Monthly Archives: October 2009

Guinea / Guinea-Bissau: driving home the cholera message

In Bafata, Guinea-Bissau, children go door-to-door counting mosquito nets, monitoring hand-washing and checking the distance between kitchens and latrines. The activities are among efforts by health NGOs and authorities to fill the gap between cholera-prevention messages and behaviour, after a 2008 epidemic killed some 220 people and infected at least 13,000.

The national flag is hoisted in front of the cleanest house, and the family is feted in schools and on local radio, Ingrid Kuhfeldt, head of NGO Plan International in Bissau, told IRIN. Plan International, which has been working in Bafata for 15 years, launched the scheme to prevent future cholera outbreaks.

“There is much more competition now on who has the best hygiene materials and the cleanest house – we hadn’t seen this kind of rivalry before,” Kuhfeldt said.

Children also try to dispel hygiene “myths” with families – for example that lemon juice can disinfect water – and show people how much chlorine to drop into a well to clean the water, Kuhfeldt said.

Rather than resenting the children, adults listen, partly because of children’s rising status in society over recent years, according to Kuhfeldt. “[People] have a growing respect for their children having seen them make speeches in front of audiences in schools, heard them on the radio and seen them set up committees,” she said. “They’re starting to realize they can learn from [the children].”

In Guinea, with the support of aid agencies and the local health services, a local radio station in Kindia helps spread hygiene messages through radio spots and village contests. A team from the radio station organizes public games in remote communities, quizzing people on hygiene and cholera prevention and asking people to make up songs on a hygiene-related theme, according to Aboubacar Sylla, head of programming at the station. Prizes include radios, water buckets or farming tools.

“Hundreds of people come out for these activities; people really like it,” Sylla said. “And it is quite interactive; we encourage everyone to talk about the subject at hand.”

Bafata and Kindia recorded no cholera in 2008, despite infections in neighbouring regions.

Source: IRIN, 15 Oct 2009

West Africa: stopping cholera emergencies

Cholera outbreaks in West Africa generally trigger extra hand-washings in households and panic-buying of bleach for treating water. But beating the deadly – but easily preventable – illness requires that such hygiene practices become routine, health experts say.

Researchers with the London School of Hygiene and Tropical Medicine (LSHTM) say knowing the drivers behind behaviour and tying hygiene messages to those impulses is crucial for preventing cholera, which has become a recurring health emergency in West Africa.

“If we want sustainable change we need to make sure people practice things so they become habits,” Jeroen Ensink of LSHTM’s environmental health group told IRIN.

One way for aid agencies to do so, he said, is to dissociate hygiene messages from cholera – which is seasonal – and link them instead to general diarrhoeal disease.

Ensink also said it might be time to “re-brand” hygiene and health messages, as knowledge of cholera’s causes does not always translate into new habits. “Hand-washing messages need not be just about health; they can be about: if you want to be modern, to smell nice, to be attractive to the opposite sex, use soap.” The use of proper latrines can be linked to privacy instead of just proper hygiene, he added.

LSHTM has studied the impact of government and aid agency prevention and preparedness measures in Guinea and Guinea-Bissau as part of a project funded by the European Commission humanitarian aid department (ECHO).

Coherent

The ECHO project aims to build a more coherent approach to cholera control with sound preparedness and early response. And ECHO says ‘quick impact’ actions in vulnerable communities should be accompanied by longer-term prevention measures.

To date, emergency and development strategies fail to address the disease properly, lacking common objectives and complementary actions, ECHO says.

ECHO is focusing on Guinea and Guinea-Bissau, where cholera has become endemic; during 2007 and 2008 over 23,000 people were infected and 560 died in the two countries.

But all of West Africa is highly vulnerable to cholera and a regional approach is needed; ECHO and its partners will study lessons from Guinea and Guinea-Bissau to see what might be applied more widely.

As part of the ECHO-funded project UNICEF and NGOs are training local health workers in responding to cholera, boosting communications strategies and developing emergency kits, which include sanitation and water purification materials, to keep outbreaks in check.

[T]o be effective anti-cholera actions must not be merely reactive, health experts say. LSTHM researchers observed in Guinea-Bissau that while most people could recite verbatim hand-washing and other hygiene messages, they apply them consistently only when cholera strikes. Changing such behaviour takes years, not months, said LSHTM’s Ensink.

Source: IRIN, 15 Oct 2009

Uganda: Busia District rewards hygienic homes

Busia district health department is rewarding area residents who keep good hygiene in their homes, but those who fail to maintain proper hygiene will be arrested and prosecuted. The drive, named the Home Improvement Campaign, was launched in Majanji parish in Lumino sub-county on Friday, 23 October 2009, by the district chairperson, Patrick Wedakule.

Speaking at the ceremony, the health inspector, Tony Wabwire, said the district would reward residents who have all the necessary sanitary facilities in their homes. The best at parish and village levels will get a bicycle and a 20-litre jerrican, Wabwire said, while the homes which ranked second will walk away with a basin.

He noted that the rewards would encourage the residents to improve their home and personal hygiene. Wabwire, however, said those who fail to maintain proper hygiene will be arrested and prosecuted.

Majanji, where the campaign was launched, is ranked the dirtiest area. Majanji is situated on the shores of Lake Victoria. The district health officer, Dr. Bwire Oundo, asked the communities to take health seriously.

Oundo argued that ill-health retards development because a lot of money is spent in hospitals and that people become too weak to work.

He also emphasized the need for proper hygiene, saying it would safeguard the residents from disease outbreaks that are likely to come with the heavy rains.

Vincent Adeya, the deputy chief administrative officer, noted that there was low pit-latrine coverage in schools in the district.

Adeya blamed this on the inadequate funding given to the schools.

Source: Egessa Hajusu, New Vision / allAfrica.com, 26 Oct 2009

South Africa: addressing water wastage

How do you fix a leaking pipe? You plug it, of course, but what if there are tens of thousands of water connections all with potentially leaking taps and toilets?

To plug or replace all the faulty connections would cost tens of millions of dollars.

Ronnie McKenzie, managing director of engineering consultancy company WRP, said a flood of substandard cheap fittings had been used in houses.

This was “effectively a time bomb” because they were not designed to handle the water pressure or the heat and cold of southern African conditions.   But something has to be done. Water – a scarce resource – was literally going down the drain.

This was the problem in Sebokeng township in the Gauteng province of South Africa, home to about 420,000 people with 84,000 water connections, said McKenzie.

To fix the problem directly by retrofitting houses would have cost an estimated 21 million dollars, he said.

In this case, plugging the holes wasn’t possible, but reducing the water pressure – and therefore the amount of leakage from the pipes – was.

WRP installed pressure reducing valves on the main pipe supplying water to the township, saving $4 million of water a year for the municipality, compared to the $600,000 it cost to build the pressure management system four and a half years ago.

But Geraldine Hochman, a senior policy specialist with water and sanitation NGO Mvula Trust says while municipalities do waste “quite a lot” of water and don’t have proper monitoring in place to tell them were the leaks are, in the larger context of the country’s water consumption the amount of water used by municipalities is negligible.

“The thing is domestic water wastage is far more visible,” she said, giving the example of a tap left running for all to see in a populated urban area, compared to a farmer using water through inefficient irrigation.

Agriculture uses 64 percent of water in the Orange-Senqu river basin, a key water system for the country, while urban use, which includes both domestic and industrial consumption, accounts for 23 percent.

The water affairs department reports that 180 billion litres a year was lost to illegal water use for irrigation on the upper Vaal, part of the Orange-Senqu system.

In June, South Africa’s Water Affairs Minister, Buyelwa Sonjica, highlighted concerns about major water losses in the agricultural sector.

Quoted ahead of a budget vote in Parliament, she noted the difficulty in monitoring and enforcing how much water was extracted from dams and rivers. In follow-up comments, the department said measurement of water supply and use in the agriculture sector was poor to non-existent.

Water affairs spokesperson Linda Page maintains that efficiency improvement measures are being implemented in the agricultural sector, but argues that all sectors should be seen as equally important when it comes to minimising losses.

She said domestic sector water was more costly than water abstracted for irrigation and was also an area – along with industrial use – where demand is expected to grow, meaning that it made sense to ensure that water was used efficiently in these sectors.

An awareness kit produced for the Orange-Senqu River Commission (ORASECOM), set up under the SADC Shared Watercourses Protocol to advise the four countries in the basin on water issues, notes that water conservation and demand management are “urgently required” in the region and, unless implemented, many will suffer from inadequate water resources within the next 20 to 30 years.

Ensuring an adequate supply of water would require the basin countries to resolve the problem of low popular awareness that the region’s resources were finite. In addition, inappropriate tariff structures, poor cost recovery, and problems of getting payment for water supplies would need to be solved, says the kit.

But some, like water specialist Dr Anthony Turton, argue that a “big priority” should be the theft of water stolen by farmers who have no abstraction permits, which causes a reduction in the assurance of supply to electricity giant Eskom and petro-chemicals company Sasol.

“South Africa has the most progressive water law in the world. What is lacking is enforcement. The simple answer therefore is to enforce the law that already exists.”

Hochman believes that technical solutions – such as pre-paid meters – need to consider social components and that the public need to be informed about the measures taken to address demand issues.

Meanwhile, Hameda Deedat, a steering committee member of the South African Water Caucus, a civil society grouping, said innovation had a role to play in addressing wastage. She questions why, for example, rainwater harvesting is not used in Cape Town through the installation of water tanks in residential households.

“There are sustainable ways to address the issue,” she said.

*This is the fifth in a series of articles on the Orange-Senqu River Basin. (END/2009)

Source: Patrick Burnett, IPS, 16 Oct 2009

DR Congo, Kinshasa: millions have access to potable water because of unofficial distributors

A World Bank study revealed that only 22% of the population of the Democratic Republic of Congo has access to potable water, although the picture is brighter in the capital, Kinshasa, where 41.5% of residents have water service. Serge Ikamba, former counselor in charge of infrastructure for the Ministry of Public Health, blamed the shortage upon antiquated water networks, most dating back to colonial days 50 or 60 years ago. Failing a reliable water supply from the state-run REGIDESO utility, most people fall back upon private vendors. In Kinshasa, these consist of thousands of small boys who sell half-liter plastic bags in the streets for 50 francs apiece. [Global Water News WatchSummary by Louise Shaler, 12 Oct 2009]

Source: Emmanuel Chaco, IPS [in French], 12 Oct 2009

Mozambique, Niassa: loan agreement for signed with ADB for provincial towns water project

The Mozambican government and the African Development Bank signed a loan agreement in Maputo on 23 October 2009 to finance three projects, one of which is the Niassa Provincial Towns Water and Sanitation project.

The ADB is providing credit of 27 million dollars to improve water supply and sanitation in Lichinga and Cuamba, the two major cities in the northern province of Niassa. This will rehabilitate and expand the entire water extraction, treatment, storage and distribution system, with the result that a further 160,000 households will benefit from supplies of clean water.

This will raise the clean water coverage rate for Lichinga and Cuamba from nine per cent of the population to 70 per cent by 2015.

Source: Agencia de Informacao de Mocambique / allAfrica.com, 23 Oct 2009

Tanzania: Death toll rises as cholera spreads

An outbreak of cholera in northern Tanzania has continued to spread, claiming 59 lives over the past two months. Health ministry officials reported 60 new cases last week. A total of 3,454 cases of cholera were recorded in Tanga region during the last eight weeks, a health ministry spokesman said.

The most affected area was in Handeni District, where health officials have attributed the outbreak to ignorance of hygiene practices.

Seif Mpembenwe, Handeni district commissioner, said schools that had been closed because of the outbreak were expected to re-open in November. He said residents had been advised to dig and use toilets as well as boil drinking water to prevent cholera.

Health officials fear that the long rains due now could lead to more cases of cholera if correct hygiene is not observed.

Source: IRIN, 23 Oct 2009

Uganda / Senegal: New procurement notices for the Global Sanitation Fund

WSSCC’s Global Sanitation Fund has issued two new calls for tenders and expressions of interest. Below is a brief description, deadline and link for more information related to Country Programme Monitors in Uganda and Senegal.

• Call for Expression of Interest (EOI), Country Programme Monitor, Global Sanitation Fund, Uganda. Deadline date: 5 November 2009
Download the call

• Notice for Open Tender (RFP), Country Programme Monitor, Global Sanitation Fund, Senegal. Deadline date: 16 November 2009
Dowload the call

Please send enquiries about these notices to WSSCC and not to this blog.

About the Global Sanitation Fund

The purpose of WSSCC’s Global Sanitation Fund is to help large numbers of poor people to attain safe and sustainable sanitation services and adopt good hygiene practices. The Global Sanitation Fund is a single pooled fund open to contribution from any source. The money is allocated to Executing Agencies in carefully selected countries, which then grant funds to Sub-Grantees who implement the sanitation and hygiene work programmes agreed for each country. The whole system is closely monitored by WSSCC as well as in country and global audit mechanisms, of which the Country Programme Monitors are an important mechanism.

More information on the Global Sanitation Fund

Zimbabwe: new cholera outbreak kills five

A fresh outbreak of cholera has killed five people from more than 100 recorded cases, state media reported, raising fears of a repeat of last year’s epidemic that claimed more than 4,000 lives.

The southern African country suffered the continent’s worst cholera outbreak in 15 years between August 2008 and June this year after its public health and water and sanitations systems collapsed.

A new unity government formed by rivals President Robert Mugabe and Prime Minister Morgan Tsvangirai has managed to stabilise the economy, re-open hospitals and restore some water supplies, but the latest outbreak shows the disease remains a threat.

A senior Health Ministry official, Gerald Gwinji, told the state-controlled Herald that the five deaths had been recorded from 117 cases in the Manicaland, Mashonaland West and Midlands provinces. “Most of the cases were recorded … among religious objectors, who for a long time have been reluctant to seek medical attention,” Gwinji said.

Aid agencies have warned that while conditions have slightly improved since last year’s cholera outbreak, water supply and sanitation problems that led to the epidemic still largely exist.

Source: Nelson Banya, Reuters, 20 Oct 2009

Ghana: journalist wins international award for water and sanitation campaign

Raphael Ahenu receiving his award from Terry Waite

Raphael Ahenu receiving his award from Terry Waite

A Ghanaian journalist and human rights campaigner has won a British award for his water and sanitation campaign. Raphael Ahenu received a 2009 SMK Campaigner Award in the international category on 17 September 2009.

Mr. Ahenu is campaigning for clean water and sanitation facilities to be provided to 100 communities, schools and hospitals in the Brong-Ahafo and Ashanti regions of Ghana by 2015. Through radio talk shows and other publicity methods he mobilises rural communities to demand their rights to such facilities. Mr. Ahenu plans to advocate at the local level and lobby central government so that water and sanitation facilities are provided to rural communities in both these regions.

The Sheila McKechnie Foundation (SMK) is a charity set up in 2005 to connect, inform and support campaigners. The winners of the annual SMK awards receive support, advise and training to further develop their campaigns.

Mr. Ahenu is CEO of African Media Aid (AFRIMA) based in Sunyani. He offcially launched his “Access to Clean Water and Sanitation” campaign on 25 September 2009 at Odumase in the Sunyani West District of the Brong-Ahafo Region. Ay the launch, he announced that from next year AFRIMA and Global Media Foundation (GLOMEF) would be presenting Sanitation and Hygiene Awards to recognise outstanding achievements in this area by organisations, individuals and communities in Ghana.

See a short interview with Raphael, speaking just after he received his award from humanitarian and former envoy for the Church of England Terry Waite.

Source: SMK, 17 Sep 2009 ; Michael Boateng, The Chronicle / allAfrica.com, 25 Sep 2009