Access to Health Access to Health

Through Through Access to Safe Water & Access to Safe Water &

Environmental SanitationEnvironmental Sanitation

Pilot Project Pilot Project ’’Development Through Access to Development Through Access to

Health ’ (DTAH)Health ’ (DTAH)&&

School Sanitation & Hygiene EducationSchool Sanitation & Hygiene Education in in

Saraya, SenegalSaraya, Senegal

ProjectProject Location Location

Republic of SenegalRepublic of Senegal

Region of TambacoundaRegion of Tambacounda

Department Of KédougouDepartment Of Kédougou

Arrondissement de SarayaArrondissement de Saraya

Rural community of SarayaRural community of Saraya

Saraya KédougouSaraya Kédougou

Introduction• In Senegal, the global development In Senegal, the global development

policies, in line with the MDGs, are policies, in line with the MDGs, are defined through strategic plans defined through strategic plans axed on:axed on:– research of strong sustainable research of strong sustainable

growth, growth, – poverty reduction, poverty reduction, – reduction of morbidity through access reduction of morbidity through access

to safe water and adequate sanitationto safe water and adequate sanitation– good governance.good governance.

The project aims to The project aims to promote:promote:

• Access to safe waterAccess to safe water

• Access to adequate sanitation Access to adequate sanitation

• To promote changing behaviours To promote changing behaviours towards hygiene and sanitation. towards hygiene and sanitation.

• To reduce morbidity from water born To reduce morbidity from water born or related diseases or related diseases

Context and justificationContext and justification

• The population of Saraya, in Senegal, The population of Saraya, in Senegal, is suffering from the lack of adequate is suffering from the lack of adequate water and sanitation facilities. water and sanitation facilities.

This results in…This results in…

• Increase of water born and related Increase of water born and related diseases like diseases like malaria, intestinal malaria, intestinal bilharzias, urinary bilharzias, diarrheas bilharzias, urinary bilharzias, diarrheas etc..etc..

• High risk of propagation of some High risk of propagation of some epidemics from water and dirty hands, as epidemics from water and dirty hands, as yellow fever, cholera, poliomyelitis, yellow fever, cholera, poliomyelitis, shigellosesshigelloses

• Increase of chemical related cases, Increase of chemical related cases, infantileinfantile mortality, congenital mortality, congenital malformations, interruptions of malformations, interruptions of pregnancy…pregnancy…

Lack of access to Lack of access to adequate water and adequate water and sanitationsanitation

• Increase of deaths among children Increase of deaths among children under (5) five years old.under (5) five years old.

Increase of water born Increase of water born and dirty hands related and dirty hands related diseasesdiseases

Global ObjectiveGlobal Objective

• To improve the conditions of life To improve the conditions of life in the Saraya community by in the Saraya community by access to adequate water and access to adequate water and sanitation and to promote School sanitation and to promote School Sanitation and Hygiene Education Sanitation and Hygiene Education

SpecificSpecific Objectives Objectives 11

- TTo contribute to the MDG’s on safe o contribute to the MDG’s on safe water and sanitation, through the water and sanitation, through the Integrated Water and Sanitation Integrated Water and Sanitation Management.Management.

- To reduce the mortality from water To reduce the mortality from water and sanitation born or related and sanitation born or related diseases. diseases.

- To ensure participatory approach and To ensure participatory approach and to build capacities ofto build capacities of the community the community based organisations (CBOs)based organisations (CBOs)

- To promote private sector To promote private sector involvement, in particular micro and involvement, in particular micro and small local social enterprisessmall local social enterprises

SpecificSpecific Objectives Objectives 22

- To facilitate access and the use of water and To facilitate access and the use of water and sanitation facilities in the schools, in sanitation facilities in the schools, in conjunction with the participatory approach conjunction with the participatory approach of the Child-to-Child Programmeof the Child-to-Child Programme, , instead of instead of Chalk-and-TalkChalk-and-Talk

- To improve practices and behaviours within To improve practices and behaviours within school children inside and outside the school school children inside and outside the school environmentenvironment

SpecificSpecific Objectives Objectives 33

- To promote changes in behaviour and social To promote changes in behaviour and social practices (early abandon of school by young practices (early abandon of school by young girls having to supply drinking water and girls having to supply drinking water and evacuate of waste water) and to promote evacuate of waste water) and to promote prevention of HIV/AIDS propagation (genital prevention of HIV/AIDS propagation (genital mutilation, early marriages, etc.)mutilation, early marriages, etc.)

- To promote knowledge and information To promote knowledge and information sharing regarding water and sanitationsharing regarding water and sanitation

SpecificSpecific Objectives Objectives 44

StrategyStrategy

• The strategy consists on the promotion The strategy consists on the promotion of sustainable technologies for of sustainable technologies for integrated water resource management integrated water resource management and sanitation, rain water harvesting, and sanitation, rain water harvesting, accompanied by the promotion of health, accompanied by the promotion of health, hygiene and sanitation education.hygiene and sanitation education.

Why Saraya?Why Saraya?

• Saraya is in a very remote and Saraya is in a very remote and underdeveloped and underserved region underdeveloped and underserved region of Senegal, suffering from a severe lack of of Senegal, suffering from a severe lack of water and sanitation infrastructures. water and sanitation infrastructures.

• A sudden and rapid increase in population, A sudden and rapid increase in population, due to two recently opened gold mines, due to two recently opened gold mines, has exacerbated these insufficiencies and has exacerbated these insufficiencies and the health risks.the health risks.

• The population has initiated positive The population has initiated positive actions to improve their conditions, but actions to improve their conditions, but they are lacking the necessary resources they are lacking the necessary resources and coordination.and coordination.

SustainabilitySustainability

• The proposed project is based on an The proposed project is based on an effective demand of the population effective demand of the population who is willing to participate actively who is willing to participate actively in the implementation of the project.in the implementation of the project.

• The project will be managed by the The project will be managed by the community based organizations and community based organizations and coordinated by the Health Center.coordinated by the Health Center.

Short and long term impact on Short and long term impact on final usersfinal users

• Access to sustainable low cost technologies for Access to sustainable low cost technologies for integrated water resources and sanitation integrated water resources and sanitation

• Preparation of children, the adults of tomorrow Preparation of children, the adults of tomorrow on hygiene and sanitation behaviouron hygiene and sanitation behaviour

• Reduction of load of work for womenReduction of load of work for women

• Increased school attendance for young girlsIncreased school attendance for young girls

• Reduction of morbidityReduction of morbidity

– Beneficiaries’ willingness and capability to Beneficiaries’ willingness and capability to participate financially participate financially

– Set up local development and management Set up local development and management committees, to secure the collection of user’s committees, to secure the collection of user’s participation, demands, operation and participation, demands, operation and maintenance and conflicts managementmaintenance and conflicts management

– Active participation from local micro and small Active participation from local micro and small social enterprises for operation and social enterprises for operation and maintenance of the structures maintenance of the structures

Secure better ownership Secure better ownership of the projectof the project

CoordinationCoordination

The medical district and the health The medical district and the health committee will be responsible of the committee will be responsible of the general coordination of the project and will general coordination of the project and will support the population to achieve the support the population to achieve the goals.goals.

No development is possible without No development is possible without Health…Health…

……and there is no Health withoutand there is no Health withoutadequate water and environmental adequate water and environmental

sanitationsanitation

Conclusion…..Conclusion…..

Sanitation! The powerful tool Sanitation! The powerful tool to save livesto save lives