maggie montgomery water and health conference, chapel hill oct 2015 international network on...
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Maggie MontgomeryWater and Health Conference, Chapel Hill
Oct 2015
International Network on Household Water Treatment and Safe Storage Regional Workshops
Lessons learned and impact
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Regional workshop overview
• Objectives – Provide a platform for diverse HWTS stakeholders
(Government, international organizations, NGOs, private sector and academia) to discuss key issues
– Develop national HWTS strategies and spark focused action
– Support implementation of Network strategy
• Reach – East Africa (2011), Southern Africa (2012), West Africa
(2013), South East Asia (2014)
– 16 countries involved, over 200 participants
– Government representation from both Ministry of Health and Water-Sanitation
MoH Kenya, John Kariuki
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•By 2015, 30 countries have established policies on household water treatment and storage.-Achieved (> 15 countries have targets, > 30 have policies)
• By 2015, strengthened evidence to guide effective and replicable HWTS programmatic approaches to achieve long-term widespread use and public health impact.-Achieved (evidence on health impact convincing; more operational evidence needed)
•By 2020, 50 countries have achieved country-wide scale up of project-based HWTS.-Not-achieved (boiling only intervention that has achieved scale; do we need scale up or effective targeting?)
Reminder: Network Targets
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Key workshop outcomes
• Increased knowledge
– HWTS M&E Toolkit
– Latest research on integration with HIV, emergencies, child/maternal health
– HWT performance
• Draft national action plans presented on final day (East, West and Southern African workshops)
• Proposals for HWTS monitoring or integration work drafted (SE Asia)
• Global tools
National HWTS plan framework
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Key themes-Wordl from East Africa
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Tools disseminated and developed through influence of workshops
Does it work? How do we implement? (integration; HIV and Nutrition)
Are we having an impact?
Will launch in Nov 2015
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Post workshop progress-Ethiopia
• Held focused national workshop on HWT evaluation and regulation (Feb 2013)
• Used WHO HWTS performance reccomendations to stop distribution of hundreds of thousands of non-performing product in cholera prone region (2014)
• Hosted training for national laboratories on strengthening HWT evaluation (2015)
• Developing stronger national regulations and labelling (ongoing)
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Post workshop progress-Ghana
• Developed and published national strategy, scaling-up model and private sector collaboration framework (2014)
• Included HWTS in outbreak and national preparedness activities in the North
• Strengthening evaluation and targeted distribution and uptake, especially in cholera prone areas (ongoing)
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Post workshop progress-Kenya
• Established a national technical working group on HWTS to provide leadership on integration of HWTS within health
• HWTS now linked with maternal and child health, cholera prevention and control, HIV and nutrition efforts
• Included HWTS on essential medicines list (enable easier distribution through health centers)
• Held series of national promotion events and supported improved safe storage design
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Final note on evidence base: WHO Taskforce on HWTS (2013)
• Basis/Objectives Scaling-up impaired by debate of evidence; review evidence and recommend specific actions
• Participants WHO staff from maternal and child health, nutrition, malaria, neglected tropical diseases, HIV, emergency alert and response
• Recommendations
-Reaching the global HIV target of treating 15 million by 2015 will require addressing safe drinking-water.
-Increase implementation of HWTS to end preventable child deaths from pneumonia and diarrhoea by 2025 ( GAPPD)
-Develop preventive interventions to address multiple diseases associated with water storage. (Dengue and Diarrhoea)
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“Afya ni bora kuliko mali.”
Thank you.Questions?
Health is better than wealth. (Swahili Proverb)