROMOTION IN SCHOOLS AFTER THE CHOLERA OUTBREAK IN HAITI, 2010

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Hygiene promotion in Schools AFTER the cholera outbreak in Haiti, 2010Presentation at the Striking WASH Communications event at the 2011 Stockholm World Water Week by Daniela Giardina.

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Page 1: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

“STRIKING WASH COMMUNICATION”ROUND 2: URBAN WATER IN DEPTH

WORLD WATER WEEK STOCKHOLM 2011

CeTAmb - Research Centre on Environmental Management for developing countries

University of Brescia, Italy

www.ing.unibs.it/cetamb/

CESVI - International Humanitarian Organization

Bergamo, Italy

www.cesvi.eu

HYGIENE PROMOTION IN SCHOOLS AFTER THE CHOLERA

OUTBREAK IN HAITI, 2010

Page 2: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

WHAT IS SPECIAL ABOUT THE CASE?

12th January 2010 earthquake

Deaths: 222.750 Injured:300.572Displaced: 2.3

millions

22nd October 2010 cholera outbreakReported cases: 363,117Reported deaths: 5,506

(OCHA, 1st July 2011)

WASH project in a post-emergency setting, that faced a new emergency of a cholera outbreak….

Page 3: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

Less than half of population had access to safe drinking water, and 19% was the sanitation coverage. (Source: WHO/UNICEF, 2008)

Direction Nationale de l’eau et l’assainissement (DINEPA) has the responsibility of the programmatic strategies towards the improvement of water and sanitation facilities.

Ministere de la santé publique et de la population (MSPP) controls health issues of public concern.

WATER AND SANITATION IN HAITI

Page 4: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

WASH IN SCHOOLS

Target: 42 schools in Petit-Goave and Grand-Goave (West Department)Pupils: 25,000Teachers: 1,600Implementing Agency: CESVIFinanced by:

Page 5: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

OBJECTIVES OF THE ACTION

Main aim: Create a safe and healthy learning environment for children

Activities: Assessing main gaps and

needs in WASH of the selected schools.

Building/repairing water and sanitation facilities, respecting DINEPA standards; and

Carrying out hygiene promotion campaigns among teachers and children.

Page 6: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

SANITATION?

“Addressing school water, sanitation and hygiene for the recovery phase in Haiti 2010”D. Giardina, F. Prandini & S. SorliniIn proceedings of WEDC 35th International Conference, The future of water, sanitation and hygiene in low-income countries: Innovation, adaptation and engagement in a changing world 6-8 July 2011, Loughborough University, UK

I don’t like to use the latrine at school. They are too smelly,

dirty and the door doesn’t lock. So, I just go outside them [...]

I just don’t go to do my at school.

I just wait until I reach my tent and I use my neighbour’s, [...]

there is more light

Page 7: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

HAND-WASHING FACILITIES?

At the water pump

Taps (water supply

network)

Buckets Nothing

19% 24%14%

43%

SOAP was present only in 9 schools

(25%)

At the school there is no water to wash

my hands

Page 8: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

GLOBAL HAND WASHING DAY 15TH OCTOBER 2010LAVATHON in partnership with

Oxfam Intermon & GVC NGOAim to make a “marathon of washing hands with soap”1 soap and 1 handkerchief DJ setReached Over 5000 per town

Bonjou dlo, Bonjou savon

BUT FEW DAYS LATER……………

Page 9: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

COMMUNICATION IN ACTION Objective: to spread message as

quick as possible. Audience: Teachers, professors,

directors, children, education officials. Strategy: Communication activities

were coordinated with Clusters and DINEPA/MSPP; and through ad-hoc created working group.

Human resources: 34 among animators and hygiene promoters were involved.

Financial resources: 2.5 USD per beneficiary per 10 month action.

Page 10: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

CHOLERA AWARENESS TOOLS

297 teachers and professors in the

first week

12 SMS developed by MSPP

Example message #1 Wash your hands with treated water and soap especially - before cookingBefore eating - when sorting from a latrine [...]

I’m scared. I’ve never heard before about

cholera. What if it affects my children...

PostersLeaflet on ORS

Practical Sessions

Page 11: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

RESULTS1 cholera suspected case at the project schools (January 2011)

KAP survey in 22 schools carried out End of November 2010

146 Teachers/professors

96% reported to know what cholera disease is and could indicated at least two methods of prevention.

Page 12: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

RESULTS

86% of children reported to have heard about cholera disease, either from the radio or from the teachers/animators; and to know at least two methods to prevent it.

Page 13: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

LESSONS LEARNED Great coordination with MSPP/DINEPA and

Clusters in preparing in a timely manner messages to be spread.

Short messages straight to the point are easily understood and remembered.

Use of positive messages linked to the hygienic behavior especially after people suffered from a disaster and losses of relatives.

Fear has been studied as powerful driver in hygiene behavior change, but long term monitoring is needed to prove sustainability after the epidemic is over.

Page 14: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

CETAMB IS...

a research centre on appropriate technologies for environmental management in Developing Countries based in Italy

Information sharing on appropriate technologies through courses and national and international conferences.Interdisciplinary collaboration with INGO, Universities and research centres.

Page 15: Hygiene promotion in Schools after the cholera outbreak in Haiti, 2010

THANKS FOR YOUR ATTENTION

For further information:

Daniela Giardina

Email: [email protected]