1. Access to Health Through Access to Safe Water & Environmental Sanitation Access to Health Through Access to Safe Water & Environmental Sanitation Pilot Project ’Development Through Access to Health ’ (DTAH) & School Sanitation & Hygiene Education in in Saraya, Senegal

2. Project Location Project Location Republic of Senegal Republic of Senegal Region of Tambacounda Region of Tambacounda Department Of Kédougou Department Of Kédougou Arrondissement de Saraya Arrondissement de Saraya Rural community of Saraya Rural community of Saraya

3. Saraya Kédougou Saraya Kédougou

4. Introduction In Senegal, the global development policies, in line with the MDGs, are defined through strategic plans axed on: In Senegal, the global development policies, in line with the MDGs, are defined through strategic plans axed on: – research of strong sustainable growth, – poverty reduction, – reduction of morbidity through access to safe water and adequate sanitation – good governance.

5. The project aims to promote: Access to safe water Access to safe water Access to adequate sanitation Access to adequate sanitation To promote changing behaviours towards hygiene and sanitation. To promote changing behaviours towards hygiene and sanitation. To reduce morbidity from water born or related diseases To reduce morbidity from water born or related diseases

6. Context and justification The population of Saraya, in Senegal, is suffering from the lack of adequate water and sanitation facilities. The population of Saraya, in Senegal, is suffering from the lack of adequate water and sanitation facilities. This results in…

7. Increase of water born and related diseases like malaria, intestinal bilharzias, urinary bilharzias, diarrheas etc.. Increase of water born and related diseases like malaria, intestinal bilharzias, urinary bilharzias, diarrheas etc.. High risk of propagation of some epidemics from water and dirty hands, as yellow fever, cholera, poliomyelitis, shigelloses High risk of propagation of some epidemics from water and dirty hands, as yellow fever, cholera, poliomyelitis, shigelloses Increase of chemical related cases, infantile mortality, congenital malformations, interruptions of pregnancy… Increase of chemical related cases, infantile mortality, congenital malformations, interruptions of pregnancy…

8. Lack of access to adequate water and sanitation Increase of deaths among children under (5) five years old. Increase of deaths among children under (5) five years old. Increase of water born and dirty hands related diseases

9. Global Objective To improve the conditions of life in the Saraya community by access to adequate water and sanitation and to promote School Sanitation and Hygiene Education To improve the conditions of life in the Saraya community by access to adequate water and sanitation and to promote School Sanitation and Hygiene Education

10. Specific Objectives 1 - To contribute to the MDG’s on safe water and sanitation, through the Integrated Water and Sanitation Management. - To reduce the mortality from water and sanitation born or related diseases.

11. - To ensure participatory approach and to build capacities of the community based organisations (CBOs) - To promote private sector involvement, in particular micro and small local social enterprises Specific Objectives 2

12. - To facilitate access and the use of water and sanitation facilities in the schools, in conjunction with the participatory approach of the Child-to-Child Programme, instead of Chalk-and-Talk - To improve practices and behaviours within school children inside and outside the school environment Specific Objectives 3

13. - To promote changes in behaviour and social practices (early abandon of school by young girls having to supply drinking water and evacuate of waste water) and to promote prevention of HIV/AIDS propagation (genital mutilation, early marriages, etc.) - To promote knowledge and information sharing regarding water and sanitation Specific Objectives 4

14. Strategy The strategy consists on the promotion of sustainable technologies for integrated water resource management and sanitation, rain water harvesting, accompanied by the promotion of health, hygiene and sanitation education. The strategy consists on the promotion of sustainable technologies for integrated water resource management and sanitation, rain water harvesting, accompanied by the promotion of health, hygiene and sanitation education.

15. Why Saraya? Saraya is in a very remote and underdeveloped and underserved region of Senegal, suffering from a severe lack of water and sanitation infrastructures. Saraya is in a very remote and underdeveloped and underserved region of Senegal, suffering from a severe lack of water and sanitation infrastructures. A sudden and rapid increase in population, due to two recently opened gold mines, has exacerbated these insufficiencies and the health risks. A sudden and rapid increase in population, due to two recently opened gold mines, has exacerbated these insufficiencies and the health risks. The population has initiated positive actions to improve their conditions, but they are lacking the necessary resources and coordination. The population has initiated positive actions to improve their conditions, but they are lacking the necessary resources and coordination.

16. Sustainability The proposed project is based on an effective demand of the population who is willing to participate actively in the implementation of the project. The proposed project is based on an effective demand of the population who is willing to participate actively in the implementation of the project. The project will be managed by the community based organizations and coordinated by the Health Center. The project will be managed by the community based organizations and coordinated by the Health Center.

17. Short and long term impact on final users Access to sustainable low cost technologies for integrated water resources and sanitation Access to sustainable low cost technologies for integrated water resources and sanitation Preparation of children, the adults of tomorrow on hygiene and sanitation behaviour Preparation of children, the adults of tomorrow on hygiene and sanitation behaviour Reduction of load of work for women Reduction of load of work for women Increased school attendance for young girls Increased school attendance for young girls Reduction of morbidity Reduction of morbidity

18. –Beneficiaries’ willingness and capability to participate financially –Set up local development and management committees, to secure the collection of user’s participation, demands, operation and maintenance and conflicts management –Active participation from local micro and small social enterprises for operation and maintenance of the structures Secure better ownership of the project

19. Coordination The medical district and the health committee will be responsible of the general coordination of the project and will support the population to achieve the goals. The medical district and the health committee will be responsible of the general coordination of the project and will support the population to achieve the goals.

20. No development is possible without Health… …and there is no Health without adequate water and environmental sanitation Conclusion…..

21. Sanitation! The powerful tool to save lives