Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial By the end of this session, you will have an understanding of

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial By the end of this session, you will have an understanding of Objective 1 Objective 2 Objective 3 Objective 4 the components of a WASH programme the link between WASH and other sectors WASH related diseases Sphere standards for WASH Learning objectives

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 1The components of a WASH programme Excreta disposal Vector control Solid waste management Drainage WASH Sanitation Water Hygiene Water supply Quality control Hygiene promotion Monitoring and PHAST... WASH for schools, WASH for health centres, capacity building of national and local partners

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 1The components of a WASH programme Water Water supply Sources Treatment Storage Transport Distribution Quality control Monitoring and testing IRIN Global, 2011

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 1The components of a WASH programme Sanitation CAST (Community Approach to Total Sanitation) Assessment, planning, implementation, monitoring & evaluation Excreta disposal (emergency sanitation) Vector control Garbage collection Incineration of medical waste Disposal of cadavers Waste water disposal and drainage All images from IRIN Global, 2011

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 1The components of a WASH programme Hygiene Hygiene Promotion Safe use and storage of water Hand-washing at key times Safe disposal of faeces Appropriate use and maintenance of latrines Control of flies and other vectors (waste disposal, drainage) Food hygiene, personal hygiene IRIN Global, 2011

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Group discussion Write down key points Discussion in groups Task 1Present an example of a hygiene promotion subject to the group. In groups, prepare either a poster, radio advert, pantomime or puppet show to teach a hygiene promotion subject. Hygiene promotion exercise

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 2 Behavioural indicators for a WASH programme % of the population uses safe water for drinking Environment free from all fecal matter % of the population wash their hands with soap Women are enabled to deal with menstrual hygiene issues in privacy and with dignity All sectors of the community are enabled to practice the targeted hygiene behaviors USAID (2010) Access and Behavioral Outcome Indicators for WASH The link between WASH and other sectors

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 2The link between WASH and other sectors Sanitation % reduction in diarrhoea morbidity in children under 5 – outcomes of various meta-analyses WASH and health

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 2The link between WASH and other sectors WASH and education IRIN Global, 2011 Intervention attained Annual number of schooldays gained [millions] Water MDG79 Sanitation MDG193 Water and Sanitation MDG272 Universal Improved Water and Sanitation443 Universal Improved Water and Sanitation plus Point of Use Water Treatment 1431 Everyone has access to a regulated piped water supply & sewage connection in their house 1863 Poor water and sanitation has a bearing on school attendance (Source: WHO 2004)

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 2The link between WASH and other sectors WASH and nutrition IRIN Global, 2011 The synergistic interaction of intestinal infections, malnutrition, and others. Source: WHO 2007

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 2The link between WASH and other sectors WASH and gender IRIN Global, 2011 Water and Sanitation activities by sex and age, (Ambore, Pakistan), 2010

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 2The link between WASH and other sectors WASH and CCCM CAMP SET UP undertakes technical liaison with authorities and host population assess sites with respect to water access, drainage, sanitation identify appropriate WASH standards and disseminate standards to CCCM and others CARE & MAINTENANCE : monitor the use of standards and support CCCM with technical analysis of WASH information to ensure access to clean water and basic hygienic standards at sites

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 2The link between WASH and other sectors WASH and CCCM CLOSURE To ensure proper sanitation in clean up To work on water and sanitation issues during development phase Monitor water levels and safety as well as sanitation standards Ensure appropriate dissemination of information Supervise service providers and assess water /sewage facilities Ensure even and appropriate distribution of supplies

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial WATER SANITATION & HYGIENE CCCM Access to safe water, Monitor Water levels, Safety and sanitation standards Appropriate information dissemination EARLY RECOVERY Infrastructure, capacity building, waste removal, hygiene promotion, well construction SHELTER Community participation in locating basic provisions Toilets for disabled / elderly & women PROTECTION Ensuring facilities in a way that the residents are not subjected to any additional risk

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 3WASH related diseases Water-based Classification of water-related infections Waterborne Water-related Water contaminated by faeces or urine containing pathogenic bacteria or virus Cholera, typhoid, dysentery and other diarrhoeal diseases Caused by poor personal hygiene or eye contact with contaminated water Scabies, lice, trachoma and tick- borne diseases Caused by insect vectors, especially mosquitoes, that breed in water Malaria, dengue fever, yellow fever Water-washed (or water-scarce) Caused by parasites living in intermediate organisms living in water Worms and other parasites - schistosomiasis, leptospirosis, helminths Water related diseases

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 3WASH related diseases Sanitation related diseases: F-Diagram (parasite pathways) Adapted from WELL (1998), DFID guidance manual on water supply and sanitation programmes Faeces Flies Fields Fluids FoodNew hostFaeces Water and sanitation related diseases are mostly transmitted by pathogens via faecal-oral routes. Hands

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 3WASH related diseases Sanitation related diseases: F-Diagram (Barriers to transmission) Water in sufficient quantity and quality Prevent fecal pathogens (diseases) from entering human environment Hand-washing at key times Vector control Field/ floors Flies Fingers Foods Feces of infected person Hygiene & hand washing barriers Safe water barrier Toilet barrier Fluids Water 1 st International (2010) Disease Barrier Diagram

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 3WASH related diseases Exposure to disease Greater malnutrition Decreased immunity Diarrhoea Sanitation related diseases: transmission chain

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Objective 4Sphere standards for WASH Standard 1 WASH programme design and implementation Standard 1 Hygiene promotion implementation Standard 1 Access and water quantity Standard 1 Environment free from human faeces Standard 1 Individual and family protection Standard 2 Identification and use of hygiene items Standard 2 Water quality Standard 2 Appropriate and adequate toilet facilitias Standard 2 Physical, environmental and chemical protection measures Standard 3 Water facilities Standard 3 Chemical Control safety Standard 1 Collection and disposal Standard 1 Drainage work WASH Hygiene promotion Water supply Excreta disposal Vector control Solid waste management Drainage Humanitarian charter Core standards Water supply, sanitation and hygiene promotion (WASH)

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Group discussion Write down key points Discussion in groups Flip chart paper presentation in groups Task 1Each group should present a standard, its three key indicators and three key actions from the WASH standards in the 2011 Sphere Handbook If there are more than three key indicators or actions, chose the most important according to you. Resources WASH Standard 1 – WASH programme design and implementation; p.88 Water Supply Standard 3.1 – access and water quantity; p.97 Water Supply Standard 3.2 – water quality; p.100 Water Supply Standard 3.3 – water facilities; p.103 Excreta Disposal Standard 4.1 – env. free from human faeces; p.105 Excreta Disposal Standard 4.2 – appropriate & adequate facilities; p.107

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Dancing in the loo Winner of the Golden Poo Awards 2009 Sponsored by Poop Creative; Movie time!

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Any questions Share your experiences Do you have any comments or experiences you would like to share? Do you have any questions? Any questions?

Developing a session plan Text Dimension 24 Arial Position: Horizontal 5.44 Vertical 2.40 Text Dimension: 20 Arial Title BOLD Publisher: Regular Further reading Minimum standards in water supply, sanitation and hygiene promotion The Sphere Project, 2011 Water Sanitation and Hygiene (WASH) Cluster Coordination Handbook Global WASH Cluster, RedR UK, 2009 Water and sanitation in emergencies: good practice review 1 Overseas Development Institute, 1994 Evidence base: Water, Sanitation and Hygiene Interventions UNICEF, 2010 UNICEF WASH strategy UNICEF, 2005 For all of these references and many more please go to the CORE website