27th International World Water Day and water

Expo celebration “Leaving No One Behind”

March 22, 2019

Sanitation Microplanning – a Road-

Map to Achieve the SDGs

Ekram Redwan, Director, Hygiene and Environmental

Health, Ministry of Health

Intro - Ethiopia’s Sanitation Road Map

HEP2004 – Health Extension Program (HEP)(34,000 health extension workers)

2007 – Community Led Total Sanitation

and Hygiene (CLTSH)

OWNP

2013 – ONEWASH National Programme

HEH

strategy

2016 – Launch of Hygiene and

Environmental Health Strategy

MHM

Baby

WASH

2017 - Launch of MHM and Baby

WASH Strategies and Guidelines

2019 - Launch of

sanitation Micro plan

Key Sector Achievements:

• Ethiopia had the largest reduction

in ODF in the world in MDG Period

(92% -> 29%).

Key Remaining Sanitation Challenges:

• High levels of unimproved sanitation (93%)

• Poor sanitation provision in institutions

• Risk of emergencies undermining sanitation

progress

Micro-

planning

To Accelerate Sanitation Progress in Ethiopia:

A solid plan is

needed with a

strong

implementation

mechanism

and monitoring

framework

Accordingly MoH with support from

UNICEF started developing the

micro-plans:

• For improving sanitation and

hygiene in Communities,

Schools and Health Facilities

(knowing where we are at the

lowest level of action)

• Costed Plan to leverage

resources

• For monitoring to track

progress periodically

Sanitation Microplans - Methodology

➢ MoH and UNICEF developed templates required to collect information

at micro level. (Kebelle level)

➢ Templates have been presented in each regional initial workshops, agreed and

translated to regional local languages.

➢ Information was collected by HEWs with support from schools.

➢ Unit costs were developed by regional core groups (from the RHB, RWB, REB

and other partners supporting WASH) and are region specific.

➢ The information collected and unit costs developed were validated during

regional validation workshops

➢ Unit costs have been further harmonized and clustered at national level.

➢ Costed plans were developed against the validated information and revised

unit costs

Sanitation Microplans - Process

Sanitation micro plan validation workshop Somali region ©Netsanet Kassa, 2018

The data is then aggregated from village level to kebele, woreda, zone, region and to the national level.

Key Results

For the first time, a full analysis of the sanitation coverage and the costs needed to achieve the HSTP/GTP2 targets (2020) and the SDG targets (2030) to kebele level

The data include achieving safely managed sanitation at household level, schools and health facilities

The resource requirement to meet SDG and GTPII targets are estimated and fed into the OWNP Phase 2

• Total National Cost Estimate GTP2 = USD 1,089,932,732

• Total National Cost Estimate SDGs = USD 1,838,698,468

Community Sanitation – Coverage

and Costs

Primary ODF by woreda

School WASH – Coverage and Cost

Information collected on school WASH:

• gender segregated sanitation facilities meeting the national standard, water supply facilities with in-premises, functional handwashing stations and MHM facilities.

The information collected shows:

• where we are in terms of the school WASH service ladder

• How close we are to HSTP target

• The resource requirement toachieve the HSTP/GTPII and SDGTargets

Health post / Health centre WASH

– Coverage and CostsWASH information collected onhealth posts and health centres:

• Protected water supply facilitywithin their premises and in thematernity ward

• Standard sanitation facility in thepremises and in the maternityward

• Incinerator, placenta pit andinfectious waste disposal pit

The information collected shows :

• where we are in terms of thehealth facility WASH serviceladder.

• How close we are to HSTP target

• The resource requirement toachieve the HSTP/GTPII and SDGTargets

National Sanitation and Hygiene

GTP II and SDG - Cost EstimationTwo sets of estimated costs were produced:

1. For the HSTP/GTP2 target by 2020

- Community sanitation 82% =USD 400,685,196

- Health centre/health post WASH 60% = USD 92,096,463

- School WASH 80% = USD 609,226,501

Total = USD 1,089,932,732

2. For the SDG Target of universal coverage by 2030

- Community sanitation 100% = USD 736,954,774

- Health centre/health post WASH 100% = USD 273,435,411

- School WASH 100% = USD 828,308,283

Total = USD 1,838,698,468

Note: cost estimation was calculated considering the current coverage as a baseline

Next StepsThis data-set, endorsed by the Ministry of Health, is a living document that will be refined on a regular basis

• Regional Dissemination: Detailed woreda-level data sheets and maps will be disseminated to each region. These will greatly help to target and prioritise areas for investment and follow up

• As standard unit costs have been used, regions can be benchmarked for progress against each other, and also woredas within regions

• At the federal level, a national database is under development; the aim is to have an online sanitation monitoring system that regions can periodically update and track progress.

• Urban sanitation to be added in next level

• The information collected in this sanitation microplanning process will feed into national WASH inventory

Example

Regional

Profile –all the facts

at your

fingertips

Next Steps

Online

Sanitation

Database for

Ethiopia –

Under

Development

Next Steps

Thank You!Please Use the Data! For further information contact:

Ekram Redwanekram.redwan@moh.gov.et

Abireham MisganawAbireham.Misganaw@ moh.gov.et

Jane Bevanjbevan@unicef.org

Netsanet Kassankassa@unicef.org

Federal Democratic

Republic of Ethiopia

Ministry of Health