Water, water everywhere, but not a [safe] drop to drink! Achieving household point of use water treatment in Amazonian Peru Kenneth Peralta, MCS-USAID Elizabeth Younger, USAID HIP/AED/The Manoff Group March 3, 2009
IMPLEMENTATION ZONE
Pilot and At-Scale Implementation Areas Healthy Municipalities and Communities Project REGION SAN MARTIN REGION HUANUCO REGION UCAYALI REGION JUNIN PILOT Curimana REGION AYACUCHO REGION CUSCO
CURIMANÁ DISTRICT : TYPICAL HOUSES AND PLAZA
CURIMANÁ DISTRICT : WATER MANAGEMENT AND SOURCES
PRIMARY GOAL SAFE WATER • – Household treatment – Safe transportation, storage and use
SECONDARY PROJECT GOALS Hand washing Proper feces disposal
CHRONOLOGY: PROJECT DEVELOPMENT 2006 2007 2008 2009 July 2006 Research - Intervetnion At Scale Establish Design MSH/HIP - Water Quality Roll Out Agreement - Materials - Behavioral Development - Pilot
RESEARCH WATER QUALITY Fecal Coliform Contamination
RESEARCH BEHAVIORAL INTERVIEWS (mothers of children <5 years old) • BEHAVIORS: • Transport • Treatment • Storage • Serving • PERCEPTIONS/BELIEFS • Water Quality • Water Access • Diarrhea
RESEARCH Key Findings So me time s 4% Bo iling S 12% (c hild re n/ e ld e rly) YE No 84 % So me time s 12% CHL ORINAT ION S 4% YE No 84% OT HE R ME T HODS Se ttling & De c a nting Clo th F iltra tio n Aluminum sulfa te flo c c ula nt Opuntia
RESEARCH Water Treatment KEY FACTORS: • Taste • Time • Cost • Water characteristics • Household habits
Evidence Based Programing INTERVENTION FOCUS Water Treatment - Chlorination - Boiling - SODIS - Water Retrieval and Transport - Water Storage - Serving Water - When treated water is consumed - Who drinks treated water -
Small Do-Able Steps
Program Design COMMUNITY VOLUNTEERS Implement TECHNICAL (JVC) Activities TEAM FAMILIES IN Train With COMMUNITY Community •MCS Volunteers •HIP Local Government 4 Meetings 1 Workshop Health Post Staff Follow-up and Monitoring
TRAINING MATERIALS Training Manual Interactive Games Training Posters
MATERIALS USED IN COMMUNITY Reminder Brochures Reference Guide
DATA COLLECTION SYSTEM O X
BAR GRAPHS
RESULTS
INFANT HEALTH INDICATORS Bi-Annual Data Points in 2006 - 2008 I sem 2006 II sem 2006 I sem 2007 II sem 2007 I sem 2008 II sem 2008 514 Communities 533 525 520 508 528 100 % 90 80 65.9 70 60 50 40 30 20 10 26.8 31.9 48.3 49.9 60.0 0 Children < 2 consuming safe water 7,853 6,909 5,746 5,719 5,592 5,635 1, 377 1,539 1, 369 1,977 1,661 1,497 Total children < 2 years Total children < 6 months Source: Community self evaluación, Management Information System MCS-Perú / 2006 – 2008
ROLL OUT • 7 REGIONS • 557 COMMUNITIES • 37,000 FAMILIES
CONTACT INFORMATION • KENNETH PERALTA (MCS/USAID) – Kperalta@msh.org – Skype: kenneth.peralta – www.comunidadsaludable.org – www.msh.org • ELIZABETH YOUNGER (HIP/USAID) – eyounger@aed.org – Skype: eyounger – http://www.hip.watsan.net
THANK YOU - GRACIAS USAID ARD AED HEALTHY MUNICIPALITIES AND COMMUNITIES PROJECT MSH (LIMA and UCAYALI) THE MANNOF GROUP The people of the District of Curimaná
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