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Saving Lives Through Hygiene. Merri Weinger Hygiene Improvement Program Manager, USAID. 1. What percentage of the 1.5 million annual child deaths caused by diarrhea are preventable? a. 0%-30% b. 31%-60% c. 61%-80% d. over 80%.
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Saving Lives Through Hygiene Merri Weinger Hygiene Improvement Program Manager, USAID
1. What percentage of the 1.5 million annual child deaths caused by diarrhea are preventable? a. 0%-30% b. 31%-60% c. 61%-80% d. over 80%
In what regions of the world does the majority of child mortality from diarrhea take place?
11 countries account for over 70% of the annual deaths globally from diarrhea
2. Out of the total world population of over 6.5 billion, how many people around the globe lack access to safe water? a. 50 million b. 500 million c. about 1 billion d. more than 2 billion
How many people in the world lack access to hygienic sanitation facilities? • a. 2.6 million • b. 26 million • c. 260 million • d. 2.6 billion
4. The only sure way to prevent diarrheal diseases is to ensure that all households have access to water and sanitation facilities. True _________ False_________
5. Which of the following are among the recognized globally important hygiene behaviors for diarrhea prevention? (check all that apply) __ keeping food safe from contamination __ bathing daily __ effective handwashing __ washing feet before entering the home __ hygienic disposal of human feces __ face washing once a day __ clearing brush near the house __ safe water handling, transport, and storage
Safe Feces Disposal Handwashing Safe Storage & Treatment of Water
Hygiene Behaviors to Prevent DD (WHO, 1992) • Keeping drinking water clean • Keeping hands clean • Keeping the environment clean (sanitation perspective) • Keeping food clean
Primary Prevention The F-Diagram Fingers Fluids New Host Food Feces Flies Fields Source: Wagner and Lanois, 1958
Primary Prevention The F-Diagram Fingers Water Quality Fluids New Host Food Feces Flies Fields Source: Wagner and Lanois, 1958
Primary Prevention The F-Diagram Fingers Water Quality Fluids New Host Food Feces Flies Water Quantity Fields Source: Wagner and Lanois, 1958
Primary Prevention The F-Diagram Fingers Sanitation Water Quality Fluids New Host Food Feces Flies Water Quantity Fields Source: Wagner and Lanois, 1958
Primary Prevention The F-Diagram Fingers Sanitation Water Quality Fluids New Host Food Feces Flies Hand Washing Water Quantity Fields Source: Wagner and Lanois, 1958
Key WASH interventions will reduce diarrheal disease by • a. 0-20% • b. 21-50% • c. 51-80% • d. over 80%
POU water treatment - 30-50% reduction in child DD prevalence – twice as effective as interventions at water source • Safe storage – 21% reduction • Proper handwashing - 43% reduction • Sanitation – basic, low-cost systems can reduce DD by 30% or more
7. Name three reasons why household drinking water can often be unsafe for human consumption.
Transport Handling, and Storage
What are effective methods for water disinfection at the point-of-use?
Household Water Treatment Options • Chlorination • PuR • Ceramic Filtration • Biosand Filtration • Solar/SODIS • Boiling
9.What are the critical times for handwashing with soap (or soap substitute) for diarrhea prevention?
After defecation After cleaning a baby’s bottom Before preparing food/cooking Before eating/feeding a baby Critical Times for Handwashing with Soap
10.Which of the following are effective ways of promoting latrines? • Public financing and distribution of latrines to all households • Public shame • Demand creation (e.g. Community-Led Total Sanitation) • Develop partnerships with private sector producers of sanitation technologies (e.g. Sanitation Marketing)
Increasing Demand for Sanitation MAY NOT DEPEND ON HEALTH MOTIVATIONS… RESPECT, PRESTIGE PERSONAL COMFORT, SELF-ESTEEM WHAT FACTORS BESIDES HEALTH MOTIVATED SANITATION ADOPTION IN THIS COMMUNITY?
No Toilet, No Bride The "No Toilet, No Bride” program in the Indian state of Haryana has been the most successful sanitation promotion effort there so far. Started about two years ago, the campaign has resulted in 1.4 million latrines being built. "I will have to work hard to afford a toilet. We won't get any bride if we don't have one now," said 22-year-old villager Harpal Sirshwa from Nilokheri, who is hoping to marry soon. "I won't be offended when the woman I like asks for a toilet."
11. What are the best entry points for integrating hygiene improvement into existing health and development programs?
Child health HIV/AIDS Teacher training Food Security and Nutrition Avian flu Education Antenatal and neonatal care
USAID/GH Supported Partners in Hygiene Improvement • CDC: Safe Water System www.cdc.gov/safewater/ • International Network to Promote Household Water Treatment and Safe Storage www.who.int/household_water/network/en/ • Global Public-Private Partnership For Handwashing with Soap www.globalhandwashing.org
For further information, contact: Merri Weinger (Hygiene Improvement) mweinger@usaid.gov; 202-712-5102