www.ifrc.orgSaving lives, changing minds.
Federation Health
Federation Health
Strategies to promote sanitation: The use of PHAST
in the RC/RC Movement.
NGO Health Network Seminar
Copenhagen, 30 April, 2013
www.ifrc.orgSaving lives, changing minds.
Federation Health
Ten years initiative (2005-2015) Target of providing sustainable solutions to 5
million people over 10 years. 15 million by 2015.
We recognize that we need to catch up on sanitation coverage, which globally lags behind
water by more than a factor of three. http://www.ifrc.org/en/what-we-do/health/water-sanitation-and-hygiene-promotion/global-water-and-sanitation-initiative/
www.ifrc.orgSaving lives, changing minds.
Federation Health
Getting the balance right
The IFRC calls on governments, donors, and communities to get the balance right between
action on sanitation and on water.
Traditionally more focus on water supply. According to GLAAS report (2010), funding for
sanitation comprises 37% of total aid funding for the sanitation and water sector.
http://www.ifrc.org/PageFiles/99218/1228400-Sanitation%20Advocacy%20paper-EN-LR%5b1%5d.pdf
www.ifrc.orgSaving lives, changing minds.
Federation Health
Sanitation approach within the Red Cross
IFRC WatSan Policy (2003) Sanitation promotion and hygiene education prior
to the construction of facilities. Participatory techniques such as PHAST, but open
to other methods. Special needs of women, children and other
vulnerable groups.
Use of subsidies, linked to the PHAST process.
www.ifrc.orgSaving lives, changing minds.
Federation Health
What is PHAST?
It is an adaptation of SARAR methodology to the sanitation sector.
Developed by UNDP/World Bank in the nineties in East Africa.
It is follows a problem solving approach through a cycle of 7 steps.
http://www.who.int/water_sanitation_health/hygiene/envsan/phastep/en/
www.ifrc.orgSaving lives, changing minds.
Federation Health
www.ifrc.orgSaving lives, changing minds.
Federation Health
PHAST in the Red Cross
PHAST has been promoted in the Red Cross since early 2000.
In around 40 countries, with more than 3.000 Red Cross volunteers trained.
PHAST master trainers in all continents. Regional review workshops every 2 years. PHAST manual translated in multiple
lenguages. PHAST toolkits produced for a great
variety of contexts. In 2004, IFRC published the software tools
booklet which describes how PHAST is undertaken in the Red Cross.
www.ifrc.orgSaving lives, changing minds.
Federation Health
How does it work?
www.ifrc.orgSaving lives, changing minds.
Federation Health
Strengths
Gain of knowledge and ability to plan Sense of owneship Replicable and easy to scale up Inclusion of women in decision-taking processes Adapted to school environment (CHAST) and it has
been used in emergency by the Red Cross. Easily adptable to other diseases (malaria, HIV)
and sectors (shelter, PASSA). Standard format: easy to plan for resources
www.ifrc.orgSaving lives, changing minds.
Federation Health
Challenges
Long process. Risk of overwhelming communities and lose of interest.
Although highly replicable, it is not easy to scale up It requires open proposals with no pre-fixed
sanitation options. Producing, testing and re-producing the PHAST
toolkit is time consuming. It is expensive Lack of rigorous, strong scientific evaluations. Grey
literature.
www.ifrc.orgSaving lives, changing minds.
Federation Health
Way forward for sanitation: from now on and beyond 2015
1. Advocating for global support from all stakeholders;
2. Building further partnerships;3. Improving impact assessment;4. Ensuring sustainability;5. Integration of sanitation and hygiene
promotion into other sectors;6. Exploring new sanitation promotional
approaches;