who & uniceftoolkit for monitoring & evaluatinghousehold water treatmentand safe storage
DESCRIPTION
By Ryan Rowe, Water Institute at UNC. Prepared for the Monitoring sustainable WASH service delivery symposium, Addis Ababa, Ethiopia, 9-11 April 2013.TRANSCRIPT
WHO & UNICEFToolkit for Monitoring & Evaluating
Household Water Treatmentand Safe Storage
IRC Symposium: Monitoring Sustainable WASH Service DeliveryAddis Ababa, Ethiopia
April 9-11, 2013
Ryan RoweWater Institute at UNC
Improving access to safe water
Unserved Urban Rural Rural piped
supplies
Urban piped
supplies + weak
regulation
Urban supplies +
strong regulation
Collect water from unprotected sources
Collect water from protected sources
away from home
Collect water from protected sources
away from home
Water piped into house/onto plot; supply may be irregular, quality may be compromised
(developed countries)
0.8 billion people
0.7 billion people
1.7 billion
people
1.2 billion people
1.8 billion 0.8 billion people
Looking closer UNIMPROVED | IMPROVED | PIPED
Unserved Urban Rural Rural piped
supplies
Urban piped
supplies + weak
regulation
Urban supplies +
strong regulation
Collect water from unprotected sources
Collect water from protected sources
away from home
Collect water from protected sources
away from home
Water piped into house/onto plot; supply may be irregular, quality may be compromised
(developed countries)
0.8 billion people
0.7 billion people
1.7 billion
people
1.2 billion people
1.8 billion 0.8 billion people
Facilitating access to higher levels of service for households
Interim Household water Treatment and Safe Storage
Improved system reliability, safety
Who really needs HWTS?
•Water safety plans – example?
Starting points
• Target those at high risk (cholera)
• People living with HIV (crypto)
• Safe water plus nutrition
• School-based WASH
• Emergency response
• Huge unmet need
• Need knowledge of failures & successes
• Improve quality and comparability of data
• Harmonise activities by governments, donors, researchers, practitioners
Motivation for toolkit
Publ
ishe
d in
Oct
ober
201
2
Correct and consistent use / Effective useneeded for health impact
Challenges in achieving full benefit
Chart source:Brown & Clasen, 2012.
• Purpose of HWTS and proven methods
• Designing and conducting M&E activities
• Choosing and using 20 harmonised indicators
• Case studies from the field
• Annexes
– Example surveys and sanitation safety plan forms– Links and resources for program design, implementation– Water quality monitoring field test options
Uses for the toolkit
Focus is NOT on health impact which requires careful selection of comparison group, rigorous data collection and review, complicated statistics.
Focus is on outputs and outcomes.
Measure outputs & outcomes
20 recommended indicators
• Research-tested, common sense, stakeholder reviewed
• Sample survey available in the toolkit
• Mix and match according to your needs and constraints
• Self-reported data not as reliable– Did you do anything to make the water safer
to drink? How … ?
• Confirm through direct observation – Ask to see the treatment method, stored
water; Is the device wet?
• % households with REPORTED, OBSERVED use provides a more reliable indicator of level of uptake
Tufts/ D Lantange
Reported and observed use
• Knowing not always doing – habits hard to change!– Do they know how to treat? Where do they draw their water?
What about vulnerable members of household?
• Confirm through demonstrated use
• % households with CORRECT, CONSISTENT suggests knowledge and behaviour change
• Multi-step products require additional training and support (Lantagne & Clasen, 2012) but may be more effective
Correct and consistent use
• Added element of objectivity and measure of risk
• Common parameters– Turbidity, chlorine residual, bacterial
indicators (e.g. presence/absence of E.coli or TTC), arsenic, fluoride
• Use field-proven and performance tested methods!
• % of households with EFFECTIVE use derived from measuring water quality before and after
Assessing water quality
Tufts/ D Lantange
Tufts/ D Lantange
14
Deciding which indicators to use
Interpreting data, share lessons
What works, what does not?
Share results for feedback and improvement
Correct, consistent and effective use can reasonably be linked to health impact
WHO/ M Montgomery
WHO & UNICEF International Network onHousehold Water Treatment and Safe Storage
Join 140 organisations and 1400 people – free membership!Learn more: http://www.who.int/household_water/en
Subscribe: [email protected]
For hands-on practice, join our workshop!
Correct and Consistent Use / Effective Use20 recommended indicators
Integrating M&E in program design and implementation
This Friday, 9am-12:30pm, IBEXCoffee, tea, snacks, water, notepads, pens providedAll participants will receive a printed, bound toolkit.
Effective M&E of HWTS
Thank you. Ameseginalehu. Questions?
Acknowledgements: Aquaya, Daniele Lantagne (Tufts), Maggie Montgomery
(WHO)
Download the toolkit: http://www.who.int/household_water/en
Join the [email protected]