From: This email address is being protected from spambots. You need JavaScript enabled to view it. [This email address is being protected from spambots. You need JavaScript enabled to view it.] On Behalf Of aisha abari
Sent: Wednesday, March 07, 2012 8:21 PM
Subject: Re: [Wg7] Getting School WASH Right

Hello,

Indeed, research has shown that people prefer to use water to clean their private part rather than cleaning paper because most time the finger are often contaminated with faeces. This is common, even amongst adult, talk-less of school children. Also, the issue of poverty is they. people will not spent their hard earn money to buy cleaning paper. However, even the government doesn't provide cleaning/toilet paper in schools. Therefore, use of water for cleaning re-main the safest way and most convenient.

Aisha Hamza (mrs)

From: This email address is being protected from spambots. You need JavaScript enabled to view it. [This email address is being protected from spambots. You need JavaScript enabled to view it.] On Behalf Of Daouda SANOU
Sent: Wednesday, March 07, 2012 3:40 PM
Subject: Re: [Wg7] Getting School WASH Right

Dear all,
The question is about religion also.In Chad ,Sudan and Some refugee camps near Kenya people use water for anal cleaning base on the religion recommendation.we need to consider this Practice before any implementation.example for Muslim hand washing is more than a recommendation.

Best,Daouda SANOU

Sent from my iPad

From: Ajay Ciciliya
Sent: Wednesday, March 7, 2012 6:53 AM-
Subject: Re: [Wg7] Getting School WASH Right

hi all, during my stay at Nigeria (West Africa), i also observed
similar condition. In contrast to this, In india, people use water for
cleaning private parts instead of paper. And then they wash their hand
wish soap. as i understand, such practice is much safe than previous
one and more nature friendly also.

regards, ajay

On 3/5/12, Madeleine Fogde wrote:

Hi Patrick
There are many reasons for Africans not to contemplate cleaning paper.
Some are washers others do not spend their marginal income on toilet paper
rather use local material like leaves etc. Other African and this group are quite a few wash themselves . You will find washer communities from the north to the south.

Allt the best
Madeleine

From: Rieck, Christian GIZ
Sent: Friday, March 02, 2012 6:07 PM
Subject: FW: [Wg7] Getting School WASH Right

Dear all,

I have been given a report by my colleague Elisabeth von Muench concerning the issue mentioned by Patrick Chalwe about the lack of toilet paper and the related increased risk of faecal contamination of hands. The report from Susanne Herbst (2006) on “Water, sanitation, hygiene and diarrheal diseases in the Aral Sea area” states the interrelation of diarrhea episodes and lack of toilet paper. So contaminated hands do in fact lead to diarrhea episodes in the absence of handwashing with soap (as expected).

Quote “The analysis revealed that visible contamination of drinking water during storage and absence of anal cleansing material were associated with the number of diarrhea episodes per household”. I have not read the report myself but I am sure it can be helpful to make the argument. www2.gtz.de/Dokumente/oe44/ecosan/en-eco...ment-series-2006.pdf

Of course if people would wash hands with soap diarrhea incidents would be less likely. But the reality shows that only 5% of students are actually washing hands with soap, even when facilities are available as stated by Murat Sahin from UNICEF in the SWASH+ paper “Getting School WASH Right”. So it is clearly a serious health issue (risk) if we provide sanitation facilities but forget to cater for basic toiletries and are not able to enforce handwashing with soap.

Wishing you all a nice weekend
Christian

On Thu, Mar 1, 2012 at 4:47 PM, Rieck, Christian GIZ wrote:

Dear Patrick and others,
Thank you for the valuable comments. As the example from Patrick concerning the lack of toilet paper and from other with lack of water and soap shows it that infrastructure alone is not enough and can even do more harm than good in same cases. But in order to create safe and healthy learning environment it seems just so obvious that besides providing the necessary infrastructure it is equally important and even far more challenging to ensure the continuous provision of water, soap and toilet paper (if required) as the basic toiletry items. This seems to be the greatest challenge from my point of view. How to create sufficient budget lines for O&M and to make sure parents, communities, children and headteachers all together value WASH and in particular handwashing with soap as one of the main priorities. As long as this shift in priorities and the necessary behavior change does not take place within the entire local communities I do not see a positive pictures in providing funds for O&M (wherever they may come from). As I stated earlier in my mail the Philippine project of Fit for School has somehow achieved this priority change through a set of incentives and learning of skills through daily routines which seems to make a difference. The costs for providing sufficient soap, toothpaste and toothbrush as well as 2 deworming pills per year per child is about 0.50 US $. This seems manageable or?

Someone mentioned DRY WASH - do you mean to completely work without water? Please clarify this term!

I also found the comment on open defecation versus toilets without handwashing or toilet paper relevant. It might be the question in some projects whether to spend the money on toilets or on handwashing stations if there are limited funds. What to do - what is more effective intervention, provides dignity or is most demanded by the people? I am not sure.

Best regards,
Christian

From: Patrick Chalwe
Sent: Thursday, March 01, 2012 10:48 AM
Subject: Re: [Wg7] Getting School WASH Right

Dear Christian,

I find this report astounding and revealing. In my own experience
working with SWASH+ programme, i discovered that one other major issue
contributing to feacal contamination of hands after defecation is lack
of cleaning paper/toilet paper in most toilets found at a number of
rural schools. When i brought this issue before the authority
remedies, they all realised that in their planning budgets, there is
no funds allocated to procurement of toilet paper. May be because they
dont see it as a "necessity".

What do you thinks?

Patrick

From: This email address is being protected from spambots. You need JavaScript enabled to view it. [This email address is being protected from spambots. You need JavaScript enabled to view it.] On Behalf Of Bilqis Hoque
Sent: Wednesday, February 29, 2012 3:49 PM
Subject: [Wg7] Getting School WASH Right


Dear Everyone

First of all, thanks to all of you for the important information and learning discussions. School WASH is very important for Bangladesh. Although lots of educational (awareness creation, hand washing campaign, etc) efforts are being directed to schools, there remains serious questions about the effective results. Both the level of knowledge and practices at schools have been very poor. We have found that in our recently completed project and in few earlier surveys done by others. The biggest challenge is; how to improve those in absence of facilities!

WASH improvement is a big and complex challenge for a disaster/hazard prone developing country like Bangladesh. The Govt. and partners are trying hard to improve the situations at community level;as Bangladesh is off-track for both water and sanitation MDG targets.

Probably school coverage cannot be included in MDG measurements. But there are students from houses with and without access to the facilities/practices. Those who are from the families with access to the facilities and at schools they become out of facilities; how do we count them?

Best reagrds

Professor Dr Bilqis Amin Hoque
Dean, School of Environment and Industrial Engineering.
Uttara University. Bangladesh
And
President, Environment and Population Research Centre

From: Belinda Rossouw
Subject: Re: [Wg7] FW: Getting School WASH Right
Date: Tuesday, February 28, 2012, 1:30 PM

Hello everyone,
I am a very new member to SuSana and I am slowly catching up to all the discussions.

School WASH is essential, can ask whether you will be including DRY WASH as a module. There are many places in South Africa where there is no water or possibility of water connection. While we know that DRY WASH is not as effected as soap wash, hygiene education and awareness must remain a priority.

I look forward to your responses.

Best regards

Belinda

Sent from my iPad

On 28 Feb 2012, at 12:54, Animesh Bandyopadhyay wrote:

Dear friends,
it is very true the School WASH program is very important for India. we are working on school WASH with some slight innovations through our Community Development Programme. We had implemented School WASH Program at 100 schools in Uttar Pradesh, India. and it is works to change the behaviour for the children.

The quality of sanitation and hygiene facilities may likely cause more harm than good. Generally from experience, there ought to be a vibrant and proactive school club that makes the maintenance of the facilities a key priority with a strong leadership from the staff and support and guidance from the implementer. Otherwise the school will abandon the facility or misuse it. Another angle to this is the fact that the availability of water affects the effectiveness of school WASH.

Animesh Bandyopadhyay
Sr. Partnership Manager
Humana People to People India

From: christian.rieck
Date: Tue, 28 Feb 2012 08:34:49 +0000
Subject: Re: [Wg7] Getting School WASH Right

Dear Kitch and other colleagues,
Let me make you aware about the skill-based approach of the Fit for School program in the Philippines that shows a successful approach. They make a whole school class wash their hands together at the same time every day at the same time as a daily routine. This routine creates skills of proper handwashing and finally also leads to behavior change. The issue of water and soap supply needs to be addressed through incentives to schools, parents and government to keep the supply up and running. This incentive structure is however very complex and needs to be thought through very carefully. Please have a look at the webpage www.fitforschool.ph/ and the teacher manual www.fitforschool.ph/resources/info-mater...mentary-schools.html .

Cheers
Christian

From: Kitchinme Bawa
Sent: Tuesday, February 28, 2012 8:51 AM
Subject: RE: [Wg7] Getting School WASH Right

Dear colleagues,
I am seriously interested in the discussion as I am working on school WASH with some slight innovations.
Back to the issue at stake, I think school WASH needs more attention than it is getting. Same as CLTS whereby without adequate follow up, it is difficult to attain ODF and the quality of sanitation and hygiene facilities may likely cause more harm than good. Generally from experience, there ought to be a vibrant and proactive school club that makes the maintenance of the facilities a key priority with a strong leadership from the staff and support and guidance from the implementer. Otherwise the school will abandon the facility or misuse it. Another angle to this is the fact that the availability of water affects the effectiveness of school WASH.
Kitch.

Kitchinme Bawa Gotau
Programme Ofiicer Sanitation and Hygiene
WaterAid in Nigeria