Sanitation promotion in Kotido District

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Sanitation promotion in Kotido District

• DATE 15th/07/2009
• Venue KDLG- NUSAF HALL
• Presenter Ms Aanyu Jennifer
• SEHO

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Presentation out line

• Introduction/Background
• Hygiene and sanitation situation in Kotido
  district.
• Implementing partners/stokeholders
• Interventions
• Lessons learnt
• Challenges
• Proposed actions.

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Introduction/Background.

• Kotido district is located in the North Eastern
  corner of Uganda.
• Land size 3,618 Sq.KM
• Has arid/semi arid climate and vegetation.
• 5 sub counties one town council.
• 165 Villages/LCI
• 6 gazetted Kraals.

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Introduction background contd

• Jie HSD one
• Health Center IV one
• Health center IIIs 2 FBOs 2 Govt
• Health center IIs one FBO 11 Govt

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Contd

• Population
• Total population 188,100(UBOS mid 2009)
• Infants 8,088
• Under 5 38,561
• WCBA 37,996
• Pregnant 9,405
• Literacy 4

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Implementing partners

• The WASH activities are implemented by health,
  water, education, community development
  departments and the line development
  partners(IRC, oxfam, world Vision, etc).
• The communities are involved and participate at
  household and institutional level (SMC).

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Human resource for sanitation promotion in the
health sector

• SEHO 1
• Health inspectors 3
• Health assistants 5(1 newly recruited July
  2009)
• VHTs 330

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House hold sanitation per sub county
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Contd

• The situation is still bad.
• 34 new pits latrines in a period of 4 months, of
  these, 16 are from Kacheri sub county, Lobanya
  resettlement scheme
• Under construction are 293 pit latrines in the
  district.

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Institutional sanitation

• School sanitation (primary)
• Total No of schools 26
• Pupils enrolment about15,193
• Total No. of latrine stances 271
• Pupil stance ratio 561
• Health facilities
• Out of 17 HF only 12 HF have functional sanitary
  facilities for out patients. They are either full
  or not provide for. The situation is worse for
  the staff quarters, e.g Kotido HC IV staff have
  inadequate sanitation facilities.

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Lessons Learnt

• Slabs, iron sheets, bricks and cement vs local
  materials
• Sustenance vs project
• Entry points FAL, VHTs, LC, WSC, District and
  Sub County Officials
• Harmonization of approaches (Training and IEC
  materials, mobilization methodologies, entry
  points, implementation guidelines)
• Location of latrines in relation to the manyatta-
  allotted space in Nasinyon,
• Digging tools from IRC, OXFAM, MC, UNICEF. Enable
  communities to dig latrines
• 30 latrine coverage increase not realized during
  mobilazation.

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Challenges

• Rigid cultures like mixing faeces, sharing with
  in laws,
• Influential people in the community have not been
  reached for dialogue (elders, manyatta and Kraal
  leaders). The community tends to listen to their
  views and implements.
• Geological soil structures e.g loose soils,
  rocky.
• The activities are inadequately funded. Option
  has been to piggy back on other activities in
  health departments.
• Implementation of HS activities is fragmented
  and poorly coordinated.
• Lack of transport for the staff- sub counties are
  too big hence execution of duties is rather
  difficult.
• Weak laws (bye law) - penalties are negligible.
  Weak political commitment.
• Low prioritization by the community of improved
  hygiene and sanitation.
• Poverty levels??
• Termites.

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Proposed actions

• Dialogue with the manyata, clan leaders on
  benefits of better sanitation and hygiene.
• Promote use of local materials except where
  community can afford other materials, e.g. urban
  centres.
• Strengthen Hygiene and sanitation coordination
  committee.
• Development of strategic frame work for
  district(s). Kotido district is to adapt the KDS
  1997.
• Exemplary leadership all leaders both elected,
  civil servant and development partners to lead by
  example.
• Compile publish list of shame.
• sanitation hygiene bulletin.
• Keep Kotido clean once in a month.

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contd

• Household visits by environmental health staffs
  to sensitize and support households to construct
  latrines using local materials.
• With support from WFP,IRC and other partners
  support households to acquire local materials for
  latrine construction.
• Intensify community education on sanitation by
  use of drama, film
• shows and radio messages. This will be supported
  by partners like World Vision International, WFP
  and others.
• Dialogue with the manyatta, clan leaders on
  benefits of sanitation hygiene
• Support empowering VHTs to have good sanitary
  facilities.
• Enforcement of laws.

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ALAKARA NOOIEYALAMAASANTI SANAAPWOYO MATEK