Participative approachAn integrated project: Experience of Douar Ben AbidMajida Zahraoui- ALMAE

What is inacceptable today?What is inacceptable today?

Shantytowns are not Shantytowns are not recognized: populations recognized: populations there have no access to there have no access to basic infrastructures like basic infrastructures like waterwaterEven though drinking Even though drinking water is a priority in the water is a priority in the water policy in urban water policy in urban areas in Morocco.areas in Morocco.

LACK OF HYGIENE

PRECARIOUSNESS

IGNORANCE

PROMISCUITY

INSALUBRITY

POVERTY

STRONG CONCENTRATI

ON OF THE POPULATION

INEQUAL ACCESS TO

WATER

ILLITERACY

Access to a healthy water

Important effects on development and public healthHuman rights to guarantee health and human dignity

Protection of individuals from the risks of diseases

Protection of underground, surface water and littoral water resources

Preservation of the environment quality (soil, water flows and lakes)

Waste water treatment and sewage allows :

Target is to change the Target is to change the situation by giving priority to:situation by giving priority to:

Development of knowledge in access Development of knowledge in access to water and sanitation to water and sanitation Intervention strategy with participative Intervention strategy with participative and transversal approachand transversal approachParticipation of all actors: public, Participation of all actors: public, private, NGOs and local populationprivate, NGOs and local population

Target is to change the Target is to change the situation by giving priority situation by giving priority to :to :

Financing Financing Capitalization of experiencesCapitalization of experiencesDuplicate the project in similar sitesDuplicate the project in similar sitesInformation and awarenessInformation and awareness

ALMAE contributes to the ALMAE contributes to the national programs with an national programs with an action in Douar Ben Abidaction in Douar Ben Abid

A social, economical and medical A social, economical and medical study in order to: study in order to:

Draw up a summary of the problemsDraw up a summary of the problemsIdentify the populationIdentify the population’’s needss needsSet up an integrated project intended to Set up an integrated project intended to improve the living conditions in this slum.improve the living conditions in this slum.

The site of the action: The site of the action: DouarDouarBen Ben AbidAbid ((Inhabitants: 4090, households: 877)

The site shows The site shows the importance of the importance of accessibility to accessibility to safe watersafe water for for populations and populations and its impact on its impact on healthhealth

Douar Ben AbidDouar Ben Abid

The habitatThe habitat

Evacuation of Evacuation of solidsolid wastewaste

Contamination of ground water Mosquitos affect the well-being of the inhabitants

Pollution

- Sound Pollution - Bad smells- Release of fume - Pollutants (dust)

Directives of this project: Directives of this project: water and its quality impact water and its quality impact on healthon health

Habitat, education, social mobilization, Habitat, education, social mobilization, capacity building and income activities, capacity building and income activities, particularly for women. particularly for women. First results: strong demand of the First results: strong demand of the population of the slum in water and population of the slum in water and sanitation. sanitation. Medical and laboratory exams showed the Medical and laboratory exams showed the poor conditions of water supplying and poor conditions of water supplying and sanitationsanitation

ProblemsProblems to to bebe solvedsolved

To reduce water related to health risks to a minimumTo enhance women’s capacities in the field of hygiene and management of water resourcesTo rise awareness on the role active women play in their immediate environment related to sanitary education and preventionTo minimize the negative impact of polluted water on environment

ProblemsProblems to to bebe solvedsolved

To focus on the partnership utility value in the subject matter;To confirm that access to cheap sanitation along with hygiene awareness are of great importance in the human rights;To consider the improvement of programs in water sanitation and hygiene as the key issue to human development and the education system.

•

MethodologyMethodology

A A samplesample of 248 households: of 248 households: 25% of the 25% of the population of the population of the douardouar Ben AbidBen Abid, live in the , live in the slumslum. . InquiryInquiry: : demographicdemographic characteristicscharacteristics, , habitat, social services, living conditions and habitat, social services, living conditions and sociosocio--economiceconomic signssigns of of precariousnessprecariousness((slumslum).).QuestionnaryQuestionnary on on knowledgeknowledge andand attitudes attitudes relatedrelated to to waterwater pollution (acute pollution (acute diarrheasdiarrheas, , deshydrationdeshydration, infections , infections ……) )

MethodologyMethodology

SurveySurvey on on womenwomen’’ss conditionsconditions: : ((AfterAfter a a first contact first contact withwith womenwomen andand theirtheir familiesfamilies))ClinicalClinical examinationexamination (check(check--up)up)diagnosisdiagnosis and distribution of and distribution of medicinesmedicinesin the sitein the siteEstablishment Establishment ofof a a representingrepresenting thetheprecarious situation of the inhabitants of precarious situation of the inhabitants of the the slumslum

StoolsStools analysisanalysis (viral, (viral, bacterialbacterial andandparasitologic)parasitologic)

GiardiasGiardiasEntamoebaEntamoeba ColiColiEntamoebaEntamoeba HistolyticaHistolytica

Bacteriological analysisof the well water

Identification of « coliformes » in the water of the well indicates a possible fecal contamination in water.

Stages carried out on the Stages carried out on the transversal approachtransversal approach

Institutional level in order to validate the Institutional level in order to validate the project with the local community project with the local community Synergy and partnerships in order to act on Synergy and partnerships in order to act on various aspects of the situation various aspects of the situation Medical phaseMedical phase:: investigations, tracking, in investigations, tracking, in order to evaluate the medical priorities, order to evaluate the medical priorities, distribution of medicine etcdistribution of medicine etc……Social mobilization Social mobilization

Definition of a methodology Definition of a methodology of intervention and of intervention and integrated projectintegrated project

National Initiative of Human Development (INDH) is National Initiative of Human Development (INDH) is today a good instrument which makes it possible to today a good instrument which makes it possible to overcome legal and institutional obstacles. overcome legal and institutional obstacles. Ben Ben AbidAbid slum is among the precarious districts that slum is among the precarious districts that profit from the INDH.profit from the INDH.Priorities are Priorities are

To meet the needs identified with the To meet the needs identified with the participation of the populationsparticipation of the populationsTo make a partnership with the local association To make a partnership with the local association (Association Ben (Association Ben AbidAbid ) who shows us the ) who shows us the problems and the needs of the populations of the problems and the needs of the populations of the slum. slum.

PerspectivesPerspectives

EducateEducate womenwomen to to recognizerecognizesymptomssymptoms of the of the currentcurrent hydrichydricdiseasesdiseases and and reactreact consequentlyconsequentlyCarry out a direct Carry out a direct evaluationevaluation::ReRe--evaluateevaluate thethe surveysurvey throughthrough a a second second similarsimilar questionnaryquestionnary to to knowknow thethe impact of impact of ourour action in action in thisthis slumslum..

PerspectivesPerspectives

EstablishEstablish a a cartographycartography of of hydrichydricdiseasesdiseases ((choicechoice of sites to of sites to bebe defineddefined))Sensibilise Sensibilise throughthrough relevant information, relevant information, supports: guides, posters, spots supports: guides, posters, spots andandexperienceexperience sharingsharing..EvaluateEvaluate anotheranother stage of stage of thisthis projectproject in in otherother sitessites……

Who works?

Group Health ALMAE AcademiaHealth sectorPublic sectorLocal authoritiesPrivate sectorElected bodies

Health and « sustainabledevelopment "

Health: significant aspect of the sustainable development « Sustainable Health » means:

Drinking water supplysanitationMedical education

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