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The USAID/Kenya and East Africa Afya Jijini Program

The USAID/Kenya and East Africa Afya Jijini Program. USAID FP/RHMNCAH/NUTRITION AND WASH IMPLEMENTING PARTNERS’ ANNUAL SYMPOSIUM THEME: EVERY CHILD COUNTS VENUE: SAROVA WOODLANDS, NAKURU DATE: 25 TH -28 TH 2018.

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The USAID/Kenya and East Africa Afya Jijini Program

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  1. The USAID/Kenya and East Africa Afya Jijini Program

  2. USAID FP/RHMNCAH/NUTRITION AND WASH IMPLEMENTING PARTNERS’ ANNUAL SYMPOSIUM THEME: EVERY CHILD COUNTS VENUE: SAROVA WOODLANDS, NAKURU DATE: 25TH-28TH 2018

  3. Utilization of Urban Community Led Total Sanitation approach for Sanitation Behaviour Change: Our Experience in Nairobi's informal settlementBy Ali Abdi USAID-Afya Jijini Program -

  4. Presenter Bio & Picture Name Ali A. Abdi Work Experience Nationality Kenyan 16 Years in aid and humanitarian work, Emergency and Development . Hobbies Education Clinical Research MSc- Global Health and Development (UCL-UK), BSc Phycology (UoN- Kenya); Registered Clinician Contact Info Animal Lion . aliabdi@imaworldhealth.org

  5. Presentation Objectives To share experiences of Urban context CLTS approach (UCLTS) from Informal settlements in Nairobi . 05 02 01 To outline innovations/effectiveness from demand creation . To highlight the uniqueness & challenges of UCLTS

  6. Introduction and program description

  7. Introduction continued…

  8. Nairobi City Urban Villages Open defecation in urban is defined: involves OD in open spaces, fixed point OD, sewer burst- spewing feacal sludge on the ground surfaces, used diapers/pumbers in the open surfaces

  9. Program Description

  10. Experiences from Afya Jijini Implementation Approaches

  11. Experiences continued…

  12. Results Snapshot 486 6% Reduction Disease burden Water treatment Open Defecation Increased Community Change agents Diarrhea burden reduced Training Water Treatment Sanitation Facilities On-the job trainings Change agents 6% reduction in open defecation in supported informal settlements, based on a community and household accessibility to sanitation facilities assessment 486 sanitation facilities built and/or provided in the 33 triggered villages (impacting more than 700,000 catchment population residents) Over 57,600 households have been supported with point-of-use water treatment - 26,443,200liters of water. The UCLTS approach has empowered community leaders and facilitators in the communities to be change agents in sanitation. Reduction of diarrheal disease burden with 129,786 cases treated so far. Villages which used to have frequent outbreaks of cholera do not experience the same after adoption of UCLTS approach The on-the-job training provided by the project has contributed to improved knowledge, skills and quality of facilitation during triggering and post-triggering monitoring and follow-ups. . Training Over 600 health workers and community resource persons were trained on water, sanitation and hygiene models On job training

  13. Lessons Learnt UCLTS for behavior change Accessibility Awareness Creation Need to ensure that supply side of the equation is addressed and hygiene and sanitation facilities are accessible to communities UCLTS contributes to creating demand for sanitation services through awareness creation UCLTS can be utilized as a tool for sanitation behavior change in informal settlements in urban settings There is need to change policy both National and County Levels to strengthen multi-sectoral approach in achieving Sanitation Behavior Change

  14. Implementation Challenges 01 Land/plot owners Absentee landlords/landladies. 02 Sanitation actors Few sanitation actors on the supply side Insecurity in the informal settlements, leading to closure of public latrines 03 Insecurity Filled latrines and septic tanks as source of open defecation (OD) in the informal settlements 04 Sewage System Geological challenge where landlords were reluctant to build toilets, attributed to inability to excavate to reasonable depth due to the hard rock Challenges 05 Geological • Minimal funding of the activities by the government • . 06 Funding Protocol & Policy gaps – verification tool, standardized monitoring tool and 3rd party certification protocols 07 Protocol and policy

  15. Recommendations and Way Forward

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