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LEARNING TOPIC : IMPROVING COMMUNITY HAND WASHING BEHAVIOR IN ASAL, NOMADIC AREAS

LEARNING TOPIC : IMPROVING COMMUNITY HAND WASHING BEHAVIOR IN ASAL, NOMADIC AREAS A case study for Marsabit in Kenya ( March 2010-April 2012 ) Findings of : FH KENYA. MARSABIT. WHAT YOU SHOULD KNOW ABOUT MARSABIT!.

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LEARNING TOPIC : IMPROVING COMMUNITY HAND WASHING BEHAVIOR IN ASAL, NOMADIC AREAS

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  1. LEARNING TOPIC: IMPROVING COMMUNITY HAND WASHING BEHAVIOR IN ASAL, NOMADIC AREAS A case study for Marsabit in Kenya ( March 2010-April 2012) Findings of : FH KENYA

  2. MARSABIT

  3. WHAT YOU SHOULD KNOW ABOUT MARSABIT! • Marsabit County is located in the upper reaches of Northern Kenya. • According to the 2009 census, Marsabit district supports a total population of 187,367 over a land area of 61,590 sq km • A population density of just over 3 people per sq km. • According to the 2009 census, of 2,306,566 or more than 37 head per sq km herds of sheep, goats, cattle and camels are found here

  4. Have you heard about this? • During the 2005/06 drought an estimated 50-60% of livestock (shoats, camels and cattle) died. the 2008/2009 and 2011 droughts brought the triple shocks to communities soon before they recovered from the shocks of previous droughts. • Global Acute Malnutrition (GAM) rates during 2011 drought was 27.1% against 15% WHO emergency threshold

  5. A must tell…. • In Marsabit access to water, both for domestic and livestock uses, is severely limited and is the single most critical issue facing the district’s population. • The average amount of water available for household use in 2010-2011 is only 46 liters/day which translates to only 7.7 liters/day/person against 15liters/day/person according to SPHERE standards (UNICEF Integrated Nutrition and Health Survey Report, Marsabit District, March 2011)

  6. INTRODUCTION • FH Kenya has implemented the Safe Water Systems, low cost sanitation model school and community safe storage and treatment of drinking water, facilities and hygiene promotion and specially promoted for hand washing (2010-2012 grant period) • The project has championed the formation of school health clubs and utilization of community health workers to promote message transfer to other children and communities in 22 communities and 11 schools. • FH Kenya has collaborated with Government and other development partners in the implementation of the project.

  7. LEARNING POINTS • 1) What are the specific barriers to sustainability of Hand washing in ASAL, • 2) What are Hand washing characteristics that are more successful in sustaining, and • 3) What are the recommendations for continued improvements of Hand washing to further sustainability from MWA-FH project

  8. What is Hand Washing? • Hand washing is a vigorous, brief rubbing together of all surfaces of lathered hands for about 20 seconds followed by rinsing under a stream of water.  It is important to dry hands completely after handwashing (WHO).

  9. Threats to poor hygiene • Each day about 6,000 people in the developing world die as a result of diseases caused poor hygiene sanitation practices (UNICEF health survey 2011)

  10. Tools for this learning • Observations • Key Informant Interviews(KII) • Focus group discussions(FGD) • MWA MEL Framework administration • Lessons learnt by other agency working in Marsabit

  11. In order to have sustained hand washing impact The following regular activities were identified • Provision of water for hand washing. • Daily provision of soap. • Provision of safe clean water for drinking in safe storage containers.

  12. For this learning topic • 30 communities and 20 schools in Marsabit county where FH has implemented MWA grants. Representing 3,000 HH.

  13. Is Soap important in hand washing? • Soap is important Soap contains ingredients that will help to: Loosen dirt on your hands. • Soften water, making it easier to lather the soap over your hands. • Rinse your hands, leaving no residues to irritate and dry your skin.

  14. In order to provide an enabling environment for hand washing , The following preconditions have been identified: • Availability of an accessible water source • Hand washing facilities • Purchase of soap • Teachers, SHC,CHW monitoring and hygiene promoters promoting key activities at school and community level • School health club or other mechanism to engage children while CHW, have to engage both men and women at communities and health facilities…....

  15. Sustainability threats that have been identified • Lack of water access • Lack of financial resources • Human and institutional resources and motivation • Technological limitations • Nomadic nature of the people • Cyclic droughts • HAS UPTAKE LEVELS IMPROVED OVER PROJECT PERIOD???

  16. Taking the bull by horns??

  17. Taking the bull by horns??

  18. Taking the bull by horns??

  19. Taking the bull by horns??

  20. Taking the bull by horns??

  21. Best practices/success • CLTS has worked very well in this project. 200 hh have been able to do successively adopt simple household latrines, and tippy taps in at their own. • Hygiene and sanitation linkages to health facilities has further helped further helped increase uptake level ,CHW and house to house hygiene promotion has worked well does house to house hygiene promotion

  22. Photo 1:Demonstration of Handwashing

  23. Constructed storage reservoir

  24. SCH HYGIENE PROMOTION CAMPAIG

  25. THANKS

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