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GMS-Kenya.HHWT09 Page 1 Sector: Water, Sanitation and Hygiene/ HHWT Location: The wider Turkana and West Pokot Districts, Rift Valley Province Project Title: Promotion of Household Water Treatment and Safe Storage (HWTS) Social Marketing and Hygiene Promotion (Hand Washing with Soap) for Prevention of Cholera in Turkana and West Pokot Districts. Coordination & Implementation: GMS-KENYA Contact Address.: Contact Person: Global Missions Services-Kenya (GMS-Kenya) P.O. Box 3475-30200, Kitale- Kenya East. Tel: +254-727022010 +254-723277455 Philip Rutto Rotino [email protected] [email protected]@ Implementing Partners: Ministry of Public Health, Ministry of Water , Ministry of Education, Catholic Diocese and selected local CBOs Duration: 12 Months starting from 1 st December 2009-31 st November 2010. Children’s Sustainable Development in Arid Lands www.globalmissionsservices.org P.O.Box,3475-30200 Kitale , Kenya East Tel +254-727022010, +254-723277455

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Page 1: HHWT_GMS_PRoject_Document_Jan-Mar_2010

GMS-Kenya.HHWT09 Page 1

Sector: Water, Sanitation and Hygiene/ HHWT

Location: The wider Turkana and West Pokot Districts, Rift Valley Province

Project Title: Promotion of Household Water Treatment and Safe Storage (HWTS) Social Marketing and Hygiene Promotion (Hand Washing with Soap) for Prevention of Cholera in Turkana and West Pokot Districts.

Coordination & Implementation:

GMS-KENYA

Contact Address.: Contact Person:

Global Missions Services-Kenya (GMS-Kenya) P.O. Box 3475-30200, Kitale- Kenya East. Tel: +254-727022010 +254-723277455 Philip Rutto Rotino [email protected] [email protected]@

Implementing Partners: Ministry of Public Health, Ministry of Water , Ministry of Education, Catholic Diocese and selected local CBOs

Duration: 12 Months starting from 1st December 2009-31st November 2010.

Children’s Sustainable Development in Arid Lands

www.globalmissionsservices.org

P.O.Box,3475-30200 Kitale , Kenya East

Tel +254-727022010, +254-723277455

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Table of Contents.

1.0 PREAMBLE. 3

1.1 BACKGROUND AND PURPOSE OF THE ASSIGNMENT. 3

1.11 Environmental Hygiene and Sanitation Practices. (CLTS) 3

1.12 Water Quality Testing and Household Water Treatment and Safe Storage. (HWTS) 3

1.13 Water Service Delivery in Communities and Institutions. 4

1.14 Social Marketing Strategy for Sustainable HWTS Options. 4

2.0 PROBLEM STATEMENT. 4

2.10 RATIONALE AND JUSTIFICATION. 4

2.11 PROJECT GOAL AND OVERALL OBJECTIVES. 5

2.12 PROJECT ACTIVITIES. 6

2.13 EXPECTED OUTPUTS 6

2.14 OUTCOMES 7

3.0 PROJECT IMPLEMENTATION APPROACH. 7

3.11 Close collaboration with MOH and related ministries. 8

4.0 IMPLEMENTATION STRATEGIES. 8

5.0 PROJECT MANAGEMENT STRUCTURE. 9

6.0. PROGRAMME ACTIVITY SCHEDULE 12

7.0 BUDGET: 13

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1.0 Preamble. Under this project, GMS Kenya is seeking financial assistance from Unicef KCO to undertake 4 activities that will promote improved Hygiene and Sanitation practices targeting the larger Turkana and West Pokot Districts. In particular, the project will promote Household Water Treatment and Safe storage (HWTS), including the adoption of ceramic filters and other technologies/ options, with a view to reducing the incidences of water-borne and diarrhoeal diseases among the affected communities. The project will also work with the target schools, communities and households to improve sanitation/ latrine coverage and adoption of hand washing practices in order to break the faecal-oral transmission route. A similar project implemented in 2005 reached out to 5000 Households and focused on the development of the capacities of women as duty bearers to create awareness, demand and knowledge of the ceramic water filters to ensure that safe water is used in Households to reduce contamination risk to children. This project seeks to build upon and use the structures supported by the previous HWTS intervention. 1.1 Background and Purpose of the Assignment. Around 1.1 billion people globally do not have access to improved water supply sources whereas 2.4 billion people do not have access to any type of improved sanitation facility. About 2 million people die every year due to diarrhoeal diseases; most of them are children less than 5 years of age. The most affected are the populations in developing countries, living in extreme conditions of poverty, normally peri-urban dwellers or rural inhabitants.

In the Turkana and West Pokot region, in the Northern Rift Valley province of Kenya, the linkages therefore, between water and sanitation morbidity and childcare are clear. Currently there has been a cholera outbreak in the regions since August (1058 cases, with 55 most recently being managed in Turkana District alone), and polio outbreak since February (17 cases in the Turkana region)Based on the foregoing, it is evidently necessary to undertake interventions to address the underlying issues The project proposes to scale up appropriate HWTS technologies to expand its coverage and benefits to more communities through social marketing with women groups as the main entry point. GMS-Kenya considers providing access to sufficient quantities of safe water, the availability of facilities for safe disposal of excreta, and sound hygiene behaviors as activities of capital importance to reduce the burden of disease caused by these risk factors. GMS will therefore promote improved sanitation through CLTS methodologies incorporating improved hygienic behavior, and support improved access to safe water for communities and schools in the target areas.

1.11 Environmental Hygiene and Sanitation Practices. (CLTS) Unsanitary means of excreta disposal are closely associated with diarrhoeal diseases, which account for almost 20% of under-five mortality. The project will facilitate the construction of latrines in the target school and train local leaders in 25 affected target communities as facilitators in CLTS before triggering in so as to improve sanitation practices and latrine coverage and use. It will also promote hand washing with soap practices within established WASH clubs in schools and communities in order to break the faecal-oral transmission route.

1.12 Household Water Treatment and Safe Storage (HWTS) and Social Marketing strategies

Improvements in drinking water quality through household water treatment, such as chlorination at point of use, can lead to a reduction of diarrhoea episodes by between 35% and 39%. The project will demonstrate the poor quality of water in use at the household level through water testing, and promote household water treatment and safe storage (HWTS) at Point of Use, including the adoption of ceramic filters and other

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technologies/ options with a view to reducing the incidences of water-borne and diarrhoeal diseases among the affected communities. The project will also use audio visual communication to reinforce the hygiene and Household Water Treatment messages.

1.13 Water Service Delivery for Communities and Institutions. The average distance that women and children walk to collect water is 6 km.The weight of water that women carry on their heads is the equivalent of your airport luggage allowance (20kg).The project will support the construction of extension lines from existing water sources such as solar pumps to central locations to ease the burden of distance travelled as well as the loss of labour incurred.

1.14 Social Marketing Strategy for Sustainable HWTS Options. In a district where illiteracy abounds and many people have no access to radio and television, mobile CLTS /HWTS video units will play a crucial role as a medium for spreading important messages. 2.0 Problem Statement.

In the wider Turkana and Pokot Districts of Northern Rift Valley Province (the target region), diarrhoea incidence and child mortality is recurrent especially during short rains and floods in the flat areas. In the past surveys, 40% of the children have had diarrhoeal episodes on a 2 week recall.1. The households normally use five to ten liters per person per day, however due to the current drought situation they are using only three to five liters per person per day. Both normal and the current water access are below the minimum Sphere standards of water of fifteen liters per person per day.

The latrine coverage in the region ranges between 0-3 percent in rural areas and 10-18 percent in the town centers. In actual fact the indicated percentage in rural areas is attributed to latrines in institutions such schools, churches and health facilities. The level of coverage is far below the national average of forty two percent improved sanitation. According to the UNICEF/WHO Joint Monitoring Programme report2, the national coverage is 42% improved, 37% shared, 10% unimproved and 11% open defecation. While rural improved sanitation coverage is higher at 48% and urban coverage consists of a high level shared (77%), open defecation is higher in rural areas at 14%, but this has very wide geographic variation. There are no urban centers with conventional sewerage system in the target region apart from a few private septic tanks. Prevalence of water born diseases such as cholera, typhoid, dysentry and amoeba is higher in areas where communities draw water from hand dug wells (Akar) on the river bed. The target region is currently perhaps the most impacted by the cholera scourge nationally, with over 1000 reported cases this year alone. 2.10 Rationale and Justification. Turkana/Pokot region is vast and villages are scattered over long distances. Poverty levels are highest in the country. Access to water for domestic and livestock use remains the biggest challenge to all

1 Nutrition Surveys in Turkana. Oxfam GB and Unicef 2004. 2 Progress on Drinking Water and Sanitation: special focus on sanitation, 2008.

Water is essential for life. Yet many millions of people around the world face water shortages. Many millions of children die every year from water-borne diseases. And drought regularly afflicts some of the world’s poorest countries. The world needs to respond much better. We need to increase water efficiency, especially in agriculture. We need to free women and girls from the daily chore of hauling water, often over great distances. We must involve them in decision-making on water management. We need to make sanitation a priority. This is where progress is lagging most.

Kofi A. Annan, 22 March 2005

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communities in the region. Most people depend on seasonal streams and wells in the lagas (dry river beds). The average distance to the nearest potable water point is 10km. almost all households fetch water on a daily basis, and fetching it takes less than an hour for 66% of the households, 1-4 hours for 20%, >4 hours for 14% of the households. Access to water has very high seasonal variability, some households have to travel over 20km during drought. More than half the population consumes less than 5 litres per day (Sphere-recommended standard is 15 litres), while one third lives on 5-10 litres per day. Only 19% of households have access to piped water, while a mere 28% have access to potable water. Lack of access to improved sanitation and poor hygienic practices has made the region vulnerable to water borne diseases and recurrent cholera outbreaks. Latrine coverage is very low, at 13.5%. Some regions have extremely low coverage (Loima 2.1%, Kerio 2.9%). Hygiene and sanitation not prioritized by the communities- main priority being access to pasture, water (particularly for livestock), and food. Less than a quarter of households boil their water before drinking it. Considering the extent of the current cholera outbreak, the vastness and remoteness of the target region, the low access to safe water and limited options for water supply, it is essential to aggressively promote improved water quality at the point of use (HWTS) while supporting improved access. The current cholera outbreak in the Pokot districts (East and West) is very grave especially due to the lack of mobility and accessibility to healthcare facilities at Nasolot. This has led to a number of casualties currently approximated at 30-40 dead. There may be additional victims unaccounted for due to the mode of disposal of bodies among the Pokot, as well as lack of accessibility to the interior where there have been serious cattle raids over the last few weeks. It is suspected that local water sources could have been contaminated during the movements. There is need for an immediate intervention to support the local healthcare facilities with regards to distribution of water treatment kits –PUR, Aqua Tab, chlorine and 20 litre jerricans for women with children under 5 in the affected villages, alongside a longer-term intervention on raising awareness on water treatment as well as hygiene and sanitation practices. Based on the foregoing, it is evident that household water treatment and storage, improved sanitation and hygiene especially handwashing with soap at critical times will go a long way to reduce mortality rates amongst children and improve the welfare of children and quality of life in the target region. 2.11Project Goal and Overall Objectives. The overall objective of this project is to reduce incidence of child mortality due to diarhhoeal disease among children under 5 years, through promotion of effective and consistent use of household water treatment and safe storage options, enhanced hygiene and sanitation practices through increased latrine coverage in target schools, and by improving water service delivery for, the rural communities living in Turkana and West Pokot districts. The initiative shall address the following areas in WASH practices. Promotion of appropriate HWTS technologies and Social marketing of Water treatment options. Promotion of Hygiene practices particularly hand washing with soap at critical times. Incremental Sanitation through promotion of Community Led Total Sanitation (CLTS). Improved Water service delivery through construction of extension pipelines in target communities.

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2.12 Project Activities. Project activities will include: In consultation with the District Public Health Office, District Water Officer and the 10 women groups

previously trained in PHAST in Lokichoggio, Central, Lokore, Turkwell, and Kalokol, undertake to: o Review the progress of previously trained 10 women groups in promoting hygiene and

sanitation, identifying constraints and formulating methods of solving these problems including community sustainability of the interventions.

o Develop participatory tools for HHWT together with selected members, taking care to link with hygiene and sanitation.

o Train the groups on Household Water Treatment and social marketing taking care to link with hygiene and sanitation which they are already familiar with.

o Develop audio-visual (20 minute CLTS/HWTS VIDEO) in local language together with the group on CLTS and Household Water Treatment taking care to link with hygiene and sanitation.

In collaboration with the 10 women groups, identify and mobilize additional women groups and partners to share the project concept.

Undertake Pre-implementation of Household Water Treatment using participatory tools. Train them also on use, maintenance and care of the ceramic water filters for those with under five who are most likely to receive the filters.

Facilitate stakeholder groups in conducting a mapping of cholera trends in the district as well as baseline surveys including issues of hygiene and sanitation, water and Households with children under five.

HHWTS Promotion In collaboration with the women groups targeting at least 10,000 households in 25 locations

Promotion of CLTS through training of natural leaders in the target region and triggering (including pre- and post-triggering processes and follow-up) in the identified communities (at least 25 in both districts)

Formation of WASH Clubs and WASH movements (or support where they exist) in targeted communities and schools in 25 locations.

Organize Hand washing and CLTS /HWTS VIDEO shows for 25 locations taking care of repeat visits to all villages. These CLTS/HWTS VIDEO shows will be shown on big screens suitable for clear viewing with audio equipment of sufficient power for clear listening.

o Dissemination and promotion of Social marketing strategy for the community promoting hygiene and sanitation and Household Water Treatment.

o Conduct market and production research for materials to construct low cost Household sanitation facilities for hand washing with soap.

Support the setting up of local supply chain of HWTS kits and resources. Document all activities and lessons learnt in promotion of HWTS and CLTS. Participate in the evaluation to be carried out independently by UNICEF Kenya. 2.13 Expected Outputs

Understanding of the current HWTS and sanitation issues (baseline) in the target region

Establishment of local supply chain for both filters and PUR developed by local women groups for

purposes of sustainability.

Formation of WASH Clubs and WASH committees in all schools in the targeted (25) locations.

Development of a network of local partners and stakeholders in HWTS and hygiene promotion.

Awareness creation and information sharing on appropriate HWTS options, targeting at least

10,000 households in the target region

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Available HWTS methods distributed to the most vulnerable households with children U/5

(especially women-headed households).

Enhanced awareness on safe hygiene practices such as hand washing with soap: all schools in the

target region reached with handwashing messages.

Local leaders trained in CLTS approaches, and at least 25 villages triggered towards improved

sanitation and ODF

Ownership of an integrated community WASH/CLTS strategy established

Involvement of women groups in social marketing of HWTS methods.

Submission of documented report of progress and lessons learnt in HWTS and CLTS.

2.14 Outcomes

Incremental hygiene and sanitation practices established in the project areas Knowledge creation on maintenance and care of the ceramic water filters as well as the use of

PUR and other treatment methods in project areas (HWTS becomes a normal practice). Reduced incidence of the occurrence of cholera and diarrhoeal diseases in Turkana and Pokot

region.

3.0 Project Implementation approach.

UNICEF has intervened in the target region since 1992 to save lives of children affected by severe water

and food shortage. This intervention continues todate.The project will be implemented in critical areas of

Turkana and Pokot Districts in Rift Valley Province; over a period of one year. The project is particularly

designed to cover especially the rural set up but may capture neighboring urban areas and it will spread

over two short rain seasons.

UNICEF Kenya Country Office (KCO) in conjunction with GMS-KENYA will play active roles in project

implementation. GMS-KENYA will provide leadership of the project implementation by hiring and

supervising the project staff and monitoring all the project activities.

GMS-KENYA will take the lead and there will be increasing focus on building community capacity in

preventing WASH related diseases, provision of water and sanitation in schools and communities in

partnership with government departments and the local administration as much as practicable to ensure that

the interventions contribute towards the overall integrated community WASH strategy, and to optimize on

available expertise. In the same breath, GMS-KENYA will identify and work with local partners (CBOS,

NGOs and Community Resource Persons- CORPs) to build local capacity, strengthen the ownership and

ensure sustainability of the initiatives undertaken.

UNICEF will provide financial support as well as the field water testing kits and household water treatment

chemicals through appropriate modalities. These will include:

H2S testing kits

Chlorine tablets

PUR sachets

Ceramic filters

Chlorine

Any other HWT technologies as appropriate

UNICEF will provide the water quality testing equipment.

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GMS-KENYA will mobilize the project team immediately the project is signed between GMS-Kenya and

UNICEF-KCO. The following staff will be deployed to run the project in the field:

1 Project Coordinator

3 Community Development Officers (2 for Turkana and 1 for West Pokot)

2 IEC materials and HWTS video developers/cultural animators.

In addition GMS-KENYA headquarters staff will support the project by offering technical backstopping on

HWTS technologies, development of IEC materials and project monitoring. The staff will regularly visit the

project area to assess and guide implementation of project activities under the guidance of GMS-KENYA‟s

Executive Director and other professional staff.

3.11 Close collaboration with MPHS and related ministries.

GMS-KENYA has a long history of partnership with the parent Ministries of Water, Education and Health.

GMS-KENYA will work in close collaboration with line ministries at the district level. The Public Health Office

is established to the locational level but are constrained by logistical support, hence the need for

collaboration in project implementation. Collaboration will comprise but not limited to:

On the ground, GMS-KENYA‟ activities will be undertaken in collaboration with the relevant government departments.

This support and collaboration will be further enhanced in the production of the HHWT CLTS/video in the region and during the screening circuits of the mobile outdoor shows.

Focal points of the key line ministries will be a key members of the team and will supervise

participatory rapid base line surveys of the status of under fives in each target community and

develop culturally sensitive strategies for programme implementation and promote Household

water Treatment as a best water treatment practice.

Local Authorities and Ministry of Social Services will also contribute towards provision of expertise

and to ensure that the intervention planned for will be part of government efforts to improve the

health and wellbeing of the targeted Districts. 4.0 Implementation Strategies.

In communities where illiteracy levels abound and many people have no access to radio and television,

the inclusion of motion pictures in the programme is an important strategy to bring about behavioral

change. GMS-KENYA will develop training materials/ modules in consultation with the PHO, UNICEF

and other sector players, as well as produce promotional and awareness (IEC) materials in support of

these interventions as appropriate.

Transect walks and participatory involvements are an instantaneous platform to engage the wider

community and trigger lively discussions and debate on health messages and hygiene behavior. CLTS

will be introduced and triggered in 25 selected villages (sub-locations) in each of the two districts. It will

create awareness of the serious health implications of open defecation and other unsanitary practices

such that households will be motivated towards investing in latrine construction. Self ownership will be

established with no external support. Natural leaders will be identified and trained, and thereafter

facilitated to undertake the triggering process. The messages will be embedded through repeated

screening of documentation made before, during and after triggering in the „entry – feedback – entry –

feedback‟ loop.

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The establishment of WASH movements at the school will ensure that the WASH agenda is sustained

through participatory involvement of children and parents in their roles as rights holders and duty

bearers of the project interventions. The existing WASH clubs will be reconvened, trained involved in

the development of the Social marketing strategy for HWTS.

Handwashing will be promoted in schools through WASH clubs and at household level alongside other

hygiene principles as an important means to reduce the spread of diseases. Children will act as change

bearers and therefore create a multiplier effect at the household level in terms of implementation and

practice.

HWTS promotion will entail awareness creation on the various technologies to different target groups in

order to encourage their adoption and understanding. The outreach by means of motion pictures is

much wider, cheaper and breaks all social barriers and brings people of different backgrounds, gender

and ages together. The utilization of local leaders/ resource persons in this way will not only enable the

technical expertise of GMS-KENYA to be utilized more widely, but it will also ensure sufficient local

capacity and sustainability of the interventions. Recording their experiences and ideas on sanitation and

hygiene awareness and promotion of HHWT, will encourage critical discussions, stimulate dialogue and

work as a catalyst for social interaction in the village.

GMS-KENYA will work closely with local administration during community entry and facilitation for

community mobilization. The local administration will be expected to coordinate closely with natural

leaders at the village and locational level so as to support the triggering of CLTS activities and the

sustainability of the interventions.

The project will undertake spot tests to establish quality of community water sources, while at the same

time undertaking a cholera mapping exercise. This will inform the relation between these factors in the

target areas. Cholera mapping will mostly entail collecting data and information from local health

centers. Water quality testing will involve the use of H2S which will further go to demonstrate to the

communities the state of their water sources and hence the need for HWTS.

The project will seek to work with and through existing social structures that may include women and

youth groups, CBOs, NGOs and schools. These structures will be invaluable in supporting outreach to

communities in promoting HWTS and CLTS. GMS-KENYA will provide the technical expertise to

support and coordinate these activities.

GMS-KENYA will develop training materials/ modules for the different training/ advocacy aspects of the

project in consultation with the PHOs, UNICEF and other sector players, as well as produce

promotional and awareness (IEC) materials in support of these interventions as appropriate. 5.0 Project Management Structure.

GMS-KENYA‟s secretariat in Kapenguria will ensure that the field project structure is well defined and

will offer technical back up to the implementing staff. GMS-Kenya‟s Executive Director will give overall

leadership of the project implementation while the Programmes Manager will monitor the project

progress. GMS-Kenya‟s secretariat will report to UNICEF-KCO on the progress of the project on a

quarterly basis.

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GMS-Kenya‟s Communication officer will support in the development of Information, Education and

Communication (IEC) materials and in the dissemination of the Social Marketing video on HWTS and

localized CLTS. The Project Coordinator will be responsible for overall supervision of the project implementation and will

report to GMS-Kenya secretariat on project progress. S/he will spearhead community mobilization, trainings and dissemination of the Social Marketing video on HWTS and CLTS.

5.1 Activities Strategies Expected Outputs Outcomes

Activity 1. Advocacy and mobilization with influential community leaders to support the WASH project and identification of women groups.

Advocating with community leaders and influential partners to support the WASH initiatives using participatory exercises. Mapping of stakeholders and identification of women groups.

Support for project established with the community. Partners and women groups identified.

WASH improvements supported by all stakeholders.

Activity 2. Mapping of respective villages including Cholera, sanitation coverage and households with children under5.

Facilitate women groups in assessment of cholera situation in the community using participatory exercises, and review of health records at health centers.

Zoning of cholera prone spots in the area and an understanding of current HWTS and sanitation coverage

Cholera prone villages and households with under 5s in the area zoned; baseline of HWTS and sanitation coverage in target communities understood.

Activity 3. Facilitate water quality testing of targeted community water sources

Participatory exercises using transect walk to test water within village sources, to demonstrate to communities the linkages between poor quality water and diarrhea/ health; analyze a few (50) water samples for microbiological quality

An understanding of the quality of domestic water sources; poor water quality demonstrated to households and communities

Contaminated water sources identified and zoned; communities understand the link between the quality of water and their health; Local centres available to test water quality in the long run

Activity 4. Facilitation and formation of WASH Clubs and movements established, and talking walls developed

WASH clubs formed in target schools and communities;. Develop talking walls for each school through WASH clubs

Pupils and villagers actively engage in Water, sanitation and hygiene activities in the target locations. Talking walls developed for school (in the 25 locations- about 25 schools)

Participatory group discussions on Water, sanitation and hygiene enhanced.

Activity 5. Promotion of Hand Washing with Soap practices.

Training and advocacy using participatory exercises to promote the adoption of handwashing with soap as a normal behavior in all target areas .

Hand washing with soap practiced at household, school and community level.

Improved hand washing practices at all critical times. Reduction of diarrhoeal incidences.

Activity 6. Water service delivery. Construction of 7 community extension pipelines.

Build on previous O&M of Solar pumps established in the area and construct 7 extension lines to deliver water closer to the people

Water supply brought closer to communities; Community water committees established to maintain and repair water system and collect fees.

Improved access to safe water; Less time and labour lost through water collection

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Activity 7. Training of target groups and promotion of HWTS.

Development of participatory tools for HWTS. Targeted training and community outreach on HWTS methods using participatory tools and social marketing, targeting at least 10,000 HH

Community aware of different HWTS methods and practice safe hygiene.

Proper use of filters, PUR and other water treatment methods available to households. Household care and maintenance of ceramic water filters water enhanced. Decline in diarrhoeal incidences among under5‟s.

Activity 8. Development of Audio-visual HWTS/CLTS marketing tool

Participatory development of 20 minute Video Documentary in local language with women groups on HWTS/CLTS.

Production of HWTS & sanitation video documentary based on local stories and actual shooting of local participants .

Behavior change in sanitation practices among target locations with results exhibited in days and weeks

Activity 9. Promotion of Community Led Total Sanitation (CLTS)

Participatory community training, and triggering in 25 identified locations. Social marketing promotion of CLTS through audio visual strategy ongoing.

CLTS triggered in 30 locations. Increased use of sanitation facilities for faecal disposal. elimination of open defaecation within village environment.

Increased latrine coverage Behavior change in sanitation practices with results exhibited Decline in diarrhoeal incidences among under5‟s.

Activity 10. Latrine Construction in two schools One in each district).

2 Six door latrines with gender sensitive appeal constructed in 2 schools (Nadapal Primary School & one school in Pokot) .

Construction and promotion of area specific low cost replicable and sustainable sanitation facilities.

Increased latrine coverage. Access to improved sanitation and incremental hygienic practices among pupils.

Activity 11. Establishment of local supply chains/ kiosks of appropriate HWTS methods such as ceramic water filters, PUR, SODIS, Aqua Tab and Water testing kiosks.

Establishment of 10 local supply chain units for HWTS options and 10 water testing kiosks.

System of community financing and expansion of HWTS resources based principally on the cost recovery of capital investments established.

Water quality at point of use improved through proper use of filters and safe from contamination through practicing appropriate hygiene/ sanitation Development of IGA‟s for women groups.

Activity 12. Initiate a partnership to produce ceramic filters (and/ or other locally practicable HWTS methods) at the local level,

Explore and establish partnerships with potential producers or promoters of HWTS technologies such as Potters for Peace, Chujio etc

Local production unit for HWTS (ceramic filters or other) in place; local availability and affordable costs

Increased HWTS availability and practice at household level; reduced incidence of diarrhoeal diseases

Activity 13. Sustained advocacy and social marketing of HWTS through mobile cinema road shows and sanitation competition days.

Competitions to determine WASH compliant villages established.. Promotion of HWTS/CLTS is channeled through locally shot video within the local cultural/ social context

Continuous delivery of HWTS shows screened on regular village circuits to embed messages through the “entry re-entry” loop process.

Behavior change in hygiene/sanitation practices among target locations with results exhibited in days and weeks.

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6.0. Programme Activity Schedule

Activities

N D J F M A M J J A S O

Activity 1 Advocacy and mobilization with influential community leaders to support the WASH project and identification of women groups.

x x x x x x x x x

Activity 2

Mapping of respective villages including Cholera and households with children under5.

X

Activity 3

Facilitate water quality testing from targeted community water sources

x

Activity 4

Facilitation and formation of WASH Clubs and movements established, and development of talking walls.

x x x

Activity 5

Promotion of Hand Washing with Soap practices. x x x x x x x x x

Activity 6

Water service delivery. Construction of 7 community extension pipelines.

x x

Activity 7

HWTS promotion through training and community engagements. x x x x x x x x x

Activity 8

Development and Pre-testing of Audio-visual HWTS/CLTS marketing tool

x x x

Activity 9

Promotion of Community Led Total Sanitation (CLTS) x x x x x x x X x

Activity 10

Latrine Construction in 2 target schools. x x x x X x x

Activity 11

Establishment of local supply chains/kiosks of ceramic water filters, PUR, SODIS, Aqua Tab.

x x x x x x

Activity 12.

Research and partnership to produce ceramic filters (and/ or other locally practicable HWTS methods) at the local level

x x x x x

Activity 13

Sustained advocacy and social marketing of HWTS through mobile cinema road shows and sanitation competition days.

x x x x x x x x

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7.0 Develop and localize the Budget according to local rates and advice management accordingly: Hygiene/Sanitation and Household Water Treatment Promotion in Turkana-Pokot Region.

Description Unit Cost (Ksh)

Activity 1: Advocacy and mobilization with

influential community leaders to support the WASH project and identification of women groups.

3 community meetings

(3 x 30 PP in Turkana,

1 x 35 in Pokot)

Transport refund

125 pax

Lunch and tea 125 pax

Venue ?Ksh

Meeting with local stakeholders

(3 x 10 )PP in Turkana, (1 x

10PP) in Pokot

Transport refund 40 pax

Conference package (meals/

venue) 40 pax @1200/= FB

Community campaigns and awareness creation.

Hire of 2 vans

Transport refund of key

persons invited 10.

Public Address system

Master of ceremony

Theatre group

Water bottles100

Snacks 100

IEC Materials Posters 40

Banners 6

Brochures

Flyers 600

T-shirts 300

Caps200

Video coverage of campaigns

4 times

Sub Total

Cholera mapping and water quality testing of the respective villages.

2 pp x 2 days per location x 25 location

25 locationsx2 days each

Laboratory testing cost (Water test to verify field test results)

Laboratory fee @ ? per sample

25samples

PH/Conductivity meter UNICEF to provide

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GMS-Kenya.HHWT09 Page 14

Turbidity meter UNICEF to provide

Development and pre – testing of audio visual Video on Hand washing & HHWT with women groups. Script writing, shooting, editing, Voice-over and pre-testing:

Hire of 2 vans

Transport refund of key

actors involved 10@500

Public Address system

Locational director

Supporting cast and local

interpreters

Water bottles100 Snacks 100

Subtotal

Trainings

HWTS

Hygiene promotion

CLTS

3x30pp Turkana and 1x35 pp

Pokot

Conference package 125pax x5 days

Transport reimbursement 5ppx25 locations

Logistics-Car hire 1 Car Hire

Facilitation (8 facilitators) 8 facilitators x5days

Sub-total

HWTS Demonstration and Promotion materials

HWTS Demonstration Equipment Ceramic candle filter local

Ceramic candle filter local

4@ 2,500=10,000

Ceramic trough filterlocal4 @

2,500=10,000

Sari filter 2,000

Biosand Filter

4,500x2=9,000

Decantation chemicals

And compounds Moringa

seeds, 2,000x2=8,000

Chlorine Based water disinfectants (PUR , Water Guard, Aqua Tab)

UNICEF to provide

SODIS PET bottles UNICEF

Sub total

Sub-total