Showing posts with label latrines. Show all posts
Showing posts with label latrines. Show all posts

Saturday, 11 February 2012

POVERTY: ZIMBABWE: Growing risk of waterborne diseases in rural areas

MHONDORO, 3 January 2012 (IRIN)

 Photo: Médecins Sans Frontières (MSF)
An aid worker treats a cholera patient in Beitbridge, Zimbabwe, on the border with South Africa during the 2008/2009 outbreak of the waterborne disease

Barbra Phiri, 20, a single mother living on a farm settlement in rural Mhondoro, about 45km southwest of the Zimbabwean capital Harare, does not think twice about letting her two-year-old twins splash about in a pool of greenish water close to her hut.
Since the rains began several weeks ago, dirty water has been accumulating on the settlement, now home to hundreds of former farmworkers and others displaced during Operation Murambatsvina in 2005 which razed illegal structures and left thousands without shelter.
Phiri remembers the 2008-2009 outbreak of cholera which killed more than 4,000 people and infected nearly 100,000 others, but sees it as a thing of the past and is still ignorant of how waterborne diseases are spread.
Her twins have a skin infection and frequent bouts of diarrhoea but, like most residents, she attributes such ailments to witchcraft, consulting a traditional healer for a cure.
Phiri told IRIN her first child died two years ago from diarrhoea. “We don’t use dirty water for drinking or cooking. We get clean water from the dam or the wells, so how can our children die from waterborne diseases?” she asked.
A few metres from Phiri’s hut is an overflowing pit latrine. Many inhabitants have resorted to relieving themselves in the open since most of their pit latrines are overflowing and unusable.
The 2009 Multiple Indicator Monitoring Survey (MIMS), compiled by the government and UN Children’s Fund (UNICEF), listed diarrhoea as one of the major causes of infant mortality resulting in around 4, 000 deaths in Zimbabwe annually.
With the advent of the rainy season and poor sanitary and hygienic facilities, people living in rural and peri-urban settlements like Phiri’s are vulnerable to waterborne diseases.
The survey said: “Recent assessments show a significant decline in rural sanitation sector performance,” adding: “The inability of vulnerable populations to access safe water and basic sanitation… has resulted in frequent diarrhoeal and cholera outbreaks.”
The Consolidated Appeals Process (CAP) for Zimbabwe, launched in early December 2011, said “a third of rural Zimbabweans still drink from unprotected water sources and are thus exposed to waterborne diseases,” and noted reports of cholera cases in rural Chipinge, in the eastern province of Manicaland, and Chiredzi in the southeast of the country.

More people seek treatment
A senior nurse at a clinic in rural Seke District, about 50km south of Harare, who preferred anonymity, told IRIN the number of people seeking treatment for diarrhoea and dysentery had increased since the onset of the rains.
“Typical of this time of the year when the rains fall, we treat a high number of people suffering from waterborne diseases… We have not received any cases of cholera but there is need to be on the alert all the time, because the surrounding villages are characterized by poor hygiene and sanitation. Many villagers tend to relieve themselves in the open because they cannot rehabilitate the Blair pit toilets that were built long ago,” she said.
Blair pit toilets were constructed in large numbers to improve rural sanitation in the 1980s. A fine wire mesh allowed gases produced by decomposition to escape, but prevented flies around the faecal matter from exiting the septic tank and so prevented the spread of diseases.
The boreholes that were drilled in the 1980s have broken down and only a few that were sunk in recent years still function
According a 2011 report by the UN Children’s Fund (UNICEF) and the government entitled A Situational Analysis on the Status of Women’s and Children’s Rights in Zimbabwe, 2005-2010 42 percent of people in rural communities practised open defecation, while cholera, which used to see significant outbreaks every 10 years or so in the 1980s and 1990s, has now become an annual event.
Poor household income, the senior nurse said, prevented some villagers from seeking treatment, “meaning that the number of people suffering from waterborne diseases could be higher as some of the cases go unreported [as people cannot afford to travel to clinics].”
David Shoniwa, 65, from Dema village in Seke District, said people in his community tended to relieve themselves along river beds during the dry season.
“The boreholes that were drilled in the 1980s have broken down and only a few that were sunk in recent years still function while, due to poor rains, it is difficult to sink new wells. When the rains fall, people turn to the rivers for water to drink and use for cooking, thereby exposing themselves to the diseases carried by the human waste,” Shoniwa told IRIN.

http://www.irinnews.org/report.aspx?reportID=94575

Thursday, 24 March 2011

POVERTY: Indonesia: latrines are there to be used

  Photo: UNICEF Cambodia
Till death do us part... I do

TIMOR TENGAH SELATAN, 22 March 2011 (IRIN) - Even though eight out of 10 households in a district in Indonesia’s East Nusa Tenggara (NTT) Province, near Timor-Leste, have latrines, less than half of them are used, according to local officials, who are trying out social latrine “contracts”.
“Every family should have and use latrines. So we are creating a village regulation, a legal umbrella [to achieve this],” said the village chief of Napa, in the province’s Timor Tengah Selatan District.
Diarrhoea is the district’s biggest killer, said Cornelis Metta, head of counselling and health promotion in the district Health Ministry office. “People defecate in any place and people just do not realize the importance of washing their hands with soap and water before drinking,” he said.
The district has nearly 100,000 households, or 416,876 people, according to the most recent local census.
One afternoon in late February, volunteers went door to door in nearby Lanu village to explain the importance of water conservation and latrines. Five families agreed to build family latrines, signing “contracts” that were then countersigned by representatives of three levels of government.
The “contracts” bind signatories to build and use their latrines.
It matters little the quality of the latrines built, said a village sanitation official who goes by one name, Sabarudin. “The target is not the quality, but awareness of the importance of latrines, the desire to have one and to use it for defecation,” he explained.
When asked if there were penalties or fines for people who broke a “contract”, officials said shame is a “heavy price to pay in village settings and enforcement was not a concern”.
Based on the 2010 nationwide health survey, (RISKESDAS) 21.6 percent of people in NTT Province practice open defecation, while nationwide the figure is 17.2.
And their rubbish? Four out of 10 people nationally toss it in sewers, 18.9 percent straight on the ground and 14.9 percent in open dumps.

http://www.irinnews.org/report.aspx?reportID=92254

Monday, 10 January 2011

POVERTY: Poorest in Pakistan Journey Toward Recovery

For the next installment in our series of posts from Concern Worldwide, we havethis look at recovery efforts in Pakistan. Press Officer Joop Koopman takes a look at the destruction the Pakistan floods caused and how a sanitation program from Concern helps to improve lives.


By Joop Koopman, Press Officer, Concern Worldwide US

We are getting into the thick of our mission to report on Concern Worldwide’s emergency response to the Pakistan’s devastating floods. Susan Finucane, Program Officer, and I have flown to Karachi, provincial capital of Sindh, and have made our way by car to Thatta, the ancient center of Muslim learning, and more rural parts of Thatta district, where Concern is working in close partnership with local organizations.
This is our first look at the destruction left in the water’s wake. Thousands of villages in Sindh have been damaged, and the UN Office for the Coordination of Humanitarian Affairs (OCHA) estimates there are still up to 1 million homeless. Surveying the landscape, the statistics make sense. Highly vulnerable mud houses, characteristic of the extremely poor province, were literally washed away in heavy flooding. Meanwhile, stagnant water in large areas of the province increases the chance of waterborne diseases, a risk factor that will get worse once warmer temperatures return in the spring.
It is jarring to see sudden ‘lakes’ appear in the arid landscape, with half submerged telephone poles making it evident that these are still flooded areas. Roadside shrines and other simple structures clearly bear high-water marks—up to five feet and more. Workers are building new brick ramparts everywhere, as hoped-for protection against future flooding. Tent camps dot the higher grounds.
Our first stop is in the village of Mongo Jakhro, a small community of just 30 households less than a mile and-a-half from the Indus River. Most of the families fled without being able to take along any of their possessions and they returned here only in late October, after spending two months or more at a spontaneous settlement outside of Thatta. Working with a local partner, Concern came to the village shortly after the families’ return to distribute tarpaulins along with bamboo and rope frames. These crude but carefully constructed shelters are their homes for now.
“It is not easy living this way,” said Zeenat Khaskaili, who is 36 and a mother of five. “We are grateful for this shelter, which is much better than having to sleep in the open,” she adds. Her semi-collapsed mud home stands just behind the two tents the family was allotted.
Life is decidedly rough, as most family members have to sleep on the bare floor, their few possessions scattered about. The children are dirty and have nothing to do. A local school was washed away in the floods. There are no latrines as yet. Water and hygiene programs are the next step after the provision of shelter in the emergency effort. “We need a reliable supply of drinking water, mattresses and bedding, as well as kitchen utensils,” says Zeenat, adding that “a latrine is a priority.” A WASH (Water & Sanitation and Hygiene) program will be next for the village.
WASH programs can make an enormous difference in the lives of communities. The village of Aboro Jakhro is a case in point. This medium-sized village is home to 198 households. At the height of the flooding the community was submerged in five feet of water and residents had been forced to spend 50 days in a spontaneous settlement in the nearby town of Makli. But with the villagers’ eventual return came a transformation.
“We have learned how important it is to cut our nails, to wash our hair and wash our hands in order to stay healthy. We are wearing slippers now!” These were the excited exclamations of a group of animated women and girls gathered for one of the village hygiene refresher sessions. Compared to the dirt-strewn and chaotic environment of the previous village, Aboro Jakhro greets visitors with a positively bright, organized and clean-swept appearance.
“Before we never really thought much about hygiene,” says Nooran Merbahar, a 32-year-old mother of five, but “today we wash our hands before and after eating and after we visit the latrine.” Hygienic discipline is paying dividends: “…our children’s diseases have gone away,” says Nooran.
Concern has constructed 44 latrines—plumbing-included, a rarity in rural Sindh—across the village grounds, their temporary frames covered by bright-blue canvas. There are also three brand new hand pumps at strategic locations, each serving a cluster of homes. The old pumps had been destroyed or proved incapable of drawing up water from deep enough to avoid the flood-polluted ground waters.
Here, too, villagers are eager for a return to normalcy and especially an end to living in tents, but Concern’s WASH program is an important first step forward. Accountability is key—each program site is punctuated at regular intervals by posters listing numbers that villagers can call with questions or complaints. Local WASH committees—one for women, one for men—are being trained to keep things going even after Concern has pulled out. The process marks a transformation of the community’s way of life prior to the floods.
Ghulam Mustafa heartily agrees. This 46 year-old father of six heads the men’s WASH committee in the spontaneous settlement of Ed Gah. The camp is the temporary home of 128 families; it is perched on a hill overlooking a river and the almost completely submerged remains of their village beside it: “Many of the diseases we were struggling with have largely disappeared,” he says with a smile that demonstrates a leader’s pride.
“We had to follow women’s lead in paying more attention to what happens in our home,” he says, stressing that the well-being of the young is a top priority. “The “children are our future,” he insists, echoing the message conveyed at hygiene sessions—and to protect them from waterborne illnesses adults have to “keep our kitchens and clothes clean, cut our finger nails and our hair, and wash our hands all the time.”
The road to recovery for the very poorest people in Sindh will be a very long one. But their journey has begun in earnest.
http://povertynewsblog.blogspot.com/search/label/Pakistan