1. “Benefits of Gender Balance in Sanitation and Water Supply in Kyrgyzstan, Uzbekistan and Tajikistan” Public Association “Central Asian Alliance for Water” Public Association “Central Asian Alliance for Water” Kyrgyzstan, Central Asia - 2009 Representative: Elmira Joldosheva, Director CAAW

2. Why Central Asian Alliance for Water? Drinking from unsafe sources Bad Hygiene and Lack of basic Sanitation facilities Lack of public investment Lack of ownership Lack of willingness to pay Inequality participation of men and women in decision making process High level of water-borne diseases High rate of children mortality We had serious water and health problem Therefore created a network of people willing to change their own lives Creation of the Central Asian Alliance for Water

3. Geographical coverage of our work.

4. CAAW Achievements - water  About 83,000 people in 17 villages have daily access to safe drinking water and pay monthly charges for service delivery.  17 Water Committees operate and maintain autonomous and efficient water systems.  50 % of Water Committee members are women and 30% are presiding village Water Committees;  More than 3000 women received micro – credit improving the welfare of their families and enabling them to pay monthly water fees;

5. CAAW Achievements - hygiene/sanitation  481 ECOSAN toilets constructed based on cost sharing agreement with village families  80% of agreements on construction are made with women  More than 2400 people use ecosantoilets properly.  1 school toilet-building constructed (indoor dry urine diverting)  17 regional sanitation trainers were trained - all women  Before  After

6. Women community leaders managing rural sanitation programs in Central Asia Why women?  Women are the most important users of water (water collection, clothes washing, bathing their children and other domestic activities).  Women are responsible for the care of sick family members (from lack hygiene, sanitation, safe water…).  Diahorea and parasites main cause of child mortality  Women and children spend a great amount of time fetching water - heavy physical work  In rural areas, many poor female headed households - male work migration

7. CAAW Components  Drinking Water - Women and Children - Women and Children  Sanitation Hygiene - Ecosan and PHAST - Ecosan and PHAST

8. PHAST methodology* trainer teaching the villagers using  315 local facilitators trained - all women  70% of population of 140 villages * Project with ADB and DFID UK, Kyrgyzstan Government

9. PHAST Methodology

10. PHAST Impact: facilities increased Availability of the washstands 18% 19% 32% 47% 51% 55% 62% 75% 0% 10% 20% 30% 40% 50% 60% 70% 80% Osh regionBatken region Jalal abad region Chui region Before After

11. PHAST Impact: behaviour change Washing hands with soap 31% 43% 45% 47% 96% 45% 50% 0% 20% 40% 60% 80% 100% 120% Osh regionBatken regionJalal abad regionChui region Before Afterе

12. PHAST Impact: improved toilets Unhygienic Toilets 28% 26% 39% 26% 14% 17% 29% 25% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% OshBatkenJalalabadChui beginning end

13. Reduced illness 378,1 185,3 590,5 195,3 468,2 207,4 464,2 144,1 0 100 200 300 400 500 600 Osh oblastBatken oblastJalalabad oblastChui oblast Increasing of lambliasis Before SHE After SHE  6 villages  reduced lambliasis  Reduced burden on women

14. Conclusion  Increasing role of women in decision making process make water supply programmes more sustainable  Technical solution alone are not sufficient  Women play main role in changing hygiene behaviour  Improved hygiene and sanitation improves health, especially children  Reducing hygiene related illnesses reduce burden on women

15. Contact Information: CENTRAL ASIAN ALLIANCE for WATER CENTRAL ASIAN ALLIANCE for WATER 4 Suyunbaev Street 4 Suyunbaev Street 723500,Osh, Kyrgyz Republic Tel / Fax: (+996 3222) 20096, 27675 E-mail: caawosh@hotmail.com caawosh@hotmail.com E-mail: caawosh@mail.ru caawosh@mail.ru Web site: www.caaw.kg www.caaw.kg Thank you for your attention!

16. Participation of women in the sanitation hygiene promotion  Target groups: Children in kindergartens and schools, young mothers and pregnant women of rural areas.  Methodology and Tools. ParticipatoryHygieneAndSanitationTransformation PHAST assist for: participatory revealing the problems connected with wrong hygienic behavior and unsafe sanitation conditions prevention of spreading diarrhea and parasite diseases self-controlling of the water supply and sanitary objects

17. PHAST   Four principles of PHAST ParticipatoryHygieneAndSanitationTransformation Four principles of PHAST : Participatory Gender analysis Participatory Community sanitation hygiene behavior analysis Participatory planning on improving sanitation and hygiene conditions Participatory monitoring of the improvement of sanitation and hygiene conditions

18. Sanitation Hygiene Component Monitoring Process

19. Participation of women in the Ecosan Conception Promotion Building Ecotoilet.

20. Ecotoilets  Before  After

21. Thank you for your attention!

22. How we address this crisis? Mobilizing village communities and building sense of ownership. Involving the whole village community especially women and youth. Improving hygiene behavior and health conditions. Enhancing livelihoods through micro-credit for women. Providing training, monitoring and technical assistance. Creating a network of people willing to change their own lives Setting up the Central Asian Alliance for Water

23. CAAW Achievements - hygiene/sanitation  481 ECOSAN toilets constructed based on cost sharing agreement with village families  80% of agreements on construction are made with women  More than 2400 people use ecosantoilets properly.  1 school toilet-building constructed (indoor dry urine diverting)  17 regional sanitation trainers were trained - all women  Women trust each other  Female trainers convey their message based on their own experience  Women are more respected in the village due to their work as trainers

24. CAAW Achievements  Over 83,000 people in 17 villages have daily access to safe drinking water and pay monthly charges for service delivery.  17 Water Committees operate and maintain autonomous and efficient water systems.  About 481 ECOSAN toilets constructed based on cost sharing agreement with village families.  More than 2400 people use ecosantoilets properly.  1 school ecotoilet constructed  50 % of Water Committee members are women and 30% are presiding village Water Committees;  More than 3000 woman received micro – credit improving the welfare of their families and enabling them to pay monthly water fees;