The UNECE/WHO-EURO Protocol on Water and Health: where health, environment and development policies meet Francesca Bernardini UNECE The Protocol on Water and Health: making a difference.
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The UNECE/WHO-EURO Protocol on Water and Health: where health, environment and development policies meet Francesca Bernardini UNECE The Protocol on Water and Health: making a difference 1 Why a treaty to manage water resources and prevent water-related diseases ? In the European Region, poor-quality drinking-water causes over 13 000 deaths from diarrhoea among children aged 0–14 years (5.3% of all deaths in this age group) each year 140 million (16%) do not have a household connection to a drinking-water supply, 85 million (10%) do not have improved sanitation; the situation had not improved in the past 15 years In central and eastern Europe water is safe only in 30—40% of households. Emerging threats: protozoan infestations of drinking-water supply systems, proliferation of Legionella, and potential health problems related to the increasingly complex chemical environment Overuse, pollution, extreme weather events affect water resources The Protocol on Water and Health: making a difference 2 The Protocol on Water and Health The world’s only legal treaty designed to reduce water-related deaths and diseases through improved water management The Protocol on Water and Health: making a difference 3 Aim: Protect human health and well being by better management of water resources Health outcome Drinking water quality Legal framework Environmental quality The Protocol on Water and Health: making a difference Environmental Management Health Outcomes Effective protection of water related ecosystems and sustainable use of water resources Provision of adequate supplies of wholesome drinking water Prevention, control and reduction of water-related diseases Detection, contingency planning and response to outbreaks 4 Objectives (a) Access to drinking water for everyone and (b) Provision of sanitation for everyone => Focus on sustainable development and MDGs, beyond MDG 7, target 10 => framework for implementing the human right to water and poverty reduction => focus on governance, integration of policies and on cooperation The Protocol on Water and Health: making a difference 5 Status of ratification Adopted in 1999 by 36 countries Entered into force in 2005 Signatories Parties Currently ratified by 24 countries Towards accession . The Protocol on Water and Health: making a difference 6 Scope @ MED action plan @ WHO central photo library Costal and estuarine waters Surface waters Water during abstraction, transport, treatment and supply @ UNEP photo collection Wastewater collection, transport, treatment, discharge, reuse @ WHO EURO photo collection The Protocol on Water and Health: making a difference 7 How: the Protocol’s pillars Setting targets and assessing progress Surveillance and response PROTOCOL Compliance procedure Mutual assistance AHPFM The Protocol on Water and Health: making a difference 8 Art 6 and 7: Targets, measures, review of progress ESTABLISH TARGETS Within 2 years of becoming a Party, each Party shall set targets and target dates Water supply and sanitation Water management Health protection The Protocol on Water and Health: making a difference REVIEW PROGRESS MEASURES National coordination mechanism Collect and evaluate data Water management plans Investments Publish results Review progress Monitoring Enforcement Capacity building Submit summary report 9 Progressive and continuous action Review of progress Set targets and target dates Programme of measures The Protocol on Water and Health: making a difference 10 Surveillance and response Public information of threat Public authorities notified Responsive Health Systems Water-related outbreaks or threats identified The Protocol on Water and Health: making a difference Capacity strengthened to implement contingency plans Preventive and remedial actions Contingency plans timely prepared 11 Assistance tools Compliance Committee The Protocol on Water and Health: making a difference Project Facilitation Mechanism 12 Public awareness, education and public participation Parties shall Ensure public participation in decision making (target setting) Take steps to enhance public awareness Promote common understanding between sectors Encourage education and training Ensure that information is available to the public The Protocol on Water and Health: making a difference 13 How does the Protocol function? Meeting of the Parties (MOP) Compliance Committee Bureau Ad Hoc Project Facilitation Mechanism Working Group on Water and Health Joint Secretariat WHO – UNECE The Protocol on Water and Health: making a difference Task Force Surveillance Task Force on Indicators and Reporting Task Force on Extreme Weather Events 14 In practice… technical guidance From the what to the how for a common approach in the region Theoretical and technical framework for compliance with main obligations Guidelines on setting targets, evaluation of progress and reporting; technical and policy guidance on surveillance The Protocol on Water and Health: making a difference 15 In practice… emerging(ed) issues Small scale water supplies Water supply and sanitation in extreme weather events Equitable access to water / implementation of the human right to water and sanitation The Protocol on Water and Health: making a difference 16 In practice… capacity building On different aspects of the Protocol’s implementation Focus on South-Eastern Europe and Eastern Europe, Caucasus and Central Asia Supported by other activities and feeds back to work under the Protocol The Protocol on Water and Health: making a difference 17 In practice… country projects Two ongoing in Moldova and in Ukraine Requests for others Link to activities carried out within the National Policy Dialogues on IWRM under the EU Water Initiative The Protocol on Water and Health: making a difference 18 Main advantages Legally binding => ensures long-term commitment and forms a basis for improved regulatory environment Designed to support continuous progress with pace and objectives tailored to countries’ priorities and capacities Programme of work supports implementation and harmonization in the region as well as a framework for dealing with emerging issues Offers a structured environment for government, NGOs and business to develop long-term cooperation at national and international level The Protocol on Water and Health: making a difference 19 Where do we stand in the rest of the region Results of the first reporting exercise Recognition of the importance of the Protocol is increasing, implementation is progressing Setting targets is a challenge for countries as it confronts governance inadequacies Problems of access to water and sanitation in rural areas Not only access: quality aspects, hygiene, performance The Protocol on Water and Health: making a difference 20 Challenges Difficulty of the problems => complexity of the solution Integration: the beauty of the Protocol and its curse Win inertia of traditional/sectoral approach=> Still weak recognition of the linkages between environment and public health Difficulties in getting high political attention Financial implications vs underfunding of the water sector The Protocol on Water and Health: making a difference 21 Status in Eastern Europe Country Ratification Targets Belarus 22 April 2009 Under development Republic of Moldova 10 March 2000 Set and adopted Russian Federation 31 December 1999 ? Ukraine 26 September 2003 Set Adopted? The Protocol on Water and Health: making a difference 22