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Market Research Report on Water, Sanitation and Hygiene

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Market Research Report on Water, Sanitation and Hygiene MARKET RESEARCH REPORT ON WATER, SANITATION AND HYGIENE Prepared by Submitted to June 2009 Table of Contents Aknowledgment ............................................................................................................4 Prelude ............................................................................................................5 List of Acronyms ...........................................................................................................6 Executive Summary ......................................................................................................7 Introduction 1 ..........................................................................................................12 1.1 Background ....................................................................................................12 1.2 Introduction........................................................................................................12 1.3 Objectives and Implementation Stages of the 2009 Market Research on Water, Sanitation and Hygiene............................................................................................13 1.4 Challenges:.........................................................................................................21 Socio-Economic Characteristics of Survey Respondents 2.......................................30 2.1 General characteristics of respondents ...........................................................30 2.2 Household economic characteristics ..............................................................31 Access to Improved Water and Sanitation Facilities 3.............................................34 3.1 Accessibility to Improved Water Source .......................................................34 3.2 Availability of Improved Toilet Facilities and Sewerage Network...................38 Knowledge, Attitude and Practices of Proper Use of Palatable and Waste Water Services 4 ..........................................................................................................42 4.1 Knowledge, Attitude, and Practices Related to Palatable Water ...................43 4.2 Children's Knowledge, Attitude, and Practices Related to Sanitation ...........53 Knowledge, Attitudes and Practices Related to Hand Washing and General Cleanliness 5 ..........................................................................................................56 Knowledge, Attitudes and Practices Related to Hand Washing and General Cleanliness 5 ..........................................................................................................56 5.1 Knowledge, Attitudes, and Practices on Hand Washing and Hygiene..............56 5.2 Practices Related to General Cleanliness...........................................................60 5.3 Incidents and Knowledge of Diseases Related to Improper Hygiene Practices 63 The Knowledge and Satisfaction of the Community Regarding Water and Sanitation Service Quality 6 .......................................................................................66 6.1 Community knowledge on HCW&WW and water companies .........................66 6.2 Attitude toward the Palatable Water Service Quality........................................67 6.3 Attitude towards Sanitation Service Quality ..................................................71 6.4 Community Knowledge of the Water and Sanitation Hotlines ......................71 6.5 Company responsiveness to the problems from the community perspective 71 6.6 Awareness provided by the Water and Sanitation Company .........................72 6.7 Community suggestions to ameliorate company performance ......................72 Willing, Ability and Affordability of Communities to Contribute in Water and Sanitation Services 7...................................................................................................74 7.1 Monthly Cost of Water and Sanitation Services ............................................74 7.2 Affordability and Willingness to Pay for Public Services.................................76 7.3 Civil Society's Role in Providing Water Connections .......................................79 Media Habits and Influential Community Members 8.............................................81 8.1 Media Habits and Exposure to Media Messages: .............................................81 8.2 Key Information, Education and Communication (IEC) channels: ...............85 Center for Development Services 2 Stakeholder Analysis 9...............................................................................................90 9.1 Stakeholder Analysis Regarding the Communication Campaigns ................90 9.2 Stakeholder Analysis Regarding Water Connections ..................................100 Recommendations 10 ................................................................................................106 10.1 Strategy A: Mass media Campaign ..............................................................106 10.2 Strategy B: The local awareness campaigns’ strategy .................................111 10.3 Strategy C: Encouraging communities to contribute towards water connections and sanitation fees..................................................................................................115 Appendix1: Request for Proposal.............................................................................118 Appendix2: Indicators for Market Research and Survey- IYS’08-‘09:..................122 Appendix3: Selected Governorates and Districts in the preparatory Stage............124 Appendix 4: Nature & identification of targeted areas ...........................................125 Appendix5: Quantitative Sample Design .................................................................129 Appendix6: Information about qualitative research ...............................................131 Appendix 7: Questionnaires designed for females, males& children....................132 Appendix 8: Qualitative instrumentation.................................................................162 Appendix 9: Research Team Names ........................................................................170 Appendix 10: Round tables participants ..................................................................172 Appendix 11: References ..........................................................................................175 Appendix12: Tariff decrees ......................................................................................177 Appendix13: Statistical Tables .................................................................................182 Appendix 14: Brief on Integrated School Sanitation and Hygiene Education Project ........................................................................................................190 Appendix15: Statistics from IMCI reports on mortality and morbidity rates for diarrheal cases in infants and children under five..................................................192 Appendix 16: NGOs interested and ready to cooperate in Water and Sanitation programs ........................................................................................................198 Appendix17: Arabic Messages formulated by the Community ...............................199 Appendix 18: Agreement to Abide by the code of conduct for Evaluation in the United Nations System..............................................................................................200 Center for Development Services 3 Aknowledgment The Center for Development Services (CDS) is indebted to the UNICEF for funding this market research and the continuing support of UNICEF staff throughout the research process. The insights and guidance of Mr. Vijayakumar Moses, Chief of Young Child Survival and Development Program, Mrs. Rania El Essawi, Water, Environment and Sanitation Officer, have been instrumental in planning for this research. Special thanks should also go to Dr. Essam Allam, Assistant Project Officer for Health and Nutrition and Dr. Ihab Abd El Aziz, Water, Environment and Sanitation Consultant for their valuable follow up and professional support. Appreciation is extended as well for the constructive contributions of Ms. Nivine EL Kabbag, SPME Specialist. The CDS team received substantial input and technical contributions from the Holding Company for Water and Waste Water (HCW&WW) and would specifically like to thank Dr. Abd El Qawy Khalifa, Chairman of Holding Company for Water and Waste Water – Egypt for the valuable insights he provided. We are also grateful for the time and effort expended by Dr. Mamdouh Raslan, Deputy Chairman of the HCW&WW . We would like to express our thanks to Mrs. Niveen Abd El Rahman the Public Awarness and Custumer Services General Manager for her great facilitating role throughout the market research We would like to express our thanks to the heads of the Water Companies in Cairo, Minya and Qena for hosting the round-tables. Without their support, much of the data that this research obtained would not have been possible. We are grateful as well to the public relation officers of the Water Companies in Cairo, Minya and Qena for their great contributions to the field work. The support of the directorates' officials, their joining of the round-table discussions, and the sharing their extensive experience, are highly appreciated. A special thank-you also goes to all the NGOs which contributed to the market research and the researchers for the devotion and effort they provided in carrying
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