Sustainable Sanitation & Hygiene For All (SSH4A) Journey in 2016 - 2020

Map showing access to sanitation facilities in the 9 districts Access to sanitation facilities (Baseline December 2016 versus Endline November 2019) Presence of hand washing station near the toilet 1. (Baseline December 2016 versus Endline November 2019) 3.(Baseline December 2016 versus Endline November 2019) Universal access to adequate sanitation is a fundamental need, human N Having and maintaining a toilet alone is not good enough. Households also need BL 1.6% right and a key part of the Sustainable Development Goals (SDGs). EL 0.0% to have a hand washing facility near their toilet and practice hand washing with The 9 SSH4A Districts were supported by SNV through the SSH4A BL 35.9% soap to improve their hygiene and health. EL 49.2% BL 11.6% program to improve sanitation and Hygiene. BL 32.8% EL 1.3% EL 32.2% BL 36.0% BL 21.1%

ZOMBO EL 34.6% EL 12.7% BL 17.4% 2016 0.15% Level 5: Environmentally safe toilets 2016 7.5% EL 10.3% Level 4: HW station running tap water (a toilet where the faecal sludge does not 2019 6.8% 2019 9.8% BL 22.1% contaminate/leak into the environment) EL 43.6% PAKWACH Level 4: Improved toilets with fly management 2016 1.2% Level 3: HW station, no contamination 2016 0.42% (an improved latrine that does not allow flies to (has running water) get out of the latrine) 2019 0.3% 2019 7.04% BL 37.6% EL 3.8% BL 54.6% Level 3: Improved toilets (a toilet that has a slab BL 34.2% 2016 23.9% BL 6.6% EL 1.7% 2016 0.32 % with one hole, a door/screen (for privacy), EL 10.1% EL 0.9% Level 2: HW station with soap BL 20.4% a roof and squat hole cover) 2019 34.8% BL 11.0% BL 30.0% EL 24.7% 2019 2.23 % EL 23.1% EL 13.5% BL 24.1% BL 12.3% Level 2: Unimproved toilets 2016 31.2% BL 11.3% EL 28.8% (a toilet that does not have a slab, walls, a KAGADI EL 53.8% EL 42.6% 2016 7.26% BL 0.9% door/screen (for privacy), a roof) 2019 36.4% BL 39.0% Level 1: HW station, no soap EL 36.3% KIBALE EL 35.4% 2019 24.03% KAKUMIRO Level 1: Shared toilet 2016 18.4% (a toilet that is used by more than one 2016 94.15% household) 2019 16.1% Level 0: No HW station 2019 59.8% Level 0: No toilet 2016 5.9% 17.9% (a household that does not have a latrine and may be practicing open defecation) 2019 2.6% Number of households with a hand washing station near the toilet increased by an BL 7.7% BL 5.9% EL 3.3% average of 1.9% across all districts. Hand washing with soap however remains a Percentage of households with no toilets reduced by EL 4.4% 15.3% BL 19.5% BL 13.7% EL 12.2% Key challenge that needs more attention. The percentage of households with improved toilets increased by EL 11.2% 10.9% BL 35.9% BL 46.9% EL 42.0% Level 0 EL 32.1% BL 28.7% No toilet / OD BL 28.7% EL 26.1% Level 2 EL .0%

KASSANDA Unimproved toilet BL 7.7% Level 1 Hygienic use and maintenance of sanitation facilities EL 3.4% Shared toilet BL 19.5% Level 3 Sanitation progress and challenges 2. (Clean and properly maintained toilets) EL 13.1% Toilet improved BL 35.9% All the districts made great progress towards reducing Open Defecation. (Baseline December 2016 versus Endline November 2019) EL 48.9% BL: Baseline 2016 % BL 41.3% BL 28.7% Handwashing with soap however remains a challenge.The Districts need to EL 0.4% Endline 2020 % Once a toilet is in place and used, cleanliness and maintenance MUBENDE EL 28.2% EL: BL 10.3% focus on sustaining and consolidating the progress achieved so far and needs to be ensured. EL 17.1% continue to: BL 21.5% There was an overall reduction in the number of households with no EL 28.2% BL 20.7% latrines in all the project districts. The following districts registered the EL 45.7% most significant improvements towards eliminating open defecation. Level 4: Functional, clean and 2016 7.86% Equip communities and social groups with knowledge and skills for latrine private toilet Kyegegwa (41.3 at baseline to 0.4% at endline) 2019 23.14% improvement using locally available materials to enable them make Kibale (34.2 at baseline to 0.9% at endline) progress along the sanitation ladder. Level 3: Functional and 2016 5.8% clean Toilet Kakumiro (54.6% at baseline to 1.7% at endline) 2019 5.4% Intensify targeted Follow Up MANDONA for the attainment of district sanitation and hygiene targets. Level 2: Functional Toilet 2016 8.43% (the technology is working A map of SSH4A Areas of intervention 2014 - 2020 as intended) 2019 40.6% Engage supply chain actors to bring sanitation products like SATO pans closer to the communities. Level 1: Toilet in use as a toilet 2016 8.43% Phase One Districts (April 2014-March 2018) 2019 20.65% Kasese, Kabarole, Bundibugyo, Kamwenge, Koboko, Arua, Continue to implement tailored aspiration based Sanitation Behaviour Change strategies especially towards addressing the low rate of 2016 44.45% Yumbe, Maracha, Nebbi, Moyo Level 0: No Toilet/Toilet not in use Extension Phase Districts (May 2016-March 2020) handwashing with soap within communities. 2019 91.8% Kagadi, Kibale, Kakumiro, , Kyenjojo, Kyegegwa, Mubende, Zombo, Pakwach Percentage of households with toilets not in use reduced significantly by https://snv.org/project/sustainable-sanitation-hygiene- an average of 47.4% across all districts. all-results-programme