kenya water project - mit - massachusetts institute of …web.mit.edu/watsan/docs/student...
TRANSCRIPT
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B r i n g i n g w a t e r t o t h e m a s s e s
Michael Pihulic . Suzanne Young . Amber Franz . Brian Loux Pragnya Alekal . Brian Robinson . Robert Baffrey
Kenya Water Project
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KenyaThe cradle of civilization• Population = 31.5 M• Area = 582,650 sq km
(roughly twice the size of Nevada)
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126 deaths per 1000 live birthsChild mortality
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diarrhea a direct result of lack of clean drinking water
The leading cause
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Only 57% of the population has access to an improved water supply
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30% of the population has to walk over half an hourto get access to water
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This is the kind of water they get
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There is a solution to Kenya’s water crisis…
…we want to be a part of that solution
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MAJI, Inc
• Formed at the Massachusetts Institute of Technology in 2004, in response to the world’s water crisis
• A team of highly qualified Environmental Engineers, Scientists and Business Strategists
• Diverse backgrounds, world experience…all committed to finding a solution
bringing water to the masses
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MAJI, INC.Overall Goal
To aid in Kenya’s development and progress towards safe water and
sanitation for all.
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MAJI Focus Areas• HH Drinking Water Treatment & Storage
– Filtration: Ceramic filter performance– Disinfection: SODIS– Storage: Modified clay pots– SWS: Technical and Social Evaluation,
Implementation
• Program Implementation– Household water treatment and storage
• Sanitation – EcoSan
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Location
• All over Kenya; mostly Nyanza Province
• 1-5 persons per area• Collaborations with
local NGOs
50Kilometers
0
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Team Projects1. AMBER – Filtration – Ceramic filter performance2. BRIAN L. – Disinfection – SODIS 3. SUZANNE – Storage – Standardization, Tap Design,
and Cost Recovery of modified clay pots4. MIKE – Storage – Manufacturing of modified clay
pots5. PRAGNYA – SWS – Technical and Social Evaluation6. ROBERT – Program Implementation – Household
water treatment and storage technologies7. BRIAN R. – Sanitation – EcoSan(Other Collaborators from Harvard and MIT Sloan)
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The team “in the field”
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Microbial Filter Study
Amber Franz
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Objective
• Assess the performance of ceramic candle filters that are locally available in Kenya– Parameters examined
• Cost• Turbidity Removal• Flow Rate• Bacterial removal• Viral removal
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Filters Studied
– AquaMaster (Brazil)• $10
– Doulton Super Sterasyl (UK)• $40
– Stefani São João (Brazil)• $1.50-$3.00
– Pelikan (India)• $2
– Pozzani (Brazil)• $20 ($2.50 in Peru)
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Study Design
• Kenya– Test locally contaminated water (Nairobi)
• Total coliform • E. coli
– Test candle filters• Turbidity Removal • Flow rate • Bacterial indicator removal efficiencies
– Total coliform – E. coli
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Study Design
• MIT– Test Charles River water– Test candle filters– Test Pelikan filters
• Viral indicator removal efficiency
– MS2 coliphage
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Turbidity Removal ResultsAverage Percent Turbidity Removal By Filters in Kenya
95.00
96.00
97.00
98.00
99.00
100.00
Aqua
Maste
r 1Aq
uaMas
ter 2
Doulto
n 1
Doulto
n 2
Stef
ani 1
Stef
ani 2
Pelik
an 1
Pelik
an 2
Pozz
ani 1
Pozz
ani 2
Filter
Perc
ent T
urbi
dity
Rem
oval
Average Percent Turbidity Removal by Filters at MIT
84.00
88.00
92.00
96.00
100.00
Aqua
Maste
r 1Aq
uaMas
ter 2
Doult
on 1
Doult
on 2
Stef
ani 1
Stef
ani 2
Pelik
an 1
Pelik
an 2
Pozz
ani 1
Pozz
ani 2
Filter
Perc
ent T
urbi
dity
Rem
oval
Raw Water Turbidity:
15-31 NTU
Raw Water Turbidity:
1.8-8.4 NTU
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Flow Rate ResultsAverage Flow Rates of Filters in Kenya
00.05
0.10.15
0.20.25
0.3
AquaM
aster
1Aq
uaMas
ter 2
Doulto
n 1Dou
lton 2
Stefa
ni 1
Stefa
ni 2
Pelik
an 1
Pelik
an 2
Pozz
ani 1
Pozza
ni 2
Filter
Flow
Rat
e (L
/hr)
Average Flow Rates of Filters at MIT
0.0000.1000.2000.3000.4000.5000.6000.700
AquaM
aster
1Aqu
aMas
ter 2
Doulto
n 1
Doulto
n 2
Stefan
i 1
Stefan
i 2
Pelika
n 1
Pelika
n 2
Pozza
ni 1
Pozza
ni 2
Filter
Flow
Rat
e (L
/hr)
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Bacterial Removal Results
Percent of Coliforms Removed by Filters at MIT
90
92
94
96
98
100
Aqua
Mas
ter 1
Aqua
Mas
ter 2
Doul
ton
1
Doul
ton
2
Stef
ani 1
Stef
ani 2
Pelik
an 1
Pelik
an 2
Pozz
ani 1
Pozz
ani 2
Filter
Perc
ent R
emov
ed
TotalColiformsE. coli
Percent of Coliforms Removed by Filters in Kenya
99
99.2
99.4
99.6
99.8
100
Aqua
Master
1Aq
uaMas
ter 2
Doulto
n 1
Doulto
n 2
Stef
ani 1
Stef
ani 2
Pelik
an 1
Pelik
an 2
Pozz
ani 1
Pozz
ani 2
FilterPe
rcen
t Rem
oval
TotalColiformsE. coli
Charles River SourceE. coli:
1.4x102-5.5x102 CFU/100 mL
Total coliform:
1.4x104-6.1x104 CFU/100 mL
Diluted Nairobi SourceE. coli:
2.4x104-1.2x106 CFU/100 mL
Total coliform:
7.8x104-1.6x106 CFU/100 mL
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Conclusions & Recommendations
• Pelikan filters– Good Performance– Cheap Price– Not effective at removing viruses
• Pre-filtration for turbid waters– Sedimentation – Coagulation
• Post-filtration– Disinfection
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Spirasol: Improvements to Continuous-Flow
SODIS
Brian Loux
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Point Of Use Treatment
•Piping Impracticalities
•Questionable Quality
•Hand Contamination
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SODISUV irradiationOH- + hv *OH- + e-
Heat Pasteurization
Small AmountsQuantizedDrinking only
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SC-SODIS by Xanat Flores
•Continuous flow
•Straight into home
•Multiple pieces
•Potentially expensive
•Difficult to assemble
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Spirasol
• Compact area • UV scatter in tube
unlikely• Easy to assemble• Cheap
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Lab Work
Disinfection Rates in Nairobi
012345678
6 hrs 5-6 hrs 3 hrs 2 hrs 5 hrs
Residence Times
Log
rem
oval Bottle E. Coli removal
Bottle TC removalTube E. Coli removalTube TC removal
•Compare Spiral Tube to Bottle •Source: “Nairobi River” •Membrane Filtration for E. Coli and Total Coliform
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Disinfection in Boston
0
0.5
1
1.5
2
2.5
6 hrs 6 hrs
Residence Times
Log
rem
oval Bottle E. Coli removal
Bottle TC removalTube E. Coli removalTube TC removal
Lab Work (continued)
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Future Work
• Efficacy of Plastic– Heat, transmissivity, byproducts, strength,
etc.• Oxygen levels• Flow Control• Scaled-up applications
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The Modified Clay Pot:The Modified Clay Pot:Standardization, TapsStandardization, Tapsand Cost Recoveryand Cost Recovery
Suzanne E. YoungSuzanne E. Young
Picture here
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Field SitesField SitesAsembo: Kinda E Teko Pottery Group
Oriang: ORIANG Women’s Pottery Group
Rangwe: AMILO CBO Pottery Group
Kenya
Nyanza Province
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Narrow mouth
Lid
Metal spigot to access
water
Sediment pouch
Flat base
Modified Clay PotModified Clay Pot
Wide mouth clay pot
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Project GoalsProject Goals
• Standardization of pot sizes– 20 L , 40 L
• New tap design• Analysis of cost recovery
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Field MethodsField Methods
• Observation• Interview• Trial and error
problem solving
• Focus groupsHard at work at Amilo CBO
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Results: StandardizationResults: Standardization
Measuring pots at AmiloCBO: Volume variability +/-
10%
New shape at Amilo CBO:
Cylindrical “milk bottle”
Making pots with metered ropes at
Amilo CBO
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Results: TapsResults: Taps
Schematic of plastic tap
Attaching plastic tap to unfired pot with flat spot at Oriang
Close up of jam nut used to secure tap on inside of pot at Oriang
WINNER!
20 L pot with plastic tap at Oriang…
No leaks! ☺
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Cost breakdown of Amilo Modified Clay Pot(as reported by Amilo C.B.O.)
grasssmall woodsandclay tap palared oxidewaterproof cementblack pipe1018 KSH/pot ! (Sale Price: 350 – 500 KSH/pot)
Cost breakdown of Kinda E Teko Modified Clay Pot (as reported by Kinda E Teko to Business
Team)
small woodclay transporttapred oxidewaterproof cementregular cementpipe
201 KSH/pot ! (Sale Price: 370 KSH/pot)
•Amilo data questionable
•Oriang data incomplete
•Kinda E Teko data OK
Results: Cost RecoveryResults: Cost Recovery
Interview at Amilo C.B.O.
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ConclusionsConclusions• Standardization
– Volume variability already within 10%– Encourage use of tools (e.g. measuring tape,
metered ropes) – but account for shrinkage– Will cylindrical shape sell?
• Taps– Plastic design wins! – Next step: Field test
• Cost recovery– Need more information / validation
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Production and Manufacture
of the Modified Clay Pot
Michael Pihulic
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Objectives
• Observe and Document Manufacturing and Production Process
• Compile Best Practices
• Suggest Improvements
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Methods• Observed, Photographed, Taped
Production Process at Each Site
• Interviewed Potters and Support Organization Staff
• Examine Finished Product
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Production Process1. Gathering
2. Processing
3. Shaping
4. Decorating
5. Drying
6. Tapping
7. Firing
8. Sealing
9. Tap Preparation
10. Tap Attachment
11. Quality Assurance and Control
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Results•Production Methods are Variable
•Difficulty Identifying and Isolating Defects
•Little Growth or Experimentation
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Variability in Production
• Group level
– Materials
– Funding
– Techniques
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Variability in Production
• Individual Level– Materials
– Dimensions
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Defects Identification
• Systemic vs. Local– e.g. Leakiness of Tap Versus Porosity of
Pottery
• Taking Action– Eliminating Problems They Have
Solutions For
• Quality Assurance and Control
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Experimentation
• No Written Records of Success or Failures
• Limited Sharing of Knowledge Between Groups
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Improvements• Develop Material Resources
– Clay Sources– Taps
• Develop Tools– Standardize Tapping
• Keep Records• Share Methods• Quality Assurance and Control
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Evaluation of Water Treatment Options in
Nyanza
Pragnya Alekal
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Situation - Water
• Very contaminated – morbidity for age 0-5 primarily due to
waterborne diseases• Poor distribution system, if at all• High turbidity levels, up to 1500 NTU• Sources include Lake Victoria, streams,
springs, ponds, earthpans, boreholes, taps, rainwater, rivers, etc.
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Typical Water Sources
Photos courtesy of Jody Gibney
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Situation – socio-economic
• AIDS/HIV infection rate = 25-40%• High malaria rate• Life expectancy ~37 years• Average family income <$0.40/day• Average family size = 6
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Water Treatment Options
WaterGuard• Developed in
conjunction with CDC
• Contains NaOCl• Only disinfects• Cost* = $0.56/mo
PuR• Developed by P&G• Contains Ca(OCl)2
and Fe2(SO4)3
• Removes turbidity and disinfects
• Cost* = $3.00/mo
* For family of 6
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Evaluate which one is most appropriate…
Gauge consumer preferences, practices and knowledge
Gauge actual water situation
Assess market availability
Suggest possible alternatives
Household surveys
Chlorine tests on treated water
Turbidity tests on source waters
Addressed by Sloan Businessstudents
Analyze moringa
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Analysis: Moringa
WaterGuard PuR MoringaBy CDC By P&G Occurring naturally
Contains NaOCl Contains Ca(OCl)2 + Fe2(SO4)3
Contains bioproteins
Disinfects only Removes turbidity + disinfects
Removes turbidity only
Cost* = $.56/month Cost* = $3.00/month Cost* = ???
*for a family of 6
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Field Work
• 14 communities• 74 people
surveyed
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Results: Source vs Turbidity levelsSource
Communities(n = 14)
Turbidity (NTU)
Tap 5 0.76 -1.31Borehole 5 0.78 – 95.7
Pond/Earthpan 4 8.00 - 42.0Rainwater 9 0.30 – 5.20
Lake 1 22.4Spring 2 2.48 – 2.52River 4 7.5 – 59.6Tank 1 25.4
•Average measured turbidity = 39 NTU
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Results – Current Practices
• Product usage
• 52% did not treat or boil rainwater
Boiling, 36% Moringa*, 1%
PuR*, 3%
WaterGuard, 34%
No Treatment,
26%
*not continuously
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Results – WaterGuard Users
• 100% of WaterGuard users reported a stop to stomach-related illnesses
• Safe chlorine levels in Waterguard users:
Free Chlorine <1mg/L, 73%
Free Chlorine >1mg/L, 27%
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Results – observations
• VERY low level of health, product and financial knowledge
• Moringa, in general, is not widely harvested. Moringa Stenopetala has not been studied for water treatment.
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Conclusions - Recommendations
• Conduct education programs – on health and water treatment
• If Turbidity– < 10 NTU or “looks clear”, use filtration-disinfection– 10 < T < 30 NTU or “somewhat clear”, use
sedimentation-filtration-single dose disinfection– 30 < T < 100 NTU or “not clear” use sedimentation-
filtration-double dose disinfection– > 100 NTU, or “muddy” use PuR
• Retreatment with WaterGuard every 36 hrs• Moringa stenopatela needs more research
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Program Implementation of Household Water Treatment and Safe
Storage Systems
Robert Baffrey
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1. Problem Awareness
2. Problem Definition
3. Idea Generation
4. Concept Evaluation
5. Field Experience, Fabrication, Experiment, Lab Work
6. Refined Design (Field and lab testing, multiple sites and countries)
10. Reiteration
7. Pilot Studies
8. Implementation
9. Scale-up
Goals Methods Results
Goals – The Big Picture
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1. Problem Awareness
2. Problem Definition
3. Idea Generation
4. Concept Evaluation
5. Field Experience, Fabrication, Experiment, Lab Work
6. Refined Design (Field and lab testing, multiple sites and countries)
10. Reiteration
7. Pilot Studies
8. Implementation
9. Scale-up
Goals – The Big Picture
Goals Methods Results
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• To develop an implementation/evaluation survey to be utilized primarily for evaluating the effectiveness of currently implemented HWTS technology programs.
• To develop a technology selection tool to aid in the selection of appropriate HWTS technologies in local communities of developing nations.
Goals – Specific Objectives
Goals Methods Results
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Methods – The Survey• Length: 18 pages
• Time Required: 1 to 2 Hours
• Target: Organizations Implementing HWTS Programs
• Current Version: 7
Goals Methods Results
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Methods – The SurveySections1 General Information2 Implementation Program / Product Description3 Target Population and Current Water Use Practices4 Resource Availability5 Education and Training6 Funding7 Operational Monitoring 8 Target: Health Outcomes9 Target: Water Quality10 Target: HWTS System Performance11 Target: Behavior/Use (Social Acceptability)12 Costs13 Other Types of Approaches and Questions14 Final Thoughts15 Publications
Pre-Implementation
Implementation
Goals Methods Results
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Nairobi• PSI (Population Services International)• NETWAS (Network for Water and Sanitation)• KWAHO (Kenya Water for Health Organization)• WVI (World Vision International)• Ministry of Health• Ministry of Water• Approtec (Appropriate Technologies for Enterprise
Creation)Mombasa• PSI (Population Services International)Machakos• MEDAIR / BushproofNakuru• CDN (Catholic Diocese of Nakuru)Mathuru• ACK (Anglican Church of Kenya)Kisumu• PSI (Population Services International)• SWAK (Society for Women and Aids in Kenya)• KWAHO (Kenya Water for Health Organization)• CARE Kenya• Women’s Pottery Groups
Organizations Visited
Goals Methods Results
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Organizations Visited
Goals Methods Results
PSI – Waterguard Chlorination (Mombasa)
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Organizations Visited
Goals Methods Results
MEDAIR / Bushproof– BioSand Filtration (Machakos)
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Organizations Visited
Goals Methods Results
MEDAIR / Bushproof– BioSand Filtration (Machakos)
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Organizations Visited
Goals Methods Results
Catholic Diocese of Nakuru – Bone Char Defluoridation (Nakuru)
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Organizations Visited
Goals Methods Results
Anglican Church of Kenya – SODIS (Mathuru)
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Organizations Visited
Goals Methods Results
Society for Women and Aids in Kenya– The Modified Clay Pot (Kenda E Teko Pottery Group, Asembo)
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Organization Technology Location
Population Services International (PSI)
Nairobi Waterguard Nairobi (Headquarters)
Mombasa Waterguard Mombasa (Headquarters) / Coast Province
Kenya Water for Health Organization (KWAHO)
Nairobi SODIS Kibira District, Nairobi, Nairobi Area
Maseno, Western Province EcoSan Toilets Maseno, Western Province
MEDAIR / Bushproof Concrete BioSand Filters Machakos, Eastern Province
Network for Water and Sanitation (NETWAS) Ceramic Candle Filter Nairobi (Headquarters)
World Vision International (WVI) Safe Water System Nairobi (Headquarters)
Kenya Ministry of Health - Nairobi (Headquarters)
Catholic Diocese of Nakuru (CDN) Defluoridation Filters Nakuru, Rift Valley Province
Anglican Church of Kenya (ACK) SODIS Eldoret (Headquarters)
Society for Women and Aids in Kenya (SWAK) Waterguard / PuR / Modified Clay Pots Kisumu (Headquarters) / Western Province
CARE Safe Water System / Modified Clay Pots Kisumu (Headquarters) / Western Province
Appropriate Technologies for Enterprise Creation
Money Maker Pumps Nairobi (Headquarters)
Organizations Visited
Goals Methods Results
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Results – The Survey
A Web-Based Collection Tool Being Implemented by the World Health Organization
Goals Methods Results
http://www.who.int/household_water/implementation/en/
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Results – The Selection Tool
Goals Methods Results
• Aims aid in the selection of appropriate HWTS technologies in local communities
• Based on data collected in Kenya.• Intended for use by implementing organizations
and local communities.• Two versions: electronic and hard-copy.• Prompts user for information on parameters that
are used to compute scores which in turn rank HWTS technologies in terms of applicability.
• Two types of parameters: site-specific and technology-specific.
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Results – The Selection Tool
Parameter Suggested Weight (/1000)
Target PopulationSize 40Density (Urban/Rural) 40Average Household Size 40Age Demographics 40
Literacy Rate 40Water Source (Type, Turbidity, Microbial Contamination) 120Water Use Practices, Access, and Transport 100Occurrence of Disease (Prior Studies Conducted) 100Local Government (Structure and Involvement) 60Presence of Implementing Organizations (NGOs) 60Economic Considerations (Family Wealth Information, Willingness-to-Pay, Funding)
150
Goals Methods Results
Site-Specific Parameters
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Results – The Selection Tool
Goals Methods Results
Technology-Specific Parameters
Parameter Suggested Weight (/100)
CERAMIC CANDLE FILTRATIONResource Availability 20Mass Media Presence 40Available Local Distributors 40BIOSAND FILTRATIONResource Availability 30Skilled Labor Availability 30Technical Support Availability 40SOLAR DISINFECTION (SODIS)Resource Availability 40Technical Support Availability 20Exposure to Sunlight 40
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Results – The Selection Tool
Goals Methods Results
Technology-Specific Parameters (Continued)
Parameter Suggested Weight (/100)
CHLORINATION (WATERGUARD)Resource Availability 20Mass Media Presence 40Available Local Distributors 40COMBINED FLOCCULATION / DISINEFECTION (PUR)Resource Availability 20Mass Media Presence 40Available Local Distributors 40BOILINGResource Availability 100
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Results – The Selection Tool
Goals Methods Results
Sample Scoring
Population Density (Urban/Rural)
Suggested Weight: 40/1000 (4%)
Information requested:__ Urban (>500 people/square mile* or >1,300 people/square kilometer)__ Rural (<500 people/square mile* or <1,300 people/square kilometer)*Source: United States Census 2000
Suggested Scoring: Technology Urban RuralCeramic Candle Filtration 40/40 30/40
BioSand Filtration 30/40 20/40Solar Disinfection 30/40 25/40Chlorination 40/40 30/40Combined Floc/Dis 40/40 30/40Boiling 30/40 40/40
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Results – The Selection Tool
Goals Methods Results
Sample Scoring – Luna, La Union, Philippines
Technology Site-Specific Score Technology-Specific Score Total Score
80/100 745/1100
770/1100
650/1100
810/1100
780/1100
580/1100
90/100
70/100
90/100
90/100
60/100
Ceramic Candle Filtration 665/1000
BioSand Filtration 680/1000
Solar Disinfection 580/1000
Chlorination 720/1000
Combined Flocculation/Disinfection 690/1000
Boiling 520/1000
Technology Total Score Rank
Chlorination 810/1100 1
2
3
4
5
6
Combined Flocculation/Disinfection 780/1100
BioSand Filtration 770/1100
Ceramic Candle Filtration 745/1100
Solar Disinfection 650/1100
Boiling 580/1100
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The Agricultural Potential and Usability
of Ecological Sanitation
Brian E. Robinson
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Ecological Sanitation
All Right!
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Site Background
Town: Kombewa
All households: • Rural• Practice household
agriculture• Low income
Toilets: 33 urine-diverting Skyloos
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The Skyloo
• Dry sanitation
• Add ash, soil, or lime to feces
• Storage: 6-12 months
Urine diversionmakes drying feces easier!
Decomposition by Dehydration
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Goals1) Agricultural value of the urine
2) Reuse methods
3) …Other drivers for demand
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Methods
• Laboratory analysis of urine samples
• Interviews with households
• Interviews with organizations
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Analytic Results: Agricultural Value
Family of 4 adults ~ 3 Kg of N / year~ 0.4 Kg of P / year
Same nutrients in a hectare (10,000 m2) of fresh corn, spinach and watermelon
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Survey Results: Urine ReuseUrine• 67% of households claim to
reuse the urine in farming• 33% dump it out
Storage timeRecommended: 1 monthActual: 2 months (average)
n=26 people
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Survey Results: Feces Reuse
Feces• 65% reuse the feces • 28% bury feces
Storage timeRecommended: 6 monthsActual: 4½ months (average)
n=26 people
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Results: Demand Drivers
• Recycling Process+ “I like my manure”; “This toilet doesn’t smell!”– “If you don’t have a strong heart, you could vomit”
• External Factors+ “My pit latrine floods”; “ The soil here is too loose”– “Granny can’t squat or get up the stairs”
• Physical Characteristics+ “It adds beauty to my home”– “The chamber is too small”
• Financial Factors+ “The manure saves me money”– Dependent on NGO-subsidized materials?
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Conclusions
Why would people want to use this?• Urine and feces have direct agricultural value• Other advantages to the toilet, could they be
just “putting up with” the recycling aspects?
Recommendations• Marketing of the toilet can focus on aspects
other than just recycling• Target areas with poor soil conditions• More training for users (re: storage time)
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Overall Project Conclusions
Individual project contributionsApplications beyond Kenya
Future research
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Individual Contributions• Filtration
– Identified most effective ceramic candle filters• Disinfection
– Improved SODIS design• Storage
– Best Practices for each pottery site• SWS
– Turbidity-based selection of product; retreatmentafter 36 hours
• Program Implementation– Survey and decision making tools
• Sanitation– Agricultural potential and usability
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Applications beyond Kenya• Filtration
– Basis of comparison for related and future ceramic candle filter research
• Disinfection– Spirasol may be more valuable in areas with less solar intensity
• Storage– Improved modified clay pot may have applications to other
African countries, esp. in refugee camps and hospitals• SWS
– Identified appropriate products for use in various conditions • Program Implementation
– Evaluation survey and selection tool adoptable by organizations such as WHO
• Sanitation– People want nice toilets in addition to practical/resourceful
toilets
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Future Research• Filtration
– Further testing , esp. filter performance over time and viral removal, on more ceramic candle filter brands
• Disinfection– Further testing of SODIS variables; Scale up system; Determine
first world applicability• Storage
– Field test of plastic tap performance• SWS
– Field-based research for sedimentation, cloth filtration, and chlorine disinfection
• Program Implementation– Supplement evaluation survey and selection tool with more
accurate information; Apply to other programs• Sanitation
– Field-evaluation of nutrient content of feces; Further evaluation of application methods
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ERO KAMANO(Thank you in Luo dialect of Nyanza Province)
• Susan Murcott• Eric Adams• Teammates: Sloan (Ellen, Mark, Rachel, Jody) Harvard
School of Public Health (Jill Baumgartner) • Organizations
– Centers for Disease Control (Daniele Lantagne, Rob Quick)– NGOs- Kenya Water and Health Organization (KWAHO),
CARE-KENYA, Society of Women with Aids in Kenya (SWAK), Population Services International (PSI), Network of Water and Sanitation (NETWAS), Catholic Diocese of Nakuru (CDN), Bushproof, Samitarian’s Purse.
– Kenyan Government (Water Resources Authority, Pollution Control Division)
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Questions?Susan Murcott (Team Leader)
Brian Robinson’s
(Area of Study)
Pragnya Amber, Suzanne, and Mike
Robert
Brian Loux