CLTS with inclusive WASH programming (Malawi)

  • rochelleholm
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CLTS with inclusive WASH programming (Malawi)

The London School of Hygiene and Tropical Medicine (LSHTM) has a research grant from AusAID for a project working on WASH access for people with disabilities in Bangladesh and Malawi. The aims of the project are: i) to develop tools for assessing WASH access for people with disabilities; ii) to generate data on the prevalence and nature of WASH access problems for people with disabilities and iii) to provide guidance on some aspects of potential mitigation strategies. Additionally, the project has a communication and engagement component to engage and inform stakeholders about the project process and findings.

The overall research strategy is to carry out data collection in the context of an intervention to improve the inclusiveness of WASH programmes.

Over the last few months, observations of standard CLTS, including pre-triggering, triggering and follow-up, were documented by researchers from Mzuzu University Centre of Excellence in Water and Sanitation.

This week in Rumphi, Northern Malawi, Hazel Jones, of Water, Engineering & Development Centre (WEDC) provided training and support for inclusive WASH programming. The training included people with disabilities, NGOs, extension workers, and Government officials.

The next phase involves observations of this new CLTS with inclusive WASH programming, including pre-triggering, triggering and follow-up, to again be documented by researchers from Mzuzu University Centre of Excellence in Water and Sanitation and further comparison to standard CLTS.

Rochelle Holm, Ph.D., PMP
Mzuzu University
Centre of Excellence in Water and Sanitation
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  • muench
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Re: CLTS with inclusive WASH programming (Malawi)

Dear Rochelle,

Thanks for letting us know about this project on WASH access for people with disabilities in Bangladesh and Malawi.

It is not clear to me how the CLTS work is integrated into this project, is it a central component or just one of several avenues?

And what is your definition of "new CLTS" when you say:

The next phase involves observations of this new CLTS with inclusive WASH programming, including pre-triggering, triggering and follow-up, to again be documented by researchers from Mzuzu University Centre of Excellence in Water and Sanitation and further comparison to standard CLTS.


And is the CLTS work in Malawi related to the CLTS work in Malawi under the Global Sanitation Fund? See here on the forum:
forum.susana.org/forum/categories/5-clts...to-case-study-malawi

Or e.g. this photo which I have also included in the Wikipedia page about CLTS now:

Singo Katanga (center) has come to the village to raise awareness of good hygiene in a process known as ‘triggering’. She gets villagers to draw a map of the area, showing the main features like the road and the river. by SuSanA Secretariat , on Flickr

Lastly, it would be good to have also this AusAID funded project included in the SuSanA project database:
www.susana.org/en/resources/projects
Could you please provide me with the relevant information (project title, organisation, duration and website link(s))? Then I could easily include it in the database. That would be great.

Regards,
Elisabeth

Community manager and chief moderator of this forum via SEI project ( www.susana.org/en/resources/projects/details/127 )

Dr. Elisabeth von Muench
Independent consultant in Brisbane, Australia
This email address is being protected from spambots. You need JavaScript enabled to view it. Twitter: @EvMuench
Sanitation Wikipedia project leader: en.wikipedia.org/wiki/Wikipedia:WikiProject_Sanitation
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  • rochelleholm
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  • Manager of Mzuzu University Centre of Excellence in Water and Sanitation, Malawi. To learn more about the Centre visit http://www.mzuniwatsan.com/.
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Re: CLTS with inclusive WASH programming (Malawi)

Hello Elisabeth,
Thank you for your message about the CLTS with inclusive WASH programming happening in Rumphi, Malawi and Bangladesh.

In Malawi, for this project, in April we had a training workshop given by WEDC in which an action plan was developed to ensure when CLTS is delivered it is capturing needs of people with disabilities. CLTS is the central component of the project, with this new action plan to bring awareness to needs of people with disabilities as an avenue for inclusive sanitation.

We are currently in a phase to make observations of this new CLTS with inclusive WASH programming in the field as it is being implemented, including pre-triggering, triggering and follow-up, to again be documented by researchers from Mzuzu University Centre of Excellence in Water and Sanitation and further comparison to standard CLTS.

This work is separate, but complementary, to the Global Sanitation Fund work happening in Malawi.

Rochelle Holm, Ph.D., PMP
Mzuzu University
Centre of Excellence in Water and Sanitation
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  • muench
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Re: CLTS with inclusive WASH programming (Malawi)

Dear Rochelle,

Thanks for this information. I have now included your project in our project database, too.
You can see it here when filtering for Malawi (six other projects come up in Malawi, too):
www.susana.org/en/resources/projects?vbl...&vbl_20%5B476%5D=476

And here you can see the other projects that are also funded by AusAID if someone is interested (database filtered by funding source AusAID):
www.susana.org/en/resources/projects?vbl...&vbl_22%5B618%5D=618

To all: If there are more projects funded by AusAID which should be included please bring them to our attention: This email address is being protected from spambots. You need JavaScript enabled to view it.

Rochelle, I look forward to following your progress with this project on CLTs and inclusive WASH programming in Malawi.

Regards,
Elisabeth

Community manager and chief moderator of this forum via SEI project ( www.susana.org/en/resources/projects/details/127 )

Dr. Elisabeth von Muench
Independent consultant in Brisbane, Australia
This email address is being protected from spambots. You need JavaScript enabled to view it. Twitter: @EvMuench
Sanitation Wikipedia project leader: en.wikipedia.org/wiki/Wikipedia:WikiProject_Sanitation
E-mail me to get involved: This email address is being protected from spambots. You need JavaScript enabled to view it.
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  • rochelleholm
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  • Manager of Mzuzu University Centre of Excellence in Water and Sanitation, Malawi. To learn more about the Centre visit http://www.mzuniwatsan.com/.
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Re: CLTS with inclusive WASH programming (Malawi)

You may be interested in a recent publication from a research project in the north of Malawi that focused on improving water, sanitation and hygiene access for people with disabilities.

A Cluster-Randomized Trial to Evaluate the Impact of an Inclusive, Community-Led Total Sanitation Intervention on Sanitation Access for People with Disabilities in Malawi
The American Journal of Tropical Medicine and Hygiene
Authors: Adam Biran, Lisa Danquah, Joseph Chunga, Wolf-Peter Schmidt, Rochelle Holm, Ambumulire Itimu-Phiri, Wales Singini, Hazel Jones, Hannah Kuper and Sian White

Abstract
Community-led total sanitation (CLTS) is a common method for promoting sanitation in low-income settings. This cluster-randomized trial evaluated an intervention to improve inclusion of people with disability in CLTS through training facilitators. A qualitative study examined intervention acceptability. The trial included 171 disabled people (78 control and 93 intervention) living in 15 intervention and 15 control communities. In the intervention arm, respondents were more likely to participate in a community meeting about sanitation (+18.7%, 95% confidence interval [CI]: 3.2, 34.2) and to have been visited to discuss sanitation (+19.7, 95% CI: 0.6, 37.8 ). More intervention households improved latrine access for the disabled member (+9%, CI: −3.1, 21.0). Inclusive CLTS could improve sanitation access for people with disability but requires support to households beyond that provided in this trial.

www.ajtmh.org/content/journals/10.4269/ajtmh.17-0435

Rochelle Holm, Ph.D., PMP
Mzuzu University
Centre of Excellence in Water and Sanitation
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