State of the Art SOTA USAID PakistanComplementing Infrastructure with Hygiene Promotion

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State of the Art (SOTA)USAID Pakistan-Complementi
ng Infrastructure with Hygiene Promotion
Capacity Building for Sustainability3rd March
2008Bangkok, Thailand
Dr. Qadeer Ahsan Program Management
Specialist-Health USAID-PAKISTAN
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Pakistan Basic Water Facts

• Population 160 million
• Area 310,000 Sq. mi (roughly 15 larger than the
  State of Texas)
• Average rainfall less than 10 inches/year
• Water availability less than 1,000 m3 per capita
  per year
• Diarrheal disease kills 630 children PER DAY
• 88 of diarrhea from contaminated water, and poor
  sanitation and hygiene

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Current Situation Project Information
-No community water treatment-Household water
contaminated-Poor hygiene and sanitationGOP
Investment (2005-8)US 174 million for
construction of 6,000 filtration plants
28 Districts, 6 Agencies (FATA) and 6 Frontier
Regions (31.7 million people)USAID Funding
17.9 million over three years
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Objective

• Provide technical assistance in hygiene and
  sanitation promotion and community mobilization
  along with extensive capacity building in order
  to complement Pakistan's substantial investments
  in hardware for safe drinking water.

Project Launch February 14, 2007 James
Kunder Acting USAID Administrator
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Project Description
Components

• Implement a Comprehensive Sanitation and Hygiene
  Promotion Strategy reaching 30 million people
• Institutional Capacity Building
• Comprehensive Technical Review
• Monitoring and Evaluation

Stages

• Strategy Development January 2007- March 2007
• Implementation April 2007-March 2009

Implementation Mechanism

• Technical Assistance
• Grants to non-governmental organizations (NGOs)

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Conceptual Approach Hygiene Improvement
Framework

• Access to Hardware
• Water supply systems
• Improved sanitation facilities
• Household technologies and materials
• Soap
• Safe water containers
• Effective water treatment

• Hygiene Promotion
• Communication
• Social mobilization
• Community participation
• Social marketing
• Advocacy

Hygiene Improvement for Diarrheal Disease
Prevention

• Enabling Environment
• Policy improvement
• Institutional strengthening
• Community organization
• Financing and cost-recovery
• Cross-sector Public Private
• Partnerships

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Hygiene Promotion

• Interactive Theaters

.
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Hygiene Promotion
Training of Master Trainers
.
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Hygiene Promotion

• Teacher Training

.
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Capacity Building
Training of Water User Groups
.
Filtration Plant was closed since its
installation due to absence of operating staff.
Filtration plant is functional after local NGOs
intervention in Sindh.
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Project Challenges

• Long term sustainability of the 6,000 filtration
  plants to be installed by the government
• Lack of awareness about water quality and its
  linkages to health
• Affordability and acceptability of household
  technologies and water quality testing methods
• Roles of federal, provincial, district and local
  levels