Transcript HWTS and WSP policy landscape for Mongolia Dr Sh. Urantsetseg, MOH Dr Ts.

HWTS and WSP policy
landscape for Mongolia
Dr Sh. Urantsetseg, MOH
Dr Ts. Unurjargal, Umnugobi HD
Dr E.Erdenechimeg, MNUMS
Dr V.Delgermaa, WHO CO
Introduction
• Total population: 2.8 Million, urban vs rural: 67.2% and
32.8% (2012)
• Drinking water source: 82% underground water; 18%
surface water (spring water; snow, ice; river seasonally)
• Access to improved drinking water supply 85% and
sanitation facilities 53% (JMP, UNICEF/WHO 2012)
• But in RURAL AREAS: access to improved drinking water
supply 56% and sanitation facilities 29% (JMP, UNICEF/WHO
2012)
• For health care facilities, centralized water supply 14.1%,
non-centralized water supply 85.9% (MoH, NCPH, 2012)
• WSP has been implementing since 2012 (WHO/AUSAID)
Water supply system
Underground well
• Centralized and non centralized system
Water reservoir
Pipe
Water reservoir
Pipe
582,633 residents
Rural area: Nomadic people
 Dig well
 Underground well
 Surface water
Water transporting and storage containers
 To get water from water kiosks 2-4 time a week
 The average quantity is 60-70 L
 Volume of water container is 10-120 L
63% Plastic container
35.9% container made by iron and aluminum
Implementation
Non-centralized water supply consumers:
People living in Ger districts
Nomadic people/herding households
Vulnerable group:
 Young children, particularly non-breastfed children
 Elderly
 Pregnant women
Problem
AT GLANCE…
21.4% of all infectious diseases at the national level ;
53.3% of intestinal infectious diseases in Ulaanbaatar
6 different INTESTINAL infections:
Dysentery; Salmonella; Diarrhea; viral hepatitis A and food poisoning
Improved Water Quality For Mongolia
Mongolian data on E.coli and/or total coliform present in
drinking-water
According
to
microbiological
monitoring data conducted in 830
water resource of 300 soums, 227
or 25.6% of them were determined
higher contamination of total
bacteria.
E.Coli was determined in 66 (7.4%)
wells.
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Сорьцын тоо
Эерэг сорьцын хувь
Rapid test of microbial contamination
Үр дүн, %
Indicators
UB
Khovd
DO
DU
AR
SB
Total
At catchment
E.Coli (-)
57.1
73.5
75
55.6
-
100
76.1
E. Coli (+)
42.8
26.5
25
44.4
100
-
23.9
Water transporting containers
E.Coli (-)
7.5
61.8
-
-
50
4
25.6
E. Coli (+)
92.5
38.2
100
100
50
96
74.4
Water storage containers
E.Coli (-)
1.9
58.8
37.1
-
19.2
15.4
16.3
E. Coli (+)
98.1
41.2
62.9
100
80.8
84.6
83.7
Current policy/national support for
HWTS and WSP
• Law on Water
• Law on utilization of urban settlement’s water supply and
sewage
• National Water program (2010-2021)
• City Civil Council Resolution: Work Plan and Investment of
Water Safety Program of UB city
• Joint order of the Minister of Health and Minister of
Construction and Urban Development: Guidance for WSP
development and Implementation in provinces and soums
with centralized water supply
• Proposed Law on Hygiene: 2 statements for Water Safety
issues
• Revision of Drinking Water Quality standard: Drinking
Water Quality Management
National targets
 No specific target for HWTS
 Safe drinking water supply:
In urban and rural area: more 70% and 60%, respectively
 Water Safety:
In UB more 30,000 household should be connected to
centralized water supply
 MDGs Goal 7; Target 16: Reduce, by 2015, the proportion of
people without sustainable access to safe drinking water and basic
sanitation
Key stakeholders
Government of
Mongolia
MOH
MOE
GASI
Municipal
Government
NCPH
National Water
Committee
Municipal/Provincial
Inspection Agency
Water Supply and
Sewage Authority
Activities: Revise
DW quality
standard
Health Impact
Assessment
Activities: Policy and
institutional
framework
strengthening
Activities: Water
Quality
Monitoring
Activities: Capacity
building
•
•
•
•
WSP (2 urban; 6 rural)
Health Care Facility: Model
Songino khairhan (ger district)
Unmugobi (one of gobi area with water scarcity)
Household water treatment
• Sedimentation
• Boiling (92.6%)
• Using filters (bio-sand;
ceramic)
Monitoring and evaluation
QUALITY OF DRINKING WATER
• General agency for specialized agency
• Water Supply Institutions: Internal Auditing Unit
WATER BORNE DISEASES/SURVEILLANCE
• City and Province Health Department
• National Center for Public Health
Partnerships and responsibility
WSP:
• Leading agency: MOH; USUG
• Supporting: WHO/AusAid
HWTS
• The Asian foundation; ACF
Mongolia NGO; Cross Red
Resource mobilisation
 Local and international donors
• WHO
• UNICEF
• World Vision
• ACF
• The Asian Foundation
 World bank
 Asian Development Bank
??? Commercial Filter Distribution companies
Summary
• Hygienic requirements for water transporting
and storage container
• Promoting community participation
• Expand public and private partnerships
• Public awareness raising and behavior change
campaign (safe storage; water container
cleaning)
• To provide health education in relation to
household water treatment in emergency
cases