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Access to Water and Sanitation During COVID-19 

Access to Water and Sanitation
The U.S. investments that have been working toward improving access to water and sanitation have been particularly focussed on building a more water-secure world during the coronavirus pandemic. So far, the pandemic has affected the lives of billions all over the world and the most vulnerable in particular, already struggling with health and sanitation challenges. According to the OECD, before COVID-19, the African continent had already faced a slowdown in growth and poverty reduction. The organization added that “the current crisis could erase years of development gains.”

The pandemic could impact people already struggling with hunger and poverty. Several international organizations estimated that the number of starving people could have increased to 132 billion by the end of 2020.

To support countries struggling with water and sanitation access during the global pandemic, USAID re-configurated the priorities the Water for World Act of 2014 listed.

How does the global pandemic challenge water security and, in turn, how does USAID respond to these challenges? Before tackling these two questions, this article will give a brief background on the Water for World Act of 2014 and discuss its reconfiguration in light of the recent events regarding sanitation.

The 2014 Water for World Act and WASH Programs

The Water for World Act of 2014 is a reform bill that emerged from the 2005 Water for the Poor Act which made water, sanitation and hygiene – conveniently called WASH – top priorities in the federal foreign aid plan. In an attempt to make data more transparent, optimize aid strategies and improve water support, Congress voted for the Water for World Act in 2014. However, in 2020, the pandemic accelerated the need for global access to water and sanitation.

To address this concern, USAID re-designated 18 high-priority countries according to criteria such as lack of access to water, inadequate sanitation conditions and opportunities to make progress in these areas. Some of the high-priority countries are the Democratic Republic of Congo, Haiti, India, Kenya and South Sudan. In doing so, USAID intended to leverage WASH programs and enable vulnerable populations to have continual access to clean water during this critical period.

Current Challenges to Water Security

Access to water and sanitation is a basic human right and the current pandemic underscored the emergency to settle this right in the most vulnerable countries. Populations receive daily reminders to wash their hands and keep a healthy diet to prevent the propagation of the virus and save lives. However, the lack of clean, drinkable water is not only amplifying the already precarious living conditions of vulnerable populations, but it is also making it harder for these countries to stop virus transmission.

COVID-19 tends to affect vulnerable populations the most: poor communities, minorities and people living in crowded areas. According to UN-Habitat, it is clear that the pandemic affects the world’s most vulnerable populations the hardest because they lack sustainable access to water and sanitation.

For instance, India is the second-leading country in the world for most cases of COVID-19. It had almost 11 million cases on February 21, 2021. This number directly links to the country’s crowded rural areas and the lack of access to running water. At the end of 2020, more than 21% of the Indian population showed evidence of exposure to the virus. Meanwhile, in Bangladesh, Rohingya refugees living in a refugee camp are crowded with a population density four to seven times more than New York City, putting them in high-risk situations.

How WASH Programs Help

WASH programs helped high-priority countries respond to the pandemic in 2020. In the Democratic Republic of Congo, USAID and the World Bank financed WASH campaigns to improve the population’s handwashing behaviors.

Meanwhile, in Ethiopia, they collaborated with the local authorities to improve access to water and sanitation in health care facilities. In Haiti, WASH services included purchasing chlorine to clean water and installing water supply in markets, health centers, orphanages and prisons. According to the World Bank report, ensuring that these countries have safe access to water and sanitation is a necessary medium-term response to the pandemic.

US Investments and Improving Access to Water and Sanitation

U.S. investments aim to provide financial support for water service providers. For instance, in June 2020, USAID partnered with UNICEF in Mozambique to provide subsidies covering the cost of private water providers.

USAID also financed programs that relay information about handwashing. In April 2020, U.S. investments financed radio campaigns in Burkina Faso promoting a new handwashing system expanding access to hygiene in more areas. Data has shown that these programs made a difference in terms of transmission. In fact, transmission levels went down in both Mozambique and Burkina Faso from June to December 2020.

USAID also focused on health care facilities and on supporting health care workers in priority countries by training and protecting them. WASH programs trained more than 16,000 workers in diverse locations such as Senegal, India, Bangladesh, Ghana and Cote d’Ivoire. USAID support in Senegal was one of many successes: 447 officers and 549 health workers received training while the programs also resulted in the installation of 497 public handwashing stands in health facilities and high-risk places. They also distributed 2,423 handwashing kits to families with COVID-19.

Looking Ahead

Despite the crises of the past year, one can spot at least one positive outcome: global leaders have had to rethink access to water and sanitation. The pandemic increased global awareness about the importance of water and sanitation security, all over the world. U.S. investments to improve water and sanitation accessibility under the Water for World Act provide help during sanitary and water emergencies, even during these challenging times. The recent update about the high-priority status for designated countries is not the only positive news on the horizon. USAID administrator John Barsa has also signed the Sanitation and Water for all World Leaders call to action. His signature confirms what many have come to realize over the past year; international collaboration is key to fight the pandemic and secure better living conditions for all.

– Soizic Lecocq
Photo: Flickr

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Splash: Helping Children in Urban Poverty Receive Safe Water

Children in Urban Poverty
Children who drink unclean water or expose themselves to poor sanitation and hygiene face seriously heightened health risks. Young children are the first to get sick and die from waterborne illnesses such as diarrhea and malaria. Out of the 2.2 million diarrheal deaths each year, the majority are children under the age of five. In areas with unsafe water and inadequate sanitation, children are also at risk for parasitic illnesses such as guinea worm and trachoma. Health outcomes range from child weakness to blindness and death. Poor hygiene increases the likelihood of these diseases and this occurs frequently among children in urban poverty.

Splash

Splash emerged in 2007 to bring water, sanitation and hygiene (WASH) programs to children in urban poverty around the world. Splash’s 1,779 program sites in schools, orphanages, hospitals and shelters support over 400,000 kids every day in eight countries. This includes Nepal (101,149 kids), China (84,234), Ethiopia (73,622), Cambodia (71,234), India (49,404), Bangladesh (20,603), Thailand (10,385) and Vietnam (18,365).

Splash focuses on harnessing the technology, infrastructure and supply chains already in use in large cities for solutions that serve the poor. The nonprofit’s founder, Eric Stowe, saw that hotels and restaurants had access to clean water, but the children in poor schools and orphanages across the street did not. Stowe saw this as an easy problem to fix by leveraging the existing economies and infrastructure.

Safe Water

Everything Splash does begins with ensuring access to safe water. Its water purification system removes 99.9999 percent of bacterial pathogens. Splash has the water regularly checked for quality which has reduced costs and maintained reliability. Splash’s point-of-use filtration is much more cost-effective and durable than typical approaches. Well-digging projects are often expensive, time-consuming and do not always work for urban areas. Additionally, Splash’s stainless steel taps last infinitely longer than plastic ones.  This approach to clean water is very sustainable. No new chemicals add to the environment and people reuse contaminated water in a gray water system.

Hygiene Education and Behavioral Change

Splash believes it is not enough for a child to drink safe water. It also encourages long-term behavioral change and improved hygiene through student hygiene clubs, child-to-child training and school events. It provides hygiene training for teachers and conducts soap drives at every school. Five-hundred and forty schools have received hygiene education, hygiene education has impacted 328,666 kids and people have donated 145,241 bars of soap.

In addition to installing high-quality filtration systems, Splash provides colorful, child-friendly drinking and handwashing stations that have been field-tested to make sure kids are excited to use them. Often children in urban poverty must drink and wash their hands from the same spigot; however, Splash separates drinking fountains and hand-washing taps to reduce the risk of water re-contamination. Splash uses fun, kid-centered learning materials to teach kids how to properly wash their hands with soap and develop good personal hygiene.

Improved Sanitation

By leveraging the clean water supply chain, Splash works to improve bathrooms in public schools to meet global standards for safety, privacy, cleanliness and accessibility. It ensures safe and secure toilets, water for flushing, gender-segregated toilets and bins for menstrual hygiene management. So far, Splash has reached 48,802 children in urban poverty in Ethiopia, Nepal and India with improved sanitation through 91 sites. Mirrors, colorful facilities and information are helping to motivate behavioral change and encourage proper toilet use by girls and boys.

Goals for the Future

Splash is a unique nonprofit because it aims to become “irrelevant”, “obsolete” and “unnecessary” by 2030.  Just as everything begins with clean water, Splash aims to complete all projects with a sustainable and strategic exit.

The ultimate goal is ensuring local success on its own time, its own terms, through its own talent and with its own funding. This is why Splash designs each program to have local roots, and be economically stable and enduring. It intends the solutions to live on as the ownership transitions from Splash staff to local owners.

As of 2016, Splash was on track for each of its ambitious goals. This includes WASH program coverage for all 650 public schools in Kathmandu, Nepal by 2020 and all 400 public schools in Addis Ababa, Ethiopia by 2022.

Splash is a great example of a forward-thinking international nonprofit with a clear vision to develop long-lasting WASH solutions for children in urban poverty. The world requires lots of work to ensure affordable and clean water, sanitation and hygiene for the urban poor, but organizations like Splash are making progress.

– Camryn Lemke
Photo: Flickr

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How Partnership Drives Development in Agra, Malawi and Tanzania

Partnership Drives Development
Empowering and creating partnerships with local actors is a longstanding tenet of effective development projects. When those in need rely too heavily on outside influences, regardless of their intentions, they risk losing control of the resources and decision-making best left to those closest to the problem. Partnership with local actors gives development projects the best chance of being effective and sustainable. Here are three examples of how partnership drives development.

Agra

In 2009, the community of Agra, India — home to the iconic Taj Mahal — suffered from a water sanitation crisis. Waste collection and disposal became nonexistent and a large majority of residents practiced open defecation. As waste flowed into the Yamuna river of which locals relied for irrigation and drinking, residents risked exposure to polio, typhoid, dysentery and cholera.

In partnership with the Center for Urban and Regional Excellence, a USAID-supported non-governmental organization (NGO), Agra’s governing municipality constructed a wastewater treatment plant to protect the water source used by the 2,000 community members living in Agra.

The plant employs natural processes requiring minimal power and maintenance; however, the true indicator of the project’s success came in 2017, when Agra’s municipality took over all operations from outside actors and ensured clean drinking water for the people of Agra for years to come.

Malawi

In another example of how partnership drives development, the Human Resources for Health in 2030 (HRH2030) program is partnering with the government of Malawi to recruit and hire 300 medical workers to combat the HIV epidemic. In Malawi, more than 900,000 people currently live with HIV. To add to the problem, the country suffers from a severe shortage of healthcare professionals needed to address this issue.

While the program only started in November 2017, facility managers from the HIV-freighted Lilongwe and Zomba districts have already noted the positive impact of the increase in workers. Furthermore, the local government has signed an agreement to take on financial responsibility for the new workers by 2020, committing to self-reliance and sustainability.

Tanzania

In addition to increasing access to a network of health professionals, the community of Tabora, Tanzania highlights the effectiveness of another way of combating HIV — male circumcision. Studies suggest that male circumcision reduces transmission in heterosexual men by near 60 percent, and is a powerful preventative tool, especially in combination with other approaches.

In an example of how partnership drives development, The USAID-funded Strengthening High-Impact Interventions for an AIDS-free Generation (AIDSFree) project is partnering with the Tabora regional health administration to increase access to voluntary medical male circumcision (VMMC). A standard bearer of the cause, traditional healer Albert Cosmas acts as a VMMC ambassador, encouraging other men to have the procedure and thereby helping reduce the HIV footprint in Tabora.

When development agencies make top-down decisions without partnership with local actors, they risk harming the communities they aim to serve. Indeed, “acting in collaborative partnership” is explicitly included in the United Nations 2030 Agenda for Sustainable Development. These three stories illustrate the powerful impact of a bottom-up approach that empowers local actors with the capacity to carry progress into the future.

– Whiting Tennis
Photo: Flickr