ON HYGIENE IMPROVEMENT FRAMEWORK
is facilitating an electronic forum on the Hygiene Improvement
Framework (HIF). EHP's partner in this on-line conference is the Water
Supply and Sanitation Collaborative Council. The conference is part of
a series of discussions leading to the Third World Water Forum in
Kyoto, Japan, March 2003. The e-conference on the HIF will run from
March 1 through March 29, 2002.
HIF, developed by EHP, is an integrated approach that combines access
to hardware, hygiene promotion, and enabling environments. The strong
underlying message is that all three components must be included if
water supply and sanitation (WS&S) projects are to have a greater
impact on health. The framework builds upon what has been learned from
over 20 years of WS&S programming and seeks to establish WS&S
programs more firmly as part of comprehensive efforts to improve the
health of children.
conference has been organized as follows:
1�8: Presentation and discussion of the HIF
11�15: Sharing field examples of integrating hygiene promotion into
18�22: Discussion of the implications of the HIF for designing and
implementing WS&S projects
25�29: Next steps and summary
HIF discussion paper and presentation are on the EHP Web site at:
to the conference at: http://www.jiscmail.ac.uk/cgi-bin/wa.exe?SUBED1=hygiene-behaviour&A=1
AMERICA AND THE CARIBBEAN:
with the U.S. Agency for International Development (USAID) Bureau for
Latin America and the Caribbean (LAC) and the USAID Water Team, EHP is
implementing an activity focused on sanitation improvement in small
towns. Small towns in LAC typically have populations between 5,000 and
30,000. EHP has developed a step-by-step methodology that can be
used by a local consultant team to develop a plan to provide
sustainable sanitation services. The goal is to implement a sanitation
plan that is financially sustainable, protects the environment,
maximizes health benefits, and is equitable.
small towns in LAC have been identified for field-testing the
methodology. The field-testing has been completed in Macara, Ecuador,
under the USAID Southern Border Project, implemented by a CARE-led
consortium. Beginning in mid-March, field testing will take place in
La Cabima, Panama, under the overall coordination of the
Interinstitutional Commission of the Canal Watershed and the Panama
Canal Authority. The third pilot activity will be in White Horses,
Jamaica, under the Ministry of Water and Housing through the
Inter-American Development Bank Rural Water Project.
completion of field tests in May, EHP will finalize the methodology
and disseminate it via two subregional workshops. One workshop will be
in the Andean region, and one will be in Central America. The
workshops are expected to take place in September or October 2002.
information on the activity, please contact Fred Rosensweig ([email protected]).
ON LARVA CONTROL IN
INTEGRATED VECTOR MANAGEMENT
more information, contact Michael Macdonald ([email protected])
or Gene Brantly ([email protected]).
malaria control programs in Africa, larva control is often misunderstood
and often a misuse of scarce resources. Conversely, it is also often a
missed opportunity, particularly in �fringe� and periurban
situations where there are large human concentrations and where breeding
sites are limited and identifiable.
continues to work with the World Health Organization and other partners
to develop strategies for more rational vector control, tailored to
specific ecological and programmatic contexts.
part of this effort, EHP will convene a symposium in Kampala, Uganda,
from 22 to 24 April 2002, entitled "Larva Control in the Context of
Integrated Vector Management for Malaria Control.�
The symposium will assemble researchers, program managers,
policymakers, and commercial partners to share their understanding of
existing information on efficacy and programmatic effectiveness, to
determine a framework for filling information gaps, and ultimately to
articulate the conditions and methods by which larva control, including
environmental management, can make a cost-effective and sustainable
public health impact in Africa.
THE HEALTH OF HURRICANE MITCH VICTIMS
EHP Activity Report 106,
Nicaragua: Rural Water Supply, Sanitation, and Environmental Health Program
provides a detailed account of this activity.
recently completed the Rural Water Supply, Sanitation, and Environmental
Health Reconstruction Program--a USAID-funded activity to protect and
improve the health status of families affected by Hurricane Mitch in rural
or resettled population centers in Nicaragua. Strategies included
increasing sustainable water supply and sanitation services, improving
hygiene behavior, and providing community organization and education
programs for populations in affected areas.
worked with six private voluntary organizations that were already
established in Nicaragua before the hurricane. EHP provided grants,
management, and technical oversight to support these organizations as they
worked with communities, conducting hygiene education programs and
reconstructing or building water and sanitation systems.
activity exceeded its objectives, reaching an estimated 215,000
beneficiaries and resulting in significant improvements in hygiene
practices and health. A significant impact of the activity was the
adoption of what environmental health director of the Nicaraguan Ministry
of Health termed a "new paradigm," shifting from interventions
consisting solely of water and sanitation measures to interventions in
preventive health that incorporate a central focus on water and
MALARIA DAY 2002: MOBILIZING COMMUNITIES TO
ROLL BACK MALARIA
celebrates Africa Malaria Day next month, on April 25!
year, the theme for the day is "Mobilizing Communities to Roll Back
Malaria and Taking Malaria Prevention and Treatment to the Home."
Africa Malaria Day will also celebrate the role of the community-level
caregivers--the community health workers, the mothers, the shopkeepers,
the traditional practitioners who often provide the first point of contact
for people struck by malaria who live in remote, underserved areas. Africa
Malaria Day 2002, which marks the second anniversary of the Abuja
Declaration, will highlight, reward, and celebrate the work done by people
in the community, whose efforts often go unrewarded and unrecognized.
World Wide Web site for Africa Malaria Day is: http://www.rbm.who.int/amd/abuja2002_first.htm
The main topics or countries
discussed are given in parentheses.
EHP Director; Benin; Monitoring Water, Sanitation, and Hygiene Activities;
Malaria and Vector Control)
2001 (EHP Handwashing Publication, West Bank, Asia
and the Near East, PAHO�EHP Partnership)
2001 (Benin, Sustainable Sanitation in Small
Towns, DR Congo, Peru Behavior Change)
August 2001 (India, Eritrea, Democratic Republic
of the Congo, BBIN Network, information exchange network)
June 2001 (Mozambique, Madagascar, Nepal, Dominican
Republic, indoor air pollution consultation, Nairobi SIMA Conference)
(Central America handwashing initiative, Democratic Republic of the Congo,
Eritrea, Nepal, Bolivia)
2001 (Nicaragua, Madagascar, Africa, DDT cost comparison)
Activities, E-Newsletter, National Malaria Control Programs in 4 African
Countries, Congo, Decentralization in Latin America, Peru, WSSCC Forum,
Global WS&S Assessment from WHO/UNICEF)
Dominican Republic, Madagascar, SANICONN)
EHP and E-conferences)
2000 (Nicaragua, Malaria
Vaccine Development, "Water for the World")
2000 (Nicaragua, International
Consultation on Indoor Air Pollution)
March 2000 (Benin, South Africa,
February 2000 (Nicaragua, Paraguay,
Ukraine, Mozambique and Eritrea)
2000 (Nicaragua, EHP Lessons Learned)
Issues by Country
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