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Up Scaling Rural Sanitation in Pakistan Post 2010 Floods
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Up Scaling Rural Sanitation in
Pakistan Post 2010 FloodsAsia regional sanitation and hygiene practitioners workshop
31 January – 2 February 2012, Dhaka, Bangladesh
Background 48 million people defecating in the open 45% of population have access to improved sanitation (29%
rural and 72% urban) Approximately 116,103 children under the age of 5 in
Pakistan die each year of diarrhoea, 13 children per hour 20.25 million affected by floods in 2010 and 5.3 million in
2011, high incidence of acute diarrhea MDG target for sanitation is 64% by 2015
Pakistan Approach to Total Sanitation, PATS, promoting improved sanitation and hygiene outcomes on a total sanitation model
UNICEF and Ministry of Environment agreement to initiate total sanitation as part of building back better
PATS: Integrated Total Sanitation ModelDemand Creation
InterventionsSupply Side
InterventionsHygiene Promotion
InterventionsDrainage and Wastewater Treatment
Interventions
• IEC Campaigns,• Community
sensitization through CLTS, SLTS
• Marketing of hand washing, etc.
• Creation of sanitation marts and supply chain mechanisms
• Training of masons
• Construction of demo latrines for technical options
• Training of sanitation entrepreneurs
• Incentivizing outcomes
• IEC material on active health and hygiene key messages
• Behaviour change communication
• Use of mass media campaign and IEC campaigns promoting low-cost appropriate and informed sanitation solutions, etc.
• 100 % drainage with community participation with the aim to minimize exposure to human excreta and wastewater management
ER Programme on Scaling up of Rural Sanitation
• To achieve and sustain an open defecation free environment both in rural and urban areas with clear emphasis on behavior change and social mobilization to increase demand for sanitation
• To safeguard and protect the health of flood affected communities from water, sanitation and hygiene related diseases by means of undertaking a series of measures:Ensuring 100 % safe management of excreta, attaining
and sustaining the open defecation free statusPromoting the use of safe, hygiene latrines and other
sanitation facilities for men, women and children living in flood-affected areas
Pursuing for improved hygiene behaviors
• Phased Approach to Implementation
Programme Objectives
Programme ComponentsEngagement Strategy with the Government
Training Session
Orientation on Triggering Plans
Training Workshops for IPs
Project coordination & Implementation Committees
Institutional linkages and capacity building
IEC Strategy
MappingRoll out through a cascade model
Conducting KAP/ Formative research
Mass Media Campaign
Campaigning for improved hygiene behavior
PRA Manual & Tools
Cross Cutting Issues
Demand Creation Interventions
Supply Side Interventions
End of the Pipe Solutions
Incentives
Attaining Total Sanitation
Results based M&E Framework
Best Practices & KM
Roll out of M&E Framework
Monitoring database
Certification Criteria
Mid Term/End Term Evaluations
Monitoring, Evaluation & Learning
Programme Components
Key Achievements ~ 2.6 million people residing in ODF environment in over 1,200
villages; Promotion of ownership and acceptability of this program at all levels
of government: federal, provincial, &district levels Successful partnership Sustainability: support to ensure availability of low cost sanitation
material through creation of 36 sanitary marts, and training of 104 community entrepreneurs;
406 master trainers, 1,945 community based CRPs trained and have supported the triggering. Over 4,787 village sanitation committees formed
Sanitation Marketing strategy Constructed wetlands (end of pipe treatment) in progress, three units
completed
Lessons Learned (…along the way) Sanitation demand should be created through a multitude of
options…CLTS triggering, Behavior change communications through IEC material, interpersonal channels and mass media
CLTS triggering with children… mobilize them as activists and the agents of change
Market for sanitation goods and services should be operative and known…meeting the increase demand for sanitation post triggering
Persistent approach with the communities post attaining the ODF status….functional involvement of the LGIs, continuous support to CRPs/ Activists, introduction of sustainable and quality solutions both at household and community levels
Continuous monitoring and evaluation…external monitor helps integrate the learning's in implementation process
Support for community incentives….. provide encouragement Support to Village Sanitation Committees (VSCs)….cross
learning, financial sustainability
United Nations Children’s Fund
Pakistan Country Office
90 Margala Road, F-8/2
Tel: 051-209-7848
www.unicef.org
© United Nations Children’s Fund
Photo © UNICEF/PAK2011/Shehzad Noorani