India - community case study- WASH

National Consultation Climate Smart

Disaster Risk Management

WASH(A Case Study)

Dr.BhanuPGVS

Tuesday, July 06, 2010Climate Smart Disaster Risk Management

WASH-DRR

Selected Village

Jungle Kauriya

Kotha Rajpur DubeeChakara Rohua BhauramalBanjarha

Khorabar

VisunpurSanahaNarahi Chapha

Climate change – Health - Poverty

Climate change – erratic rains, increased frequency and intensity of floods, decreased Agri Prodn, high Morbidity and Mortality

India is spending three times in fighting climate related challenges as it does on health.

Continuing Development vs Adapting to Climate Change – without both, neither will happen.


Climate change affecting key sectors?

Changes in climate are affecting the health and economy - increased deaths, disease -heat waves, floods, storms, fires and droughts.

Increased malnutrition, diarrhoeal disease, respiratory infection, viral infection, encephalitis and malaria etc.

Increased vulnerability to public health, food security, livelihoods and other development goals - longer-term damage to systems due to disasters.


Six villages of Jungle KaudiyaBlock, Distt- Gorakhpur

Surrounded from two sides with ponds and close to Rapti

Water logged for months 45- 60 days

Diarrheal Diseases very common


Situation when we initiated

Health◦ Public health services were very poor

◦ Quality of service delivery is poor – ANM not seen 11months, Full Immunization just -11%.

◦ Japanese Encephalitis (JE) and Malaria are bigger challenge

Economy◦ Acute landlessness.

◦ Proportion of agricultural labourers is very high.

◦ Wage opportunities in the village are low -widespread poverty.


Situation when we initiated….

WASH◦ Toilets rare- unplanned – no doors, no privacy for

women and girl child-not in use

◦ disposal of domestic waste close to dwellings and facilitates breeding of mosquitoes and flies

◦ Functional toilets don’t work during floods, low lying

◦ Open defecation, unplanned was common

◦ Diarrheal cases were quiet high


PGVS focused 6 villges - Kaudiya

Hindu Festivals related to Health – Deepawali and Oily Food, Khichri 14th Jan, Sattu Festival March, Basant Panchami

Sickness Pattern Earlier and Now – Diarroea Frequency, TB, Leprosy, Typhoid etc _ Anaemia, Encephalitis, MalariaMoreexpenditure on Health

Risk reduction to WASH and Public Health - CBDRR

Practical tools and guideline developed for WASH and Public health issues – poster, DRR Calender,

Mainstreaming of Risk Redn. – NRHM ANM instructed for VHND every month and TSC (41 toilets - Govt)

Enhanced Community Preparedness Round the year and during Crisis – Sphere Min stands WASH


PGVS focused 6 villges - Kaudiya

Awareness and advocacy relation to DM and Climate Change

Insurance to minimize the impact of emergencies on poor –Smart Card 168 – benefit to 63 persons

Facilitated Government poverty alleviation programmesand social safety nets, MNREGS 229 job cards made

Climate related vulnerabilities and Horticulture Vegetable Growth Model Farmers 47

Short Duration Crops – Narendra 97, Swarna Sub 1

Maintenance of six hand pumps MK II and bleaching done with the help of Engineer


PGVS Initiatives

Formation of CBO’s

Trainings / Capacity Building

Village Capacity Analysis

Establishing Network with Various Stakeholders at various level

Trainings

Advocacy

VCAFGD


CBO’s Initiatives

Sensitized Community with health impact of Climate Change

Developed Information dissemination process

Educate other – for safe drinking water and good Hygiene Practices

Developed their own Village Disaster Risk Reduction Plan for year.

Community Mobilization

InformationSharing

Water Bodies

Disinfection

Village DRRPlan


Panchayat Initiatives

Boat purchase & repairing

Pre Positioning for emergency

Panchayat WASH Plan Wall writings at

various location Install Mark II hand

pumps at embankment

Boat Repairing

Pre Positioning

Hand pump at

Embankment


Eradicate extreme poverty and hunger – MDG 1

In 2008-09, 86 farmers produce vegetable in 29.65 acres and in 2009-10 145 farmers produce vegetables in 59.15 acres.

229 new registration in MNREGA 162 families have SMART Card 28 families have “Family Health Insurance Card”

Improving Drainage System through MNREGA Scheme

Promoting Mixed Cropping


Empowering Women

Women’s start participating in Village Development Works

Public Health Promotion Volunteers are Women’s group

Women’s and men’s jointly take house level decision

Hand pump bleaching and repairing done by boys and girls mixed group


Combat HIV/AIDS, malaria and other diseases – MDG 6

Reduce Open

Defecation

Using Lime powder at

water logged points

Using Mosquito

Net


In 2008-09 up to 1-3 yrs children face Diarrhea 6-7 times every year and in 2009-10 they face only 2-3 times.

80 families – Hand pump bleaching, Hand Washing and Good food Hygiene.

In 2008 total institutional delivery – 13 whereas in 2009-10 total 47.

ASHA started keeping ORS, First Aid Box and Iron Tablets

94% immunization to children


Ensure environmental sustainability – MDG 7

27 raised hand pumps installed by the community

14 raised toilets constructed by the community


WASH-DRR

Risks (to lives, livelihood and assets) from flood are mitigated through community based disaster risk reduction initiatives in 10 villages

• 10 Village Contingency Plan developed (at every six month it

revised by community)

• Linkage with various Govt. departments

• 2 of IM HP installed at embankments through Panchayat

through VASUDEVA initiatives.

• 1 New boat purchase by panchayat.

• 10 model farmers trained as a master trainer on economical

crops, disaster resistance crops, and fodder production.

• 137 trained task force members (at hamlet level) for emergency

response.

• 88 + 10 (Gorakhpur district) and 60 (20 in Barabanki-

Paratinidhi, 22 Siddharthnagar- SES, 20 Bahraich-PDT, and 10

GEAG) trained PHP Volunteers (at village level) for providing

quality support in relation with WATSAN and advocacy for it.

• 132 VASUDEVA volunteers out of which 38 trained volunteers at

Gram Panchayat level on Advocacy and awareness issues

raised by Task force and PHP.

• Strengthening SAHYOG network and with help of SAHYOG

network issue raised based on NREGA in their respective areas.

WASH-DRR

Practical tools and guideline are developed to facilitate mainstreaming of risk reduction measures in government water and sanitation programme.

IEC materials developed

related with Govt. schemes

and services (NRHM and

TSC)

•12 colaage based

•170 Wall writings related with Govt.

schemes and services and programes

developed

•800 wall writings (slogans, key

messages, help line numbers etc.) done by

Volunteers.

WASH-DRR

Improved preparedness for an effective humanitarian response

•20 Raised Hand pump by PGVS & 27 by community/ at

individual house hold level)

•6 Raised Toilet by PGVS & 14 by community/ at

individual house hold level)

•10 Village Resource Centre

•10 Pre-positioning of materials Bleaching powder,

Chlorine, O.R.S. Packets, Delivery Kit, First aid box and

village resource centre)

•2 Portable safe drinking water plant

•VASUDEVA volunteers with task force and PHPV

conducted mock drill in coordination with district

administration.

THANKS


Technology

India - community case study- WASH