Transcript - International Network on Household Water Treatment

Intercountry Workshop:
“Reaching the most vulnerable
with household water treatment
and safe storage”, Vientiane
Capital, Lao People’s
Democratic Republic,
10-12 November 2014
Water Safety
Policies to
ensure access
to safe drinking
water in the
Regions
Swee Lian KHEW, (WPRO)
[email protected]
Contents:
 Background
 Health
burden in Selected Countries
 MDG Target
 Achievement by Selected Countries
 What Next – WSP & HWTS Intergration
Water Safety Plans

Water Safety Plans or WSP has been
introduced in 2005 with a collaboration
between WHO/AusAID

Pilot projects 2006



WPRO: Lao PDR, the Philippines and Viet Nam
SEARO: Bangladesh, Bhutan and Nepal
Since then, it has been expended to cover
more countries
Water Safety Plans
Guidelines for Drinking Water Quality (DWQ), 4th Edition, 2011: WSPs are
“..the most cost-effective and protective means of consistently assuring
a supply of acceptable drinking-water”
1. What is
the risk?
3. Do we know
the risk
is under control?
Continuous
Cycle
2. How do we
control the
risk?
WSP: preventive risk management system for drinking water suppliers, from
catchment to consumer. All prioritized risks have control measures in place
Milestones of WSPs








Collaboration between WHO / Australia DFAT Water Quality
Partnership for Health started in 2005
Countries: KMH, Cook, LAO, MNG, PHP, SAM, TON, VAN, VNM
Delivery, so far: Total of 102 WSPs established, 78 in urban
areas, 24 in rural settings
Gains: 36.7 million have access to safer water. NRW down 50%
Efficiency: less than USD 50 cents per capita
Capacity: 70 trainers and 2200+ trained professionals
Perspective: Improve community health (WASH services and
HWTS)
Policy dialogue to ensure sustained water safety:
 National standards for drinking water updated in these countries;
 4 countries have a draft WSP institutional framework and are
compulsory in 4 countries
Partner
ABD
Confluence
Country
Cambodia, Lao PDR, Philippines, Viet Nam
Lao PDR
Earthcare
Vanuatu
GRET
Cambodia
JICA
Cambodia, Philippines
OFID
Plan International
Red Cross
Spain
SNV
USAID
UNICEF
Lao PDR
Lao PDR
Cambodia, Cook Islands
Philippines
Lao PDR
Philippines
Cambodia, Lao PDR, Mongolia, Vanuatu,
Viet Nam
Cambodia, Viet Nam
Cambodia, Lao PDR
Mongolia
UN Habitat
WB
World Vision
15 partners
contributing
to the WSP
activities in
countries
(June 2014)
WHY WSP important?



Over 50% of deaths from diarrheal diseases
are due to the consumption of unsafe water,
a global average that in some countries it
can be much higher (WHO 2014)
Morbidity from unsafe drinking water is even
very high, especially among marginalised
populations
We know that adequate water and
sanitation, food and nutrition, environment,
are basic conditions to contribute to
sustainable development
Diarrhoea deaths in selected countries (2012)
Deaths from
Unsafe water
Deaths from
Lack of
sanitation
Deaths from
Poor hygiene
Cambodia
377
317
884
Lao PDR
379
273
298
44
2,794
321
3,931
18
801
488
1,903
37
2,644
2,031
5,903
Country
Mongolia
Philippines
Viet Nam
Total
Source: “Burden of Disease from Inadequate Water, Sanitation
and Hygiene in Low- and Middle-Income Settings: A Retrospective
Analysis of Data from 145 Countries.” 2014. Prüss-Ustün et al.
Tropical Medicine & International Health.
Action is taken,


All national health authorities are aware of
important to have access to safe drinking water
Most take adequate actions, often together
with partners such as WHO, many other
agencies.
but….
too often results are not sustained
 This is why water and sanitation are among the
target in MDG.
MDG Target
Halve the proportion of people without
sustainable access to safe drinking water and
basic sanitation by 2015
Drinking Water
MDG target met at: 88%
Coverage in 2012: 89%
No. of countries met MDG target: 116
Sanitation
MDG target to be met: 75%
Coverage in 2012: 64%
No. of countries met MDG target: 77
WHO/UNICEF Joint Monitoring Programme of Water and
Sanitation: New data on global progress 1990-2012
Achievement in selected countries
(2012)
Urban
Country
China
Lao DPR
Philippines
Viet Nam
Water
Rural
National
Urban
Sanitation
Rural
National
Year
(%)
(%)
(%)
(%)
(%)
(%)
2000
2012
2012
2000
2012
2000
2012
2000
2012
97.5
98.4
99.9
72.2
83.7
92.4
92.5
93.6
98.3
70.4
84.9
99.9
37.9
64.9
83.3
91.2
72.1
93.7
80.1
91.9
99.9
45.5
71.5
87.6
91.8
77.4
95.2
60.9
74.1
97.2
66.1
90.4
74.4
79.4
77.3
93.1
35.5
55.8
97.2
17.2
50.5
57.3
69.4
47.0
66.6
44.6
65.3
97.2
28.0
64.6
65.5
74.3
54.4
75.0
Risks in the home remain
 WSP
in place, but in many locations,
drinking water which is rendered safe
and once delivered to homes it may
becomes contaminated, if not handled
and stored properly
 Question: What happen with the risks “outside”
the system at household level?
WSP missing link
4 Question: What
happens
“outside” the
system, at the
household level?
WSP: preventive risk management system for drinking water suppliers, from
catchment to consumer. All prioritized risks have control measures in place
Household Water Treatment
and Safe Storage:
 Low-cost
interventions for household-based
treatment of drinking-water and safe storage,
via basic hygiene
 Promotion of behavioral change in terms of
good hygiene, linking with access to improved
sanitation
 WSP can help identify where to target HWTS
and to assess and strengthen HWTS practices
 Challenge: HTWS integration in national policy
dialogue
SUSTAINED enabling
environment
Practices at home and those
imparted by parents, at school,
the workplace, in the
community and society at
large; all need to converge to
succeed in achieving safe
drinking water
SUSTAINED enabling
environment (…continue)
To ensure a sustained environment,
one big challenge is to better
integrate and coordinate efforts of
the various health and water
authorities at the levels of policy,
institutional arrangements and
responsibilities, sustained financing,
and instructional practices
The way forward:
Therefore, we need to know the
existing water related policy
frameworks in our countries to
improve them and have adequate
policies and institutional
arrangements that will facilitate the
concrete actions needed to ensure
equitable access to safe drinking
water on a sustainable basis
It is time for a
CHANGE!
Thank you for your kind attention!
WHO HWTS Manual
http://www.wpro.who.int/environmental_health/documents/docs/Household_Water_
Treatment_Safe_Storage_PARTICIPANT.pdf
HWTS in Emergency
http://www.ifrc.org/Global/Publications/disasters/142100-hwt-en.pdf