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WHO /DAFT WSP Partnership Review Meeting WPRO, Manila, Philippines. 24-26 June 2014. 3.3.1 WP Regional Office Report. Presented by: Alexander von Hildebrand Regional WSP Programme Coordinator. Key features. What is going well
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WHO /DAFT WSP Partnership Review MeetingWPRO, Manila, Philippines 24-26 June 2014 3.3.1 WP Regional Office Report Presented by: Alexander von Hildebrand Regional WSP Programme Coordinator
Key features • What is going well • General management: well motivated Country teams and highly competent, good level of collaboration between WP Regional Office and Countries, and between Manila, New Delhi and Geneva WHO’s offices. • Programme implementation on track: to date 36,4 million drink safer water. 7,1 million more since start of Phase 3. Impact on health and on poverty alleviation. • Monitoring & evaluation: three monthly reporting periods are adequate. • Funds: availability and good relationships with performing donors& partners. • Where we need to improve • Invest in people, first. Need for more presence in PICs (NPO?). • Increase number of WSP in rural areas, and combined with HWTS. • Address more effectively source protection, water safety in HCF, and safe sanitation • Increase quality and number of Training of Trainers. • Meet timely budget implementation, in accordance with fund allocation.
Phase 3 Achievements, 6.2014 Targets: By July 2016, 20 million more receive safer water, 118 new urban WSP and 82 new rural WSP will be developed 1. Increased WSP development and implementation and improved water safety practices
Estimated % of total population served by water supplies implementing WSPs principles, 6.2014
Phase 3 Achievements, 6.2014 2. WSP approaches will become an integral part of policies and institutional frameworks
Phase 3 Achievements, 6.2014 3. There will be continued advocacy and mobilization of resources to support infrastructure improvements identified through a WSP
18 partners supporting the performance of WSP / WASH activities in countries, June 2014
Phase 3 Achievements, 6.2014 4. Resources and tools will be developed to support WSP
Multiplier Effects 1. Expansion of WSP acceptance: • WSP compulsory in Lao DPR, Viet Nam, Philippines and Mongolia. • “Big brother” approach in Philippines. 2. Geographical expansion of WSP implementation: • China, Fiji, Malaysia, Solomon Islands. 3. Thematical expansion of WSP implementation: • WSP links with climate change adaptation and emergency response : Cook Islands, Philippines, Solomon Islands • WSPs, prevention of Schistosomiasis and other NTDs: Lao PDR, Philippines • WSP and dengue prevention: Lao PDR • WASH services in health care facilities: Lao PDR, Mongolia, Philippines, Solomon Islands.
WASH services in health care facilities (HCF) Dr IgnazSemmelweis(1818-1865): Incidence of puerperal fever drastically cut using chlorine for hand disinfection. The medical community, offended at the suggestion that they should wash their hands, rejected his ideas.How are WASH services in HCF, 165 years later?
2014 WHO report on "Status of WASH and environmental conditions in health care facilities in low-resource settings" • Reviews available survey data from 40 countries • Covering up to 58,000 HCFs in low-resource settings • Main findings: only 46% of HCFs have access to an improved water source; 85% to improved sanitation; 65% have hand washing facilities with soap; 59% dispose of their wastes adequately; 56% have sterilization equipment. • Note: Poor WASH services in HCF affect mainly women and girls. Dr M. Chan, DG WHO, 2013: “Speaking as a health professional, I am deeply concerned that many health care facilities still lack access to even basic water, sanitation, and hand-washing facilities, and I have committed WHO to support partners to overcome this problem”.
Diarrhoea deaths attributable to inadequate water, lack of sanitation, and poor hygiene in selected countries, 2012 (WHO, 2014)
Lessonslearnt • People! Engaged and of high quality, programme managers are essential. • WSPs: success story of an efficient implementation of WHO Guidelines. 36,7 million in 9 countries in WPR are thus having access to safer water today, via 70 new WSPs, 7,1 million of them via since July 2012. The cost is less than 20 cents of a dollar, per person: good value for money! • Sustainability: Water safety planning is becoming institutionalized in all countries. But WSPs sustained implementation needs to be secured via assessment, accreditation /certification processes; ensuring more partnerships beyond the public sector, is key. • Skills development: ToTs approach positive, over 2200 professionals trained. Study tours to other countries: significant results reflected in policy making.
Challenges/ Reflections Challenges • We need to have more water safety planning in rural areas and link WSP with household water treatment and storage. • Trained WSP trainers fall short, in numbers and in excellence, there is need for more in front of increasing demand (MNG, PHP, VNM). • Ensure water safety sustainability, especially beyond 2016. Reflections • Source protection is a MUST: do we need not only a WSP “from source to tap”, but a more integrated one “from source to source”? • Do urban WSP stimulate urbanization and rural-urban migration, increasing urban/rural inequity? • Are we addressing the needs of the priority groupe as mandated by the 64thWHA ?
Improving access to safe water in rural areas: a key determinant to fight inequity.
Priority actions for 2014-2016 • Secure WHO staff posts, it is people that make the difference. • Deliver on commitment, increase and sustain budget implementation rates as per allocation. • Complete the planned additional 130 WSPs, prioritizing the 60 WSPs in rural areas/other. Link with HWTS initiatives. And Sanitation! • To ensure institutionalization of WSP after June 2016, complete policy dialogue to achieve that all 9 countries have update DWQS issued, formal WSP frameworks and WSPs established as compulsory, nationwide. • Develop and implement official national models to assess, audit and accredit WSPs. • ToT: conduct Master’s training, strengthen training centers. • Streamline WSP principles in national and regional WASH and climate change – related initiatives. Engage in protecting sources with key partners for the integrated management of water resources. • Disseminate WSP experiences (AP WSP Network, TWG WSH, Inter-regional, other), regionally and beyond: WSP as an adaptation measure to protect health from climate change. • Mobilize more local resources.
Final comments • Good money and bright ideas are great, but what’s uncommon are people who’ll work hard enough to bring them about. • And we are lucky to have these people on board! • Thanks to you all!
ຂອບໃຈ Thank you Fa'afetai Tankeyiutumas cảm ơn bạn Terimakasih Meitaki salamat Tank yutumas Баярлалаа អរគុណ धन्यवाद् Kaadinchey la Mālō