elizabeth medlin, mph global water, sanitation, and hygiene team environmental health services...
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Elizabeth Medlin, MPHGlobal Water, Sanitation, and Hygiene Team
Environmental Health Services BranchU.S. Centers for Disease Control and Prevention
Rick Gelting, Ph.D., P.E.; Kristin Delea, M.PH., REHS
A Conceptual Framework to Evaluate the Outcomes and Impacts of Water
Safety Plans
National Center for Environmental Health
Division of Emergency and Environmental Health Services
System Assessme
nt
Monitoring Management &
Communication
Water Safety Plans
Health-based targets
Surveillance
Public health context and health outcomes
WHO Framework for Safe Drinking Water
WHO Framework for Safe Drinking Water
System Assessme
nt
Monitoring Management &
Communication
Water Safety Plans
Health-based targets
Surveillance
Public health context and health outcomes
Purposes of a WSP Conceptual Framework
• Varied outcomes and impacts of WSPs
• Common framework and terminology
• Basis for the development of indicators
• Common understanding of the time frames
• Various benefits of implementing WSPs
Logic Models
Logic Model Development Guide – WK Kellogg Foundation
Logic Models
System Assessment
MonitoringManagement
& Communicatio
n
Water Safety Plans
Health-based targets
Surveillance
Public health context and health outcomes
Logic Model
WSP Conceptual Framework
Inputs
• Water Supplier
• Stakeholders
•Champion
• Staff / Management
• Time Commitment
•Facilities
• Materials / Equipment
•Knowledge
•Political Will / Motivation
•Funds
Water Supply Improvements
Health Improvements
Water Safety Plan
Impacts
Socioeconomic Improvements
Other Environmental Factors
(Sanitation, Hygiene,
Food, etc.)
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
FeedbackFeedbackFeedback
Activities/Outputs Outcomes
Months Years
Preparation
System Assessment
Monitoring & Evaluation
Management & Communication
Feedback & Improvement
WSP Conceptual Framework
Inputs
• Water Supplier
• Stakeholders
•Champion
• Staff / Management
• Time Commitment
•Facilities
• Materials / Equipment
•Knowledge
•Political Will / Motivation
•Funds
Water Supply Improvements
Health Improvements
Water Safety Plan
Impacts
Socioeconomic Improvements
Other Environmental Factors
(Sanitation, Hygiene,
Food, etc.)
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
FeedbackFeedbackFeedback
Activities/Outputs Outcomes
Months Years
Preparation
System Assessment
Monitoring & Evaluation
Management & Communication
Feedback & Improvement
WSP Conceptual FrameworkInputs
Stakeholders and partners Water supplier Institutional partners Less traditional partners
Champion
Time commitment, Facilities, Equipment
Funds
Motivation
WSP Conceptual Framework
Inputs
• Water Supplier
• Stakeholders
•Champion
• Staff / Management
• Time Commitment
•Facilities
• Materials / Equipment
•Knowledge
•Political Will / Motivation
•Funds
Water Supply Improvements
Health Improvements
Water Safety Plan
Impacts
Socioeconomic Improvements
Other Environmental Factors
(Sanitation, Hygiene,
Food, etc.)
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
FeedbackFeedbackFeedback
Activities/Outputs Outcomes
Months Years
Preparation
System Assessment
Monitoring & Evaluation
Management & Communication
Feedback & Improvement
WSP Conceptual FrameworkActivities / OutputsMotivation
WSP
WSP Conceptual Framework
Inputs
• Water Supplier
• Stakeholders
•Champion
• Staff / Management
• Time Commitment
•Facilities
• Materials / Equipment
•Knowledge
•Political Will / Motivation
•Funds
Water Supply Improvements
Health Improvements
Water Safety Plan
Impacts
Socioeconomic Improvements
Other Environmental Factors
(Sanitation, Hygiene,
Food, etc.)
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
FeedbackFeedbackFeedback
Activities/Outputs Outcomes
Months Years
Preparation
System Assessment
Monitoring & Evaluation
Management & Communication
Feedback & Improvement
WSP Conceptual Framework Outcomes
Four Categories: Institutional Change Operational Change Financial Change Policy Change
Different time scales
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
Increased communication
Increased knowledge
Improved perceptions and attitudes
Increased training
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
OutcomesInstitutional Change
Gelting, 2008, unpublished
WSP in Guyana brought together the water supplier and the drinking water regulator:
Relations
Communications
Coordination of efforts
Improved system infrastructure
Implementation of improvedprocedures
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
OutcomesOperational Change
Mahmud et al, 2007
WSP in Bangladesh identified a need for direct ACTION by operators to:
-repair damaged water source infrastructure
-move sources of contamination
-clean the surroundings of the water supplies
Cost savings
Cost recovery
Increased donor support and investment
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
OutcomesFinancial Change
Environmental & Engineering Managers, Ltd, 2007
WSP in Jamaica:
”…Utility and government are well-prepared to implement and sustain donor-financed improvements.”
“WSPs provide a new stage for funding assistance.”
Informal WSP knowledge-sharing and promotion
WSP model sharing as norms of practice
WSP formal regulatory requirements
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
OutcomesPolicy Change
Environmental & Engineering Managers, Ltd, 2007
WSP in Jamaica:
WSPSuccess
WSPs as requirement
in regulations
8 to 10 years
WSP Conceptual Framework
Inputs
• Water Supplier
• Stakeholders
•Champion
• Staff / Management
• Time Commitment
•Facilities
• Materials / Equipment
•Knowledge
•Political Will / Motivation
•Funds
Water Supply Improvements
Health Improvements
Water Safety Plan
Impacts
Socioeconomic Improvements
Other Environmental Factors (Sanitation,
Hygiene, Food, etc.)
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
FeedbackFeedbackFeedback
Activities/Outputs Outcomes
Months Years
Preparation
System Assessment
Monitoring & Evaluation
Management & Communication
Feedback & Improvement
Other Environmental Factors
(Sanitation, Hygiene,
Food, etc.)
WSP Conceptual Framework
Inputs
• Water Supplier
• Stakeholders
•Champion
• Staff / Management
• Time Commitment
•Facilities
• Materials / Equipment
•Knowledge
•Political Will / Motivation
•Funds
Water Supply Improvements
Health Improvements
Water Safety Plan
Impacts
Socioeconomic Improvements
Other Environmental Factors
(Sanitation, Hygiene,
Food, etc.)
Institutional Changes
Operational Changes
Financial Changes
Policy Changes
FeedbackFeedbackFeedback
Activities/Outputs Outcomes
Months Years
Preparation
System Assessment
Monitoring & Evaluation
Management & Communication
Feedback & Improvement
For more information please contact Centers for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
National Center for Environmental Health
Division of Emergency and Environmental Health Services
THANK YOU FOR YOUR ATTENTION!