jtr 9 report on sanitation and hygiene, case of amhara and
TRANSCRIPT
JTR 9 Report on Sanitation and Hygiene, case of
Amhara and Dire Dawa Region
Amhara and Dire Dawa Team
MSF 7
National WASH Multi-Stakeholder Forum 7 Hilton Hotel, December 16-17, 2015
Content
– Back ground
– Findings - Success and Challenges
– Recommendations
– Possible proposal for strategic direction of WASH (undertaking)
MSF 6
Background
• Regions: Amhara Region (Mecha and Merawi Woredas, Mechakel and Woreta towns) and Dire Dawa City Administration
• Team: FMOH, MOE, MOWIE, MoFEC, DFID, WB, WHO, WaterAid, SNV and MWA
• Objective of the visit: To review sanitation and hygiene progress to generate evidence as an input to the MSF 7.
MSF 7
Findings: Best practices • Coordination:
– CWA is better managed in terms of planning, implementing and reporting
– Review of the OWNP has been done by the TWG – In case of Amhara, there is regional hygiene and sanitation
taskforce, which has about 15 members
• Access: • Strong commitments for increasing access to water, sanitation
and hygiene – Water access: 89% (currently 51%), School 50%, HC 49%, HP 39% – Toilet: Improved 56%, Road side every 5km, school 100%, HC 95%,
incinerator 68%, HP 5%. – ODF 53%, Good experience on MHM in some of the schools
MSF 7
Findings: Best practices • Service delivery:
– Clean and Safe Hospital initiative has significant impact on Dill Chora Hospital (DD) and Health centers.
– Construction of Land fill site and Dry bed (liquid waste at DD)
– Cost recovery mechanisms using water bill
– Starting direct solid waste collection from HH
• Sustainability:
– Construct new toilets when their toilets gets full
– Use community structures for dialogues, promotion
– Engagement of small and micro entrepreneurs
MSF 7
Findings: Best practices
• Finance: • 1.5 million birr allocated from Woreda budget for Water
• Creating link between WaSH and other interventions such as school grant (Dire Dawa), raising internal revenue
• Others: • Cleansing campaign organized every Friday, led by the town
administrator.
• Strong commitment to address issue of equity through creating access to different facilities (DD).
MSF 6
Findings: Challenge • Coordination:
– Mix up/ misunderstood CWA and OWNP
– Absence of Coordination Offices at all levels
– Give low attention for other sources – govt, NGOs, PS, community
– Key organizations in urban setting not included in the SC
• Capacity: – Limited professional staffs & high turn over (low incentive)
– System specially in the urban settings – framework, guideline, standards, data management (no indicators on the HMIS), over lapping and un clarity of mandates etc.
– Poor management of facilities (land fill, dry bed and Public latrines')
• Procurement and logistic:
– Shortage of vehicles and motorbike, manual
MSF 7
Findings: Challenges • Budget:
– shortage for urban sanitation and school sanitation (software),
– Low utilization rate, not earmarked in health & education sector
• Management and ownership: – Weak management of school WaSH facilities, limited efforts on behavioral
change
– Weak management of land fill site, dry bed at DD
– Management of public toilets, ownership
– Weak resources management (tariff setting and collection of fee from customers (Werota) and Merawi
– Weak staff personal safety and protection
• Others: – Limited support and follow up from MOH and MOE
– Low engagement and involvement of NGOs
MSF 7
Key Recommendation • Establish fully staffed and equipped Coordination Offices in all regions, Clarity
b/n CWA and the OWNP
• Strengthening the capacity of the Wored/ Town WASH Team (WWT), Regular field visit by the WWT
• More environmental health professionals in the health sector
• Sanitation and hygiene should be political agenda at all level
• Urban sanitation needs special attention as it is complicated
• More effort from government to coordinate CSOs work with the OWNP
• Safe water handling and water safety plan demands better attention at woreda level and practiced properly at the community level
• MOH and MOE should strengthen their follow up and support to the regional and woreda WASH team
• More attention for institutional WaSH
• Promote inclusive WaSH design in school
MSF 7
Possible proposal for strategic direction of WASH (undertaking)
• Establish fully staffed and equipped Regional WaSH coordination office in line with the WIF and to ensure effective implementation of set targets under one WASH program and beyond.
• Give focus for an Integrated urban sanitation and hygiene practice through establishing transparent management system, creating access, establishing standards, regulation and enforcement
• Strengthen the support and follow up to the effective implementation of institutional WASH in terms of financing, structure etc. and use them as a means to promote a change.
MSF 7
With and Without Cart
MSF 6
Solid Waste Reuse for Fencing
MSF 6
Liquid waste for Wetland
MSF 6
MHM Practice
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Disposal site
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School Toilet
MSF 6
Thank You!!!