WASH FOR HEALTH PROJECT ANNUAL REPORT October 1, 2019 to September 30, 2020
Submission Date: 31 October, 2020
Agreement Number: AID-641-A-15-00005
Submitted to: AOR Name: Emmanuel Odotei
Submitted by: Alberto Wilde, Chief of Party
Global Communities #63 Tripoli Street, East Legon, Accra Tel: +233 302 522568, +233 025 4404 Email: [email protected]
WASH for Health Project FY20 Annual Report ACTIVITY INFORMATION
Activity Title Water, Sanitation and Hygiene for Health
Agreement Number AID-641-A-15-00005 Name of Prime Implementing Global Communities Partner The Manoff Group Obooman Rural Action Program Community Management for Sustainable Development (COMDEV) Savana Integrated Rural Development Aid (SIRDA) EDSAM Social Network Adsen Consult Links Centre for Sustainable Development Jaksally Youth Group Beza-Lel Water and Agro Services Ltd Hope for new Generation (HFFG) Services EE&E Construction Keldem Ltd. Hydronomics Ltd. Joisssam GH Ltd. Bizgeo Ltd. Medeboa Ltd. EAK Name(s) of Sir Charles Dougan Company Ltd. Benghazi Development Company Subcontractor(s)/Subawardee(s) Ltd. Sebb-Say Company Ltd. Jonakot Construction Ltd. Asamoah Construction and Electrical Works Nakwab Trading Enterprise Ltd. Three J’s Construction Ltd. Taurus Emporium Company Ltd. Philbek Enterprise Ltd. Bremmed Company Ltd. Country Services Ltd. Ayidiki Water and Sanitation Organization (AWSO) Rural Development Network (RUDNET) Type Company Limited Activity Start Date February 06, 2015 Activity End Date September 30, 2021
Reporting Period October 1, 2019 – September 30, 2020
DISCLAIMER The author’s views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government.
WASH for Health Project FY20 Annual Report ACRONYMS AND ABBREVIATIONS ...... ii 1. EXECUTIVE SUMMARY ...... 4 1.1. Activity Description ...... 5 1.2. Summary of Key Accomplishments during Reporting Period ...... 8 1.3. Summary of Major Challenges and Lessons Learned ...... 9 2. ACTIVITY PROGRESS ...... 11 2.1. Measurable Results to Date ...... 17 2.2. Progress Narrative ...... 18 2.3. Trends and Deviations ...... 19 3. CROSS-CUTTING ISSUES ...... 22 3.1. Gender Equality and Female Empowerment ...... 22 3.2. Local Capacity Development ...... 22 3.3. Science, Technology, and Innovation ...... 23 3.4. Public Private Partnerships (PPP) ...... 24 3.5. Environmental Compliance ...... 24 4. STAKEHOLDER COLLABORATION ...... 24 4.1. Collaboration and/or Knowledge Sharing with Other USAID Activities ...... 24 4.2. Collaboration and Coordination with Other Key Stakeholders ...... 25 5. LESSONS LEARNED ...... 25 5.1. Challenges and Relevant Solutions to Activity Implementation ...... 23 5.2 Adaptive Learning...... 26 6. SUSTAINABILITY ...... 26 7. AGREEMENT MODIFICATIONS ...... 27 8. ACTIVITIES PLANNED FOR NEXT YEAR ...... 28 APPENDICES ...... 29 I. Performance Data Table (PDT) ...... 29 II. Success Stories and Press Coverage ...... 32 III. Financial Information ...... 34 IV. Activity Oversight & Technical Assistance Support ...... 35 V. M&E Issues ...... 41 VI. Management and Administrative Issues ...... 44 VII. Follow-Up Actions ...... 44 VIII. Map of Project Activity Sites/ Facilities by District ...... 45 IX. CLTS Updates Extract...... 47 X. List of Schools Receiving Institutional Latrines ...... 49 XII. List of FY2017 Small Grant Projects ...... 56 XIV. Digni-Loo Installation Guide ...... 58 XV. Cholera Prevention Campaign...... 59 XVI. Photos ...... 61
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT i ACRONYMS AND ABBREVIATIONS
AOR Agreement Officer’s Representative AWSO Ayidiki Water and Sanitation Organization BCC Behavior Change Communication CDO Community Development Officer CHPS Community-Based Health Planning and Services CLTS Community-Led Total Sanitation COMDEV Community Management for Sustainable Development CSO Civil Society Organization CWSA Community Water and Sanitation Agency DA District Assembly DICCS District Interagency Coordinating Committee on Sanitation DQA Data Quality Assessment DWST District Water and Sanitation Team EAWAG Swiss Federal Institute of Aquatic Science and Technology ESDM Environmentally Sound Design and Management EHA Environmental Health Assistant EHO Environmental Health Officer EHSD Environmental Health and Sanitation Directorate EMMP Environmental Mitigation and Monitoring Plan FY16 Fiscal Year 2016 FY17 Fiscal Year 2017 GAMA Greater Accra Metropolitan Area Sanitation and Water Project GDA Global Development Alliance GHACEM Ghacem Limited GIS Geographic Information Systems GOG Government of Ghana GSA Ghana Standards Authority GWCL Ghana Water Company Limited HPNO Health, Population and Nutrition Office IE&C Information, Education, and Communication KVIP Kumasi Ventilated and Improved Pit LNGO Local Non-Governmental Organization LOP Life of Project M&E Monitoring and Evaluation MHM Menstrual Hygiene Management MIS Management Information System MOH Ministry of Health MOU Memorandum of Understanding MSWR Ministry of Sanitation and Water Resources NADMO National Disaster Management Organization NGO Non-Governmental Organization NLs Natural Leaders ODF Open Defecation Free PDT Performance Data Table PPP Public-Private Partnership RI Rotary International RICCS Regional Interagency Coordinating Committee on Sanitation
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT ii RING Resiliency in Northern Ghana RUDNET Rural Development Network Ghana SBCC Social Behavior Change Communication SG Fund Small Grant Fund SHEP School Health Education Program SIRDA Savana Integrated Rural Development Aid SOP Standard Operating Procedure SPRING Strengthening Partnerships, Results, and Innovations in Nutrition Globally STMA Sekondi-Takoradi Metropolitan Assembly TA Technical Assistance TAF Technology Applicability Framework UNICEF United Nations International Children’s Emergency Fund USAID United States Agency for International Development USG United States Government WADA Water and Development Alliance WASH Water, Sanitation, and Hygiene WHI Water Health International WHO World Health Organization WSMT Water and Sanitation Management Team
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT iii 1. EXECUTIVE SUMMARY
WASH for Health (W4H) Project has overcome FY20 with exceptional results despite the COVID-19 pandemic. All the components have made strides in contributing to the overall success of the project. One of the highlights of the year is the completion of two small-town water systems in the Savannah and Oti Regions. The project also received a one-year cost extension to continue project implementation until September 2021. The COVID-19 Pandemic has imposed a new way of doing business, and W4H was not the exception. We had to quickly adapt to the challenges, put preventive protocols such as social distancing, wearing facemasks, increasing handwashing to stay safe, and preventing the virus’s spreading—all of these to continue to operate without significant disruptions.
FY20 has witnessed two high profiled visits from USAID and The United States’ senate. Three top officials from USAID paid a visit to one of the W4H project sites in Kpabia in the Northern Region on November 14, 2019. Kerry Pelzman, Deputy Assistant Administrator, USAID Global Health Bureau; Aye-Aye Twin, Senior Advisor, Office of the Assistant Administrator, Global Health and Latrisha Chappin, AFR/WA Coastal Team Leader were impressed with the benefits derived from the mechanized borehole system and the Digni-Loos installed by the residents of Kpabia in the Mion District. On March 4, 2020, Chris Homan, a US Parliamentary Advisor for sanitation, and Lisa Schechtman from USAID WASH bureau, paid a visit to Hwakpo, a project community in the Ada West District, Greater Accra Region.
WASH for Health continued to provide access to safe water to communities in Ghana. Two small-town water systems have been constructed and completed to provide safe water to residents in Kalba and Tinjase in the Savannah and Oti Regions. An additional 21 boreholes have been drilled for communities as part of the incentive for ODFs communities, 14 boreholes have been mechanized for Health Care Facilities (HCF), 23 non-functional boreholes have been rehabilitated, and two additional communities benefited from the mechanization of their boreholes. FY20 began with the continuous increase of household latrines through WASH for Health’s community-led total sanitation (CLTS) approach of promoting rural sanitation delivery in all project communities. As has been the practice, the project worked with previously identified and trained Natural Leaders, CLTS Field Staff, Environmental Health Assistants (EHA), and local NGOs (LNGO) to implement CLTS and provide technical support. In FY20, 168 new communities were triggered, and 4,331 new household latrines were constructed. Since 2015, the project has supported the construction of 21,033 household latrines. These household latrines have provided 168,264 people access to basic sanitation facilities, with approximately 34,648 people gaining access in FY20 alone. WASH for Health continued to collaborate with and engage stakeholders and partners in both the private and public sectors. Collaboration with district and regional government ministries is key to sustainable results. W4H worked closely with ministry officials on various activities, including the process for declaring communities’ Open Defecation Free (ODF). As done in the past, W4H supported the District Interagency Coordinating Committee on Sanitation (DICCS) and Regional Interagency Coordinating Committee on Sanitation (RICCS) to carry out their assessment visits. A total of 42 communities were declared ODF by RICCS in FY20, surpassing the target and bringing the total number of communities declared ODF to 782. In leveraging Public-Private Partnerships (PPP) investments to magnify the impact of USG funding, WASH for Health welcomed one new partner and continued to maintain existing ones in FY20. One new partner, Water4, joined WASH for Health this year. By the end of the FY20, 30 health care facilities have benefitted from Behavior Change Communications (BCC) interventions in the Wassa East District in the Western Region. Partnership activities also continued with Rotary International
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 4 ANNUAL REPORT (GDA), Ghacem, Duraplast, Unilever, Touton, and BeGirl, GBC, to address communities’ WASH needs. The Behavior Change Communication (BCC) Team spearheaded the W4H Project’s behavior-led approach through a series of trainings earlier in the year. Five radio stations in the Oti and Savannah Regions have been used as platforms to promote all key hygiene behaviors to residents in the regions. The team also commemorated this year’s Menstrual Hygiene day on May 18, 2020, dubbed ‘Periods do not stop for Pandemics’ mostly through media platforms due to the pandemic. Additionally, cholera prevention activities have taken place in the Cape-Coast Metropolis over the reporting period. The project did not turn a blind eye to the plights of the West Mamprusi district residents after some of its communities were submerged in floodwaters. They were provided with relief items, including water purifiers, hygiene kits, and mattresses On the whole, the project has successfully pulled through an uncertain and challenging FY20. In the coming year, FY21 will witness more impactful results of the lessons learned this year.
1.1. Activity Description
The WASH for Health project was developed in response to the health effects of inadequate or nonexistent WASH services for people across Ghana. Health effects are more profound in some regions than in others. Districts in the Northern, Central, Western, and Volta Regions were poorly served in terms of potable water coverage, averaging about 65% according to the rural water supply coverage statistics published by the Community Water and Sanitation Authority (CWSA). Regarding sanitation, virtually all regions were faring very poorly, though poor sanitation was more pronounced in the Northern, Upper East, and Upper West Regions, with nearly 75%1 of all households lacking access to basic sanitation and practicing open defecation. Therefore, it is unsurprising that water and sanitation-related diseases were the top outpatient issues at healthcare centers in these areas. In recent years, the scourge of cholera has been devastating, taking the lives of over 240 people and infecting almost 30,000 Ghanaians between 2014 and 2015 in eight regions2. Cholera can be prevented by the use of basic improved sanitation facilities, the provision and use of safe drinking water, and good hygiene practices. The goals of the WASH for Health project are to accelerate sustainable improvement in water and sanitation access and to improve hygiene behaviors in target districts. These goals will be achieved through six mutually reinforcing objectives (components), which are listed below: 1. Increased use of improved household sanitation; 2. Improved community water supply services; 3. Improved sector governance and policies; 4. Expanded key hygiene behaviors;
1 GSS (2013), 2010 PHC Report, page 391. 2 http://reliefweb.int/report/ghana/situation-report-cholera-outbreak-ghana-20-september-2015-week-38 accessed 11th January 2016; http://reliefweb.int/report/ghana/situation;http://reliefweb.int/report/ghana/situation-report-cholera-outbreak- ghana-30-august-2015-week-35report-cholera-outbreak-ghana-30-august-2015-week-35.
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 5 ANNUAL REPORT
5. Leveraged public-private partnership (PPP) investment to magnify the impact of the United States Government (USG) funding 6. Improved water supply and sanitation infrastructure for schools and health facilities Global Communities is the lead organization responsible for project management and administration and implementing water and sanitation infrastructure development and CLTS implementation. The Manoff Group, a sub-recipient on the project, is responsible for promoting Social Behavior Change Communication (SBCC), mainstreamed throughout the above-listed project components. Other project partners include Rotary International (RI), a USAID Global Development Alliance (GDA) partner. Rotary International is extending project activities into a sixth region (Eastern Region) and is working with the CWSA as a consultant/implementing partner. WASH for Health will match one to one funding in the already selected areas across six regions for Water and Sanitation projects with Rotary. WASH for Health engaged LNGOs as sub-recipients to support community mobilization, sensitization, household latrine promotion, and hygiene education promotion for the WADA project. Water and Sanitation Management Team (WSMT) formation and training were done by project field staff. The project is also being implemented in collaboration with other USAID-funded projects. The project’s six objectives were translated into components as action areas, with particular activities detailed out in the project implementation plan. Through activities being implemented in five regions (Volta, Central, Western, Northern, and Greater Accra), the degree and amount of activities are varied depending on any other previously existing interventions (i.e., existing water and sanitation coverage, prevailing health issues or interventions or other related projects present in the communities). WASH for Health worked in the Eastern Region this FY to complement the implementation of partnership activities with Rotary International. The planned activities and expected results, and the outputs realized from the various components are presented below. Component One: Increased Use of Improved Household Sanitation WASH for Health proposed a comprehensive approach that laid the foundation for effective, demand- led CLTS. The strategy focused on building strategic alliances with local government counterparts, improving CLTS facilitation skills, and developing an efficient sanitation market that offers low-cost technologies for toilet construction and financing options before triggering demand for toilet acquisition. Over the project’s life, 19,100 household toilets were expected to be constructed in project communities, including toilets that the poorest of the poor have support to build.
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 6 ANNUAL REPORT Component Two: Improved Community Water Supply Services The water supply activities were implemented alongside sanitation activities to maximize our health indicators’ outcomes and create a sustainable impact on project deliverables. Sanitation and increased access to water supply complement each other by reinforcing the outcome of improved health. The availability and proper use of safe water and basic sanitation eventually protect water sources from contamination that results from poor hygiene practices, like open defecation. Improvements in water supply services promote good hygiene practices, as water is made available for bathing and handwashing. Community water supply interventions were planned in collaboration with local government institutions and stakeholders, including the regional CWSA, the District Water and Sanitation Team (DWST) of the District Assemblies (DAs), and other relevant organizations. DWSTs and CWSAs handle long-term support to WSMTs. Both the DWST and the WSMTs will provide oversight. Their involvement in all aspects of WASH for Health interventions will promote national-level recognition of the CWSA and the DWST as service authorities and community resources in the future. By the end of project implementation, the following targets for water supply facilities were expected to be achieved: • 180 machine-drilled boreholes fitted with hand pumps; • 50 existing, non-functional boreholes rehabilitated; and • One small town water supply system developed. Component Three: Improved Sector Governance and Policies Using participatory approaches to rural and peri-urban WASH planning and implementation, the WASH for Health project helped strengthen Ghana’s WASH sector governance and policies by delivering successful programs derived directly from existing policies. The CLTS approach adopted for rural sanitation delivery derives from the National Rural Sanitation Model and Strategy. Simultaneously, the project’s BCC strategy will borrow from the Urban WASH BCC Strategy for Ghana. These approaches conform to the National Community Water and Sanitation Program and strategies for WASH delivery in Ghana. WASH for Health also aims to create a WASH environment at the community level by building the capacity of communities and community-based organizations to identify local water and sanitation needs and properly manage WASH resources. The project will form and train WSMTs and build the DWSTs’ capacities to monitor project implementation and conduct post-project monitoring for sustainable WASH services. WASH for Health will also extend support to the line ministries: the Ministry of Sanitation and Water Resources, the Ministry of Health, and its allied agencies in policy 3 formulation, review, and dissemination (if it is deemed necessary). Component Four: Expanded Key Hygiene Behaviors By considering the local context in which a change occurs, Global Communities’ approach to communication for social and behavior change helps our projects achieve lasting impact. The specific behavior change goals established by the WASH for Health team help guide the implementation and leading decisions of all project components. WASH for Health works closely with statutory government entities like the CWSA and the Environmental Health and Sanitation Directorate (EHSD) within the Ministry of Sanitation and Water Resources.
3 The current administration in Ghana has eliminated the Ministry of Water Resources, Works and Housing, and the Ministry of Local Government and Rural Development. The new ministry is the Ministry of Sanitation and Water Resources.
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 7 ANNUAL REPORT
Component Five: Leveraged PPP Investments to Magnify the Impact of USG Funding Global Communities has facilitated the partnership between state and non-state actors. Especially the private sector, unlocking synergies that complement and extends the span of WASH interventions to promote good health. Under this component, WASH for Health partners with Rotary International and Coca-Cola—both USAID GDA partners—and expects to work with one more GDA to support WASH interventions in selected communities in the six regions by the end of the project. Component Six: Improved Water Supply and Sanitation Infrastructure for Schools and Health Facilities Providing water and sanitation infrastructure in schools and health facilities has an immediate positive impact on patients, healthcare workers, students, and teachers, all while reinforcing the CLTS process and WASH for Health hygiene messaging. This component addresses an issue revealed by a World Health Organization (WHO) 20144 report indicating that neglect of WASH in schools and healthcare facilities undermines a country’s capacity to prevent and respond to disease outbreaks. Beneficiary schools and health centers have been selected in close coordination with USAID, local authorities, other USAID-funded projects, and government institutions. Conforming to Ghana’s national policies on institutional toilet facility delivery, WASH for Health has provided both disability- friendly and gender-sensitive toilet facilities. Toilets will have separate entrances for men and women, as well as a changing room for women to ensure privacy during menstruation. All the institutional toilet facilities have handwashing facilities in the form of rainwater harvesting tanks with water taps and washbasins, Veronica buckets, or other appropriate technologies, depending on water resources and drainage availability capacity. By the end of the project, the following are expected to be achieved under this component: • Provision of 40 institutional water supply facilities; and • Provision of 190 institutional toilets.
1.2. Summary of Key Accomplishments during the reporting period
The following have been accomplished during FY20 • 165 new communities were triggered for CLTS activities, with a total of 1,525 communities triggered to date since the start of W4H in 2015. • 42 communities reached ODF status by the RICCS, with a total of 826 communities in the ODF continuum5 since the start of the W4H project in 2015. Of the 826, 782 communities are certified ODF by RICCS, and 44 were verified ODF by DICCS. • 4,331 household latrines were completed in the year, providing additional 34,648 people access to safe sanitation facilities. A total of 21,033 latrines have been constructed since the start of the W4H in 2015. • 2,178 Digni-Loos were installed during FY20; 723 under W4H and 1,455 through other organizations. • Two Small Town Water Systems were constructed to provide clean and safe water to the over 7,000 residents of Kalba and Tinjase.
4 http://www.who.int/water_sanitation_health/publications/glaas_report_2014/en/ accessed 18-09-2015. 5 ODF is defined as ODF self-assessment, ODF Basic by DICCs and ODF certification by DICCS.
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 8 ANNUAL REPORT
• 336 people were trained at the community level to capably operate and maintain the water facilities provided for the communities. The people trained are all members of 48 WSMTs formed within the period of reporting. • District Interagency Coordination Committee on Sanitation (DICCS) continued to function, carrying out assessment visits to confer ODF status on communities that meet the declaration’s set criteria.
1.3. Summary of Major Challenges and Lessons Learned
Though successful, FY20 has had its fair share of seasonal challenges and the COVID-19 pandemic. The seasonal challenges predominantly change rainfall patterns, which thwarts the construction of household latrines and boreholes. This challenge has taught the team and community members to use any spare time to construct latrines in and out of season. The first COVID-19 case was recorded on March 22, 2020, in Ghana. This led to a lockdown halting all WASH for Health interventions until the partial easing of the ban of social gathering. This public health protocol caused delays in the implementation of the project. We had to ask the Ministry of Sanitation and Water Resources (MSWR) for a waiver to mobilize resources during the Central Government lockdown. Officers and contractors on the field were provided with PPEs to aid in their work. Administrative officers have been working from home mostly to ensure continuity.
Indicator Target Actual % Achieved Deviation Narrative Number of people 40,000 34,648 87% Global communities uses the Rural Sanitation gaining access to a Model to increase access to basic sanitation. basic sanitation The model allows Global Communities to service as a result of educate communities on the effects of open USG Assistance defecation while households take the initiative male 19,600 16,977 87% to construct their latrines. The assumption is that socio-economic conditions will remain female 20,400 17,670 87% stable for households to invest in a latrine. In FY20 the COVID 19 pandemic had a negative effect on project implementation. While households faced their own socioeconomic challenges, community sensitization and monitoring were almost brought to a halt to observe local and international protocols to contain the virus. Number of 80 42 53% The certification of communities as ODF lies communities certified with the DICCS and RICCS. Due to the as Open Defecation COVID 19 pandemic, the activities of these Free bodies were almost brought to a halt to observe local protocols. As of the 3rd quarter of FY20 more than 40 communities were ready for verification. At the end of the fiscal year, most of these communities had still not been verified. With the partial lifting of local protocols, the DICCS and RICCS seem to have their hands full and are gradually verifying communities.
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 9 Number of people 23,000 24,000 104% The number of water facilities provided in gaining access to every given year is based on funds received basic drinking water from the mission. In FY20 Global services as a result of Communities received funds sufficient to USG assistance install 2 water systems, rehabilitate 23 male 11,270 11,760 104% boreholes, drill 21 new boreholes (with hand female 11,730 12,240 104% pumps) and mechanize 1 borehole. These facilities serve 21600 people. Its GDA partner Rotary also mechanized 2 boreholes for an additional 2400 people bringing the number of people expected to be served to 24,000. Value of new funding 294,470 491,772 167% This constitutes the amount generated through mobilized to the cash and kind from project communities, PPP water and sanitation and Global Communities. In FY20 Global sectors as a result of communities expanded its geographic scope to USG assistance three more districts in the Northern region (USD) increasing the number of districts from 14 to 17. The number of communities also increased from 1267 in FY19 to 1534 in FY20. As the number of communities increases, in-kind support goes upward. In FY20 Global Communities also received funds from Water 4 to improved WASH situation in selected health care facilities in the Wassa West District. Number of people 6,000 6,900 In FY20 Global communities received funds receiving improved for the rehabilitation of 20 boreholes for 6,000 service quality from people. After installation, the project was able existing improved to make savings sufficient to rehabilitate 3 drinking water additional boreholes for 900 more people sources Number of 12 14 In FY20 Global Communities received funds institutional settings enough to drill 12 boreholes for CHPS gaining access to compounds. 11 of the boreholes were basic drinking water successful the remaining one was dry. Rotary services as a result of installed 3 boreholes for CHPS bringing the USG assistance. total number of boreholes to 14.
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2. ACTIVITY PROGRESS
Component One: Increased Use of Improved Household Sanitation To increase the use of improved household sanitation facilities, WASH for Health continued using the three- pronged approach to sanitation promotion with CLTS. This strategy involves a) Capacity building and training of trainers for triggering and post-triggering activities, b) triggering communities, and c) sanitation marketing using innovative approaches. Capacity building and training As part of the implementation of CLTS, the project built the capacities of Natural Leaders (NLs) in project communities to support post-triggering activities in communities to get them ODF. The NLs were taken through a three-day training to support latrine construction, tippy tap construction, community clean-ups, community self-assessment, etc. all to get communities ODF.
The project also organized training/refreshers for CLTS facilities in the Nkwanta North, Sagnarigu, Karaga, and Nanton to support the implementation of CLTS activities in project communities. To support the update of latrine construction in project communities, CLTS field officers' capacity was built on simple technologies of household latrines construction and the installation of the Digni-Loos. These officers also had their capacity improved in using the guidelines for selecting the poor in project communities for support.
The project also trained local artisans in small towns in the Nkwanta North District to support the construction of household latrines in project communities. A total of 33 local artisans drawn from 19 small towns were trained to support household latrines' construction. The artisans were taken through the construction of six latrine technologies. They include KVIP, Pour Flush, VIP Rectangular, VIP Circular, Digni-Loo, and Sanplat slab.
Triggering/Post-Triggering The WASH for Health Officers continued with the direct implementation of CLTS in the project communities with support from the District Assemblies, Environmental Health and Sanitation, and Community Development
officers. The project is currently working with 1,530 triggered communities in collaboration with Environmental Health Unit staff and 6,571 Natural Leaders. Four Hundred and Sixty-Eight (468) of these Natural Leaders were trained in the year under review. These Natural Leaders and Environmental Health Officers are helping the project communities work through the CLTS process of triggering, post-triggering, and re-triggering activities. Details of CLTS activities disaggregated at the regional level are presented below with a summary table provided in Appendix IX. In the year under review, a total of 170 new communities were entered, 168 communities were triggered, with 168 in the post-triggering phase. The WASH for Health project supported the construction of 4,331 household latrines for a cumulative LOP total of 21,033 household latrines constructed, providing improved sanitation to approximately 168,264 people. Additionally, 5,902 household latrines are under construction between the substructure and the superstructure phases. Furthermore, to date, 826 communities reached various stages of ODF: 44 communities were certified ODF by DICCS, and a total of 782 communities have been certified ODF by RICCS. No ODF celebration was organized in the FY20 year.
Sanitation Marketing The third leg of the approach involves making it easy for residents of project communities to construct the latrines of their choice using locally available materials and inputs that ensure the basic latrines are safe. The project continued to promote three primary latrine technologies in target communities using the posters developed earlier in the project and distributed to CLTS Field Officers, Environmental Health Assistants,
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 11 Latrine Artisans, and Natural Leaders. Additionally, partnerships with private sector companies to facilitate latrine construction materials such as cement and vent pipes through existing distribution depots to project communities remained in place throughout the year. These materials/inputs help stabilize pits and provide ventilation for household latrines. CLTS field officers monitored the purchase and use of these inputs for latrine construction purposes. Additionally, Digni-Loo continued to gradually penetrate the sanitation market in project regions as households, communities, and their leaders are buying into the Digni-Loo idea. At the end of FY20, 2,178 Digni-Loos were distributed to interested individuals, households, agencies, and organizations. Where Does CLTS Work – Research by WASHPaLS WASH for Health is collaborating with WASHPaLS to conduct further research on enabling environments that promote uptake of CLTS and areas/communities where CLTS works better. The research aimed to help the project have different strategies tailored to address factors that inhibit the uptake of CLTS while strengthening those that promote higher CLTS uptake, ensuring the project achieves ODF in all communities. Preliminary findings show that communities with the following characteristics have higher CLTS performance: small population, more time since the triggering event, lower literacy rates, lower population density, and less incidence of flooding.
Component Two: Improved Community Water Supply Services Under this component, interventions shot up with the completion of two small town water systems, drilling 21 boreholes for communities, mechanizing 14 boreholes for HCF, and rehabilitating 23 non-functional boreholes, and two communities received limited mechanization. Altogether 24,000 people are expected to be served as a result of the intervention.
The fully functional two small-town water systems are located in Kalba and Tinjase in the Savannah and Oti Regions, respectively. They will be handed over in FY21. The small town water systems have two elevated storage tanks with a combined storage capacity of 200 cubic meters (200,000 liters). The water is engineered to flow by gravity to reduce operational cost into 12 public standpipes located at vantage points with the communities. Water is pumped from four wells using solar as the primary source of power and the national grid as backup power. Both systems have a chlorine disinfection system to help prevent the growth of bacteria in the distribution system. As part of the measure to meet SDG6, 40 households and nine institutions, including two health care facilities were connected to the distribution system. More houses will be connected after handing over the system to the managers.
Two communities were provided with limited mechanization systems. The boreholes were mechanized using a submersible pump and plastic storage tanks. Four water fetching points were also constructed within the communities.
All 21 new boreholes and the 23 rehabilitated boreholes were fitted with Ghana Modified India Mark II and Afridev hand pumps. They are providing portable water to the beneficiary communities. Physiochemical and bacteriological tests were carried out for all the water systems as part of the water quality control. Where needed, disinfection was carried out, and one borehole that had Arsenic above the WHO threshold was capped. Water and Sanitation Management Teams (WSMTs) were formed and trained for all the facilities. The training included O&M, funds mobilization and management, and where to get technical support within the district.
Component Three: Improved Sector Governance and Policies WASH for Health, in collaboration with the Ministry of Sanitation and Water Resources, launched the Guidelines for Targeting The Poor And Vulnerable For Basic Sanitation Services In Ghana on 20th June 2018. Copies of the document have since been distributed throughout the country and workshops held in various regions to build implementers' capacity. WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 12 Component Four: Expanded Key Hygiene Behaviors Capacity building • We carried out a three-day workshop from January 20 - 22, 2020, for the W4H Technical team to realign the Cost Extension strategy around the new USAID CDCS Behavioral outcomes. The workshop reviewed feasible sub-behaviors based on the USAID CDCS assigned behaviors, developed needed Behavior Profiles for all the prioritized-behaviors using existing research, aligned W4H interventions (components) with the prioritized sub-behaviors, re-assessed pathways to change for the overarching strategy, and refined the W4H Extension strategy to reflect realignment, confluences, and gaps in program activities. • We organized an M&E support workshop with Dr. Lynne Cogswell and the M & E and Behavior Change teams from February 3 - 5, 2020, to determine and finalize Indicators (12 Behavioral Outcomes and 20 Performance Indicators) for all the new USAID CDCS Behaviors and sub-behaviors as well as protocol for data collection and in monitoring behavioral outcomes. • We reorganized the overall FY20 Work plan by behaviors based on the outcomes of the Realignment and M & E Workshops. • We trained 23 Rotary Advocacy Volunteers in the use of the W4H Behavior Change Communication Package in Dodowa on February 2, 2020. • Formed and trained Water and Sanitation Management Teams (WSMTs) to manage water facilities in the W4H Cost Extension regions effectively. • We conducted need-based trainings for all relevant Partners to effectively use the consolidated W4H BCC Package to promote prioritized behaviors. Altogether about six hundred practitioners from Ghana Education Service, Ghana Health Service, District Assemblies, and Community Health Volunteers have been trained. • We trained staff of the Afram Plains Development Organization (APDO), the new sub-award LNGO in Tamale, on the use of the BCC package.
Behavior Change Communication Materials Development
• Reviewed the ODF Sustainability Strategy with the M&E team. • Reorganized the existing W4H BCC materials to make them audience-specific to enhance usage and impact. (GES, GHS, EHSD/DCD/SW partners) • Initiated drafting a GC/TMG Learning Brief on the Behavior-led Approach of the W4H Project in Ghana. • We developed a new Radio Discussion Guide to prevent slippage of Open defecation free communities. • Developed new communication materials to promote three USAID CDCs demand behaviors on clients demanding potable drinking water at Health Facilities. Parents demanded fully equipped Handwashing facilities in schools and supported their girls to go to school during their menses. • In response to the COVID-19 pandemic, the Behavior change (BC) team developed Radio Discussion Guides and Live Presenter Mentions (LPMs) to promote proper handwashing and basic sanitation access and use on the contracted Radio stations and by the WASH Officers and EHAs. • Developed additional materials for MHM education and promotion. Materials comprise Radio discussion guide, Radio Scripts, and LPMs. • Developed a standardized Training Plan and Guide for building the capacity of WSMTs to manage communal water facilities sustainably.
Surveys • Our M&E team was supported to conduct a baseline for the new USAID CDCS behaviors in the Oti, Northern, and Savannah regions. • Conducted an MHM baseline survey on the new USAID CDCS behavior on parents supporting girls to manage their menses with M & E support safely.
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 13 Airing of Behavior Change Messages • Five FM Stations (Beyond, KE, and Gateway Stations in Oti Region and Yagbon & Nkilgi Stations in the Savannah Region) were contracted to air the BCC messages, particularly the handwashing spots in the project Districts and communities. • Used the Radio Stations extensively to commemorate, sensitize and raise awareness on safe menstrual hygiene management on May 28, 2020, in the Oti and Savannah regions. • We continued to work with GTV and affiliate Radio Stations to air BCC messages.
Support broad engagement in the WASH sector • Commemorated the Global Handwashing Day (October 15) with a discussion on the importance of the day on a TV3 Breakfast show “New Dawn,” partnered Zenith Bank to present 35 Veronica buckets to the Zenu Cluster of schools in the Kpone Katamanso Municipality and collaborated with Radio and Onua FM to promote handwashing with traders at the Mallam Atta Market. • Showcased the complete W4H Behavior Change Communication (BCC) package, the Digni-loo and Menstrual Hygiene Panties/ Smart Cycle at the Mole XXX WASH Conference in Ho, from November 4 - 8, 20I9. The Behavior Change team also trained about forty participants in the use of the BCC package. • Partnered Unilever Ghana Limited in marking the World Toilet Day (19th November) in beneficiary schools in Kpone-Katamanso, Ashaiman, Sakumono, and Kotobabi on Tuesday 19th November 2019. • Participated in the Ghana Goes ODF Campaign Event at the College of Physicians and Surgeons, Accra on 26th February 2020 • We conducted a Technical Brief on the status of TMG’s Behavior-led approach under the W4H project in Ghana. Apart from the 4 Ghana staff, nine other TMG staff, including Marcia Griffiths and Lynne Cogswell, participated in the meeting. • Drafted a Learning Brief on TMG’s Behavior-led Approach on the W4H Project in Ghana. In the process of conducting a Follow-on survey to include quantitative data in the key findings.
Cholera Response Cholera prevention activities commenced in the Central Region during the fourth quarter of FY17 continued until the end of FY20. Activities in the Cape-Coast metropolis, which span from October 2019 to September 2020, targeting households, festival grounds or gatherings, beaches, health facilities, soccer activities, food vendors, churches, mosques, and market centers, including butchers.
A total of 102 volunteers were mobilized in FY20 for disinfection and BCC exercises. Out of that number, 30 of them assisted with distributing BCC flyers, posters, and the distribution of 32,000 strips of Aqua tabs to households, which treat 6,400,000 liters of water. Seventy-two volunteers comprising Environmental Health Officers, Sanitation Guards, and Red Cross Volunteers were engaged in the disinfection exercise. These activities have led to zero cholera cases recorded in the districts as mentioned earlier
Global Communities continues to conduct awareness through the media and other platforms by raising activities to educate the public on cholera and prevent another outbreak from occurring. Menstrual Hygiene Management In FY 20, due to the COVID-19 pandemic, schools were closed down, so this affected the team from reaching out to vulnerable girls in schools to support them with MHM materials. However, before closing the schools, pupils from the deaf and blind school in the Central Region and one other public basic school were given MH education and supplied with the Be Girl reusable panties. In all. A total of 243 girls were provided with BeGirl panties and towels as well as MH educational materials. One hundred forty boys were also educated on the issues about menstruation. To keep the education ongoing, the mass media was used to inform the general public on proper menstrual hygiene management. Additionally, during this year’s MHM day, radio programs were held across the project regions, with beneficiaries taking part in the discussions to share their success stories and the knowledge acquired due to the project intervention. As part of the national event to commemorate the day, a virtual WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 14 conference was organized, and Global Communities representing CONIWAS delivered a presentation on MHM, the experiences, and interventions of CSOs in Ghana Relief Interventions Intervention for flood victims in the Northern Region Six buckets of chlorine were donated to the West Mamprusi municipality to disinfect 16 affected communities.
Fifty boxes of P&G water purification sachets were distributed to affected households, which will treat 2,000 liters of water.
Relief items (mattresses, buckets, pillows, sponges, toothpaste, toothbrushes, towels, bath, and washing soap) were given to approximately 550 households.
Support received from other implementing partners: • World Vision - 50 boxes of P&G water sache purifiers • Ashfoam - 50 mattresses and 100 pillows
Component Five: Leveraged PPP Investments to Magnify the Impact of USG Funding Coca-Cola Water and Development Alliance (WADA) The seven institutional latrines in the five schools were continually monitored throughout FY18, and all were reported to be functional.
Rotary International As part of our GDA, the following achievements were reached Water & Sanitation Infrastructure Delivery • Two (2) Microflush Biofil Toilets constructed at Banda Nkwanta RC Basic School & Sakpa RC Basic School in the Bole District of the Savannah Region • Twenty-one institutional toilets have been constructed for 13 Basic Schools in four Districts in three Regions. The beneficiary Districts are Ayensuano & Kwaebibirem (ER), Ajumako Enyan Essiam (CR), and Shai Osudoku (GAR) • Installation of a solar-powered mechanized borehole water supply system at Fanti Mayera in the Ga South Municipality of the Greater Accra Region • Installation of three (3) mechanized borehole water supply systems at Banda Nkwanta & Sakpa RC Basic Schools in the Bole District of the Savannah Region and Techiman RC Basic School in the Ajumako Enyan Essiam District in the Central Region. The three installed water systems are to provide water to the pupils and also supply water to the Micro-flush Biofil toilets provided in each of the three schools • Four boreholes have been drilled at three Healthcare Facilities (CHPS compounds) and one educational institution in two Districts in the Greater Accra Region and one District in the Central Region. The four boreholes will serve as the source of water for the yet- to -be installed mechanized water supply systems for the four institutions • Construction works are underway on the installation of three (3) mechanized borehole water supply systems at Achiase & Denyase CHPS Compounds in the Upper Denkyira East Municipality of the Central Region and Old Ntronang in the Kwaebibirem Municipality of the Eastern Region. Upon completion, the three water supply systems will provide reliable water supply services to the two (2) Healthcare Facilities and the 1,100 inhabitants of the Old Ntronang community
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 15 • Contract awarded for the construction of two (2) Groundwater-based piped water supply systems at Dokrochiwa in the Ayensuano District of the Eastern Region and Nkakaa in the Amenfi Central District of the Western Region to provide reliable water supply services to the two (2) communities. Construction works are currently ongoing.
Rotary Advocacy Activities • A Review Meeting and a refresher Training in Advocacy have been organized for 21 Rotary Advocacy volunteers to equip them with the relevant skills/competencies for the community/ District engagement activities. • Six (6) District level Community Leadership training sessions have been organized for selected community leaders from the project beneficiary communities in six project Districts in the Greater Accra, Eastern & Western Regions. The purpose is to build their leadership capacity and empower them so they can advocate for their rights. In all, a total of 121 community leaders from 27 project communities benefited from the training. • An Advocacy workshop has been organized for 40 core District Assembly Staff from eight Districts in four regions to discuss WASH Policies and WASH Financing. • An Advocacy workshop has been organized for 46 Key officers from the District Education Directorate from eight Districts in four Regions to discuss WASH In School Policies & Implementation. • Trained Rotary advocates supported by GC field staff have continued the field visits to project communities/institutions to engage the WSMTs and School Health Committees to assess them on their management performance and to monitor the functionality of the water and sanitation facilities installed.
• The Host Organizing Committee of the Rotary International-USAID Water & Sanitation Project donated the under-listed PPE items to four selected Health Facilities (Oduman Clinic (Ga West in GAR), Amamorley Clinic (Ga North in GAR), Shai Osudoku District Hospital, Dodowa (Shai Osudoku in GAR), Osedzie Clinic (Ajumaku Enyan Essiam in CR) in our project areas in the Greater Accra & Central Regions to support the fight against the COVID-19 pandemic. The following were donated: i. Veronica Buckets (complete set with stand) – 16
ii. 2a. Liquid Soap (350ml bottles with dispensers) - 16 iii. 2b. Liquid Soap (5litre gallon) - 36 iv. Paper towels (Tissue paper) - 150 Rolls v. Hand Sanitizers (350ml bottles with dispensers) - 180 vi. Face masks – 3,500 pieces vii. Hand gloves – 12,000 pieces
• Rotary Water & Sanitation Committee has facilitated the conduct of a Market study of Micro flush Biofil Toilet installations in Ghana. The objective is to establish the factors militating against the rapid uptake of the Micro-flush biofilm toilet construction and recommend improvement. The study has been completed, validation meeting organized and the final Study Report Submitted. • Award of the tripartite contract involving Rotary, GC, and Aqua Consult for the WASH Sustainability Assessment of the RI-USAID Partnership Phase 2 Project. The assessment is underway, and it is expected to be completed by November 30, 2020
Impact Of Covid-19 on Project Implementation During the year under review, the following project activities were put on hold for six months (March-August 2020) because of the restriction on movement/ban on social gatherings.
Other Partnerships WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 16
Global Communities maintained existing partnerships throughout the Fiscal Year. Collaboration with Ghacem continued to supply cement at reduced prices to CLTS beneficiary communities. While a partnership with Ghana, Duraplast Ltd. continued to supply vent pipes at a reduced cost to our beneficiaries to construct hygienic and durable household latrines and support the improvement, production, sale, and delivery of the Digni-Loo. In FY20, additional partnership activities continued throughout the year. Water4 partnered Global Communities to provide Digni-Loos to cocoa farmers in Western North and provision of BCC interventions for health facilities in the Western Region, Respectively.
Component Six: Improved Water Supply and Sanitation Infrastructure for Schools and Health Facilities WASH for Health successfully drilled and mechanized 15 boreholes for health care facilities (HCF). Four of these facilities were not connected to the national grid, and the mechanization was done using solar. The project also installed four battery banks for these facilities and are charged by the solar panels. The battery banks provide light to the delivery rooms, OPDs, and other critical areas within the facilities. They also provide power to their refrigeration units for storing essential drugs. Two HCFs located in the Kalba and Tinjase were also connected to the small town water system. The managers and nurses of the 13 HCFs have been trained to manage the mechanized systems as well as how to mobilize resources to maintain the systems. In collaboration with Water4 and Access Development with funding from Conrad Hilton Foundation, additional 25 HCFs in Wassa East in Western Region were assessed using the WASHFit tool to determine the WASH infrastructure's adequacy these facilities and their readiness to implement infection prevention and control (IPC). W4H will be working with Water4 and Access Development to improve WASH infrastructure in these facilities and build the managers, nurses, and cleaners to systematically improve WASH and implement measures to improve IPC.
In collaboration with Rotary, 15 schools were provided with institutional latrines, 13 KVIPs, and two Biofil. The schools received training on O&M and other hygiene education. Veronica Buckets were also provided to promote handwashing.
2.1. Measurable Results to Date Objective 1: Increased use of improved household sanitation In FY20, W4H continued to create access to basic sanitation through CLTS. To date, 1,534 communities have been triggered, with 1,466 engaged in post-triggering activities. By the end of the fiscal year, 4,331 latrines had been installed, with 3,338 at the superstructure level. To date, 168,264 people have been given access to basic sanitation, with 34,648 gaining access in FY20 alone. As the project continues to increase sanitation access, more communities are moving away from OD to ODF. Within five years, W4H has increased the number of ODFs by 782, with 42 happening in FY20. An additional 44 communities await RICCS verification, while 505 communities have passed their self-assessment, preparing to move to the next level in the ODF continuum.
Objective 2: Improved community water supply services FY20 saw a remarkable increase in the number of people with access to water. By quarter four of the year, the project successfully rehabilitated 23 boreholes, completed 21 new ones, fully installed two water systems, and completed two limited mechanizations with one coming from Rotary. Altogether, 24,000 people are expected to be served. With a beneficiary count of 61,698 as of FY19, the total number of beneficiaries for water at the end of FY 20 stood at 85,698, a result which is 28% above the target of 66,000
Objective 3: Improved sector governance and policies In FY18, WASH for Health, in collaboration with the Ministry of Sanitation and Water Resources, launched the WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 17 Pro-Poor Guidelines. To that end, the project organized a number of dissemination and training sessions to build the capacity to implement the guidelines. In FY19, implementation of the guidelines continued with training and coaching done periodically. The guidelines are being used in all project districts and yielding the required results. This year, the MSWR through the EHSD organized dissemination workshops in the Northern, Upper East, and Upper West Regions were Regional Officers from the Environmental Health, Community and Social Welfare Department, the media, local WASH NGOs, and other key stakeholders numbering 130 were taken through the guidelines document. The ministry also reported that other implementing agencies are again using the document in their project areas to ensure that the poor and vulnerable are adequately targeted for support. Apart from the dissemination exercise, some participants who have started using the document also shared some of the lessons they have learned as a result of using the document
Objective 4: Expanded key hygiene behaviors This year, BCC's focus was to realign W4H indicators to USAID’s new CDCS which is outcome-driven. Early in the year, W4H aligned its outcome behaviors to the CDCS, developed behavior profiles for the prioritized behaviors, and developed indicators for them. Following that, a baseline was conducted to establish a base for each indicator with plans to conduct a follow-on survey later in the year. Meanwhile, BCC activities continued as usual. Airing of BCC messages on radio and TV; user education on the BCC package; WSMT training; development of BCC materials in response to relevant issues continued. After five years of project implementation, W4H is putting together a learning brief on its BCC intervention to share the project's learnings. Objective 5: Leveraged PPP Investment to Magnify the Impact of USG Funding In FY20, two additional partnerships were formed with Touton and Water4, which brings the total partnerships formed under the WASH for Health to ten. The Caterpillar partnership lead to the construction of five modern hygiene stations in the Central and Western Regions. The latrine facilities are 10-seater by design and have been completed, commissioned, and handed over to the schools. The small-town water system in the STK district has been met with great financial aid from Grundfos.
Other partnerships continue to progress with Unilever and Rotary supporting in latrine construction, especially for institutions. Duraplast and GHACEM continue to produce and supply sanitation products for household latrine construction.
A purchasing agreement was also signed between Plan International and Global Communities to facilitate the purchase of 324 Digni-Loo’s and 72 seats to their project communities at Agona East, Afadzato South, and Akwapem district, respectively. Draft Purchasing Agreement between Zenith Bank and Global Communities was drafted to support the bank in delivering their Cooperate Social Responsibilities.
This draft agreement saw the purchase of 20 complete handwashing facilities for six schools. Additionally, the Touton partnership led to 40 Digni-Loo’s installation in two communities at the Juaboso District-Western-North Region. Also, the purchase of 296 Digni-loo’s and 366 Digni-loo seats was facilitated on behalf of World Vision International for entrepreneurs in the Upper East and Ashanti Region, respectively.
Objective 6: Improved water supply and sanitation infrastructure for schools and health facilities
FY20 saw the construction of 14 boreholes for Health Care Facilities (11 form W4H; 3 from Rotary). With this, the number of institutional water facilities provided to date is 56. This indicator has been significantly overachieved by 40 % over its LOP target of 40.
2.2. Progress Narrative
In FY20, a total of 4,331 latrines were completed. These completed latrines serve an additional 34,648 people bringing the total number of people served to 168,264, which exceeds the target of 152,800 by 10%. Strategies for WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 18 making communities open defecation free continued to be a priority during FY20. A total of 782 communities have attained ODF so far since the project's inception, which remains a remarkable feat.
A total of 24,000 people have been added to the water beneficiary count this year. This accomplishment came from installing 21 community boreholes, two small-town water systems, two mechanized systems, and 23 rehabilitated boreholes. This achievement was not only remarkable for the year but for the LOP as well. From 61,000 people last year, the LOP result is now 85,698, which is 30% over the LOP target of 66,000. Fourteen (14) institutional water facilities were installed during FY20 for CHPs compounds. W4H installed 11 facilities, and the remaining three provided by Rotary GDA.
BCC activities continued as always during the year. The airing of messages on mass media (TV and radio) continued as usual. Radio discussion guides were developed to address the COVID –19 pandemic and ODF Slippage in project communities. The team continued to build the capacity of relevant local government staff to use the BCC package to promote W4H’s BCC messages. Cholera prevention was prime in FY20. Within the year, cholera disinfection in Cape-Coast and the three northern regions suffered from flooding due to the spillage of the Bagre Dam. The supported areas with materials for disinfection (knapsack sprayers, mist blowers, chlorine, protective clothing) and training to carry out disinfection preventive educational drive was held in the Greater Accra Region before the rainy season to help in Cholera prevention.
2.3. Trends and Deviations
Number of People Gaining Access to Basic Sanitation Service as a Result of USG Assistance In FY20, W4H increased the number of people with access to basic sanitation from 22,000 to 34,648, making the year the third-highest result achieved in the project's life, coming after FY17’s result of 54448 and FY18’s result of 47,072. Compared to targets, 87% of the annual target was achieved (i.e., 34,648 out 40,000), making the percentage reached the fourth highest in the project life. The continuous increase in the number of latrine beneficiaries results from the expansion of the project to new communities each year. In FY20, three additional districts in the Northern region were added, increasing the current number of project districts from 15 to 18. Adding new districts and communities means increasing access for more people. Although the year's target was not achieved, the LOP target has been exceeded by 10%. In FY20, W4H continued to use strategies used over the years to increase latrine uptake on project communities. The joint effort between Global Communities, EHAs, and Natural Leaders to move communities from OD to ODF through latrine construction continued to be the project's defense. That said, the effect of COVID-19 during the year cannot be understated. While households were faced with their socio-economic challenges, the activities of government and W4H were almost brought to a halt to observe local and international protocols to contain the virus. Coupled with that was the unfavorable environmental conditions such as unexpected rainfall pattern, poor geological conditions, and flooding in parts of the Northern region which affected construction works and general field activities
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 19 Number of people with access to basic sanitation FY16-FY20 60000 54448
50000 47072
40000 40000 38400 34648 32256 30000 28000 22000 20000
10096 10000
4032 0 FY16 FY17 FY18 FY19 FY20 Result Target
Number of people gaining access to basic water services as a result of USG Assistance Twenty-four thousand people gained access to improved water sources this year by installing two water systems, 21 new boreholes, two mechanized community systems, and 23 rehabilitated boreholes. This brings the LOP result for water to 85,698 a result, which is 30% over the LOP target (66,000). The result for the year is the highest result achieved in the project. The number of beneficiaries reached each year is highly based on the availability of funds and time (since water systems take time to install). In FY18, results fell massively below target because plans to rehabilitate some number of boreholes changed in the course of the year. In FY19, borehole rehabilitations targeted for the year was postponed to FY20. In addition, two water systems that were earmarked for the year could not be completed within the year, affecting the year's results. In FY20, based on funds available, the project could rehabilitate boreholes complete the water systems from FY19, and installed new boreholes. All these contributed to the result of the year.
Number of People Receiving Improved Service Quality from Improved Drinking Water Sources In FY20, 23 boreholes were rehabilitated to serve 6,900 people, 15% over its target (6,000). Based on the available budget, 20 boreholes were targeted for rehabilitation. However, after rehabilitating these boreholes, the project was able to make savings enough to rehabilitate three additional boreholes. Based on need, three additional boreholes were rehabilitated to serve an additional 900 people.
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 20
Number of Communities Certified as “Open Defecation Free” as a Result of USG Assistance In FY20, 42 out of 80 communities were certified as open defecation free communities. This result is the lowest achieved in the life of the project. In FY20, W4H continued to employ both old and new strategies to increase the number of ODF communities. This notwithstanding, the project could not stay on target this year due to the Corona Virus Pandemic. Latrine construction slowed down; as a result, monitoring and verifications were put on hold.
Number of Communities Certified as ODF FY16-FY20
357
269
190 180
127
87 80 66 34 42
FY16 FY17 FY18 FY19 FY20
Result Target
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 21 Number of Individuals Trained to Implement Improved Water and Sanitation Methods The number of individuals trained in improved sanitation includes Environmental Health Assistants and natural leaders trained in CLTS. In FY20, 146 natural leaders were trained in CLTS facilitation, increasing the LOP result to 6,612 out of a target of 2,500. Since the project has exceeded the LOP target, no additional target was set for the indicator this year. Also, since the project cannot predetermine the number of natural leaders who may show interest in CLTS facilitation, it is a challenge setting additional targets for the indicator.
Liters of drinking water disinfected with point of use treatment products as a result of USG assistance. In FY20, as part of measures to curb the cholera outbreak, W4H embarked on disinfection exercise in the Central region and parts of the Northern Region. As part of the activity, AquaTabs were distributed to households to disinfect their drinking water. The same exercise was carried out in West Mamprusi following flooding in some parts of the district. In all, a total of 16,000 strips of AquaTabs and 50 boxes of P&G were distributed to treat 3,200,000 liters of water. Given that emergencies cannot be predetermined, there is no LOP or annual targets for the indicator. The project only reports the outputs made as and when they occur.
Number of institutional settings gaining access to basic drinking water services as a result of USG assistance Out of a target of 12 boreholes earmarked for the year, 14 were installed-11 from W4H and 3 from Rotary. All facilities were provided to CHPs compounds. This brings the LOP result to 53 out of a target of 40.
Value of new funding mobilized to the water and sanitation sector Within the fiscal year, W4H mobilized USD 491,771.60 as a cost contribution. This brings the total cost-share to USD 2,905,043.10, comprising USD 803,501.80 from the private sector, USD 85,420.20 from Global Communities, and USD 2,016,121 from different sources.
M&E Issues
W4H commissioned a baseline study for the new behavior outcome indicators under the cost extension in March 2020. Around this time, Ghana had just recorded its first few cases of COVID 19, and the government had started putting in restrictions to contain the virus. Global Communities headquarters had also started restricting travels, and its country offices were advised to do the same. These restrictions affected the baseline in the following areas: 1. Methodology: the restrictions on movement required that data collection duration in the districts be reduced for officers to travel back to Accra. This affected the number of communities and interviews for the baseline hence distorting the methodology. This happened at the last hour when officers were already in the field. There was, therefore, no time to re-strategize to pick a lower sample scientifically. Officers picked samples that were practicable within the limited time 2. Sub IR 3.3: With the initial shutting down of schools, schools' surveys and observation could not be carried out. The partial opening of school plans is underway to carry out the required assessments in school in the 4th quarter. 3. Water quality test: This was also affected due to limited time to procure test kits for testing water quality on-site. W4H plans to explore other alternatives to have water at health care facilities tested.
3. CROSS-CUTTING ISSUES
3.1. Gender Equality and Female Empowerment
The WASH for Health project, as conceptualized and implemented, is cognizant of gender issues and mainstreams gender into all activities. Culturally, women in Ghana are more often responsible for ensuring that their households have water and teaching children hygiene practices. Because most of WASH for Health’s communities are patriarchal, the project ensures a minimum of 60% female participation in all Water Sanitation
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 22 and Management Teams (WSMT), which is based on CWSA’s minimum requirements. This quota of female involvement in WSMTs enables women to participate in decision-making concerning WASH facilities and services in their communities. All WASH for Health CLTS Field Officers implementing CLTS works guarantees female membership when working with communities to establish WSMTs. As a communal activity, CLTS requires and ensures the participation of all sections of society, including people in leadership positions, women, men, and children. Therefore, the CLTS approach enables all genders to participate in their community’s progress toward ODF status.
Furthermore, project activities in no way reduce the amount of power held by one gender or restrict beneficiaries’ access to services or resources based on their gender. Equal opportunity to benefit from project activities is given to all community members; WSMT participant lists are recorded and shared with WASH for Health staff to certify the gender quota is met. In FY20, MHM activities slowed down in schools due to the COVID 19 pandemic. However, two basic schools in the Central Region were engaged, and the mass media engaged in conducting education on MHM among girls and also on the need for parents and teachers to support girls all the time to ensure that they attend school always and also adopt improved personal hygiene especially when they are menstruating to prevent unwanted infections.
3.2. Local Capacity Development
WASH for Health builds on the local knowledge of Natural Leaders to emphasize its message of safe sanitation. WASH for Health technical staff has now identified approximately 6,103 Natural Leaders for training, networking, and utilization in CLTS activities. WASH for Health also builds the capacity of the District Assembly officials (Environmental Health Officers, Community Development Officers, etc.) so they can implement WASH and CLTS activities in their districts. The project also trains WSMTs in order to reinforce their ability to operate and maintain WASH infrastructure in the communities, mainly boreholes. Additionally, through WASH for Health’s sub-grant award mechanism, the project supports local organizations' growth and capacity by enhancing their management, logistical and technical experiences. There has been sustained, intense training. Providing support for teams and volunteers on the ground has helped equip them with enough BCC/IE&C materials to ensure they can facilitate widespread cholera prevention awareness. Lastly, to maximize the introduction of the Digni-Loo latrine to the Ghanaian sanitation market, WASH for Health is working with entrepreneurs in project communities to build their capacity to be distributors of the plastic slab.
3.3. Science, Technology, and Innovation
The project started research into affordable superstructure for household latrines to complement the Digni-Loo. After several trials and cost-benefit analyses, the team settled on inter-locking bricks. The piloting of the technology and further studies will commence in FY20 in the Northern and Savannah Regions.
3.4. Public-Private Partnerships (PPP)
As described in Section 2 (Activity Progress) above, WASH for Health continues to partner with several private sector organizations, including Duraplast Ghana Ltd., which has supported the production of vent pipes and the Digni-Loo. Additional partnerships implemented in FY20 include collaboration with Ghacem, Unilever Ghana Foundation, Rotary International, Ghana Broadcasting Corporation, BeGirl, Caterpillar, and Touton. Plans are underway to implement projects with Grundfos and Tarkwa Gold Fields.
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 23 3.5. Environmental Compliance
The project adopted the Environmentally Sound Design and Management (ESDM) approach to ensure sustainability. During the designing of water supply systems and sanitation facilities, project engineers took into account the material required to minimize their construction's potential negative impact on the environment. In the construction of the two systems in Kalba and Tinjase, existing boreholes in the communities were pump tested to serve as monitoring wells. This is one of the safety measures put in place to ensure groundwater extraction for the residents of Kalba and Tinjase is done sustainably. The project also incorporated the current and anticipated future use of the immediate surroundings into the facility designs. This approach ensures that the structures will be able to withstand changes in the environment. Both systems have solar-powered boreholes to reduce energy consumption from the national grid and help reduce their carbon footprint In accordance with the project’s Environmental Mitigation and Monitoring Plan (EMMP), environmental compliance assessments were completed for institutional latrine and borehole sites, as reported in previous quarters. Regular visits to project sites were conducted to ensure all construction activities complied with the CFR.216. In accordance with CFR.216 and WASH For Health Water Quality Assurance Plan, all the water facilities constructed in the year were sampled and sent to the Centre for Scientific and Industrial Research (CSIR) laboratory for both Physiochemical and Bacteriological analyses.
4. STAKEHOLDER COLLABORATION
4.1. Collaboration and/or Knowledge Sharing with Other USAID Activities
Since FY17, WASH for Health regularly and actively participated in the USAID health program implementing partners' Chief of Party meetings while also contributing to the Knowledge Management Platform. The WASH for Health project is also part of the USAID Health, Population and Nutrition Office (HPNO) Monitoring and Evaluation Community of Practice where all USAID health partners meet to learn and share knowledge on Monitoring and Evaluation (M&E), Knowledge Management, and Geographic Information Systems (GIS). Meetings are held every quarter and are hosted by Evaluate for Health, which is the USAID partner solely responsible for M&E technical support on all USAID health programs. However, COVID-19 affect FY20 activities.
4.2. Collaboration and Coordination with Other Key Stakeholders
WASH for Health continues to collaborate with the sector ministries and agencies on sector policies and activities, and at the local level with DAs, in CLTS facilitation. This collaboration has extended to international agencies such as UNICEF, WHO, International Red Cross/Red Cross Ghana, and World Vision, Ghana. The private sector and LNGOs also serve as partners when implementing activities under other project components, and the unique partnership with Unilever, Touton Ghacem, and Duraplast Ghana Ltd. continues.
5. LESSONS LEARNED
5.1. Challenges and Relevant Solutions to Activity Implementation The COVID-19 pandemic toppled the seasonal rainfall challenges as all project implementation forms halted for a period. The lockdown, which caused the halt in implementation, led to the delay in meeting targets.
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 24 The change in rainfall patterns has been a significant challenge this year. The rainy season has lasted for several months throughout the country and affected the CLTS process. To address this challenge, households were advised to use any available time (after their activities in their farms and periods after the rains) to construct their household latrines, with technical assistance from the trained Environmental Health Assistance, natural leaders, and artisans. This approach has taught the team and community members to take advantage of favorable weather periods to construct household latrines in and out of season.
5.2 Adaptive Learning None at this time
6. SUSTAINABILITY
Sanitation Provision None at this time.
Water Supply The provision of publicly-owned facilities and services works in tandem with facility-user education. The formation and training of facility management committees, small-town Water and Sanitation Management Teams, and caretakers' identification ensures the optimal use and proper management of boreholes. Further, Area/Pump Mechanics have been trained in borehole repairs to sustain water infrastructure under the project. These mechanics have been given a basic set of tools linked to the District Water and Sanitation Teams and spare parts suppliers in their districts. This same approach is being utilized as the boreholes are drilled. BCC Collaborating with the Environmental Health Unit and Natural Leaders on BCC campaigns has helped strengthen and sustain local knowledge of hygiene behaviors. In schools, the school health coordinators and school health clubs have increasingly improved hygiene practices among schoolchildren who act as change agents both in school and at home. WASH for Health implemented BCC education at schools and throughout all project activities to ensure that all infrastructure provided to institutions or any household latrines constructed through CLTS is long lasting and improves the health and well-being of the beneficiaries. Additionally, with the BCC Package's introduction and rollout enhanced with the NuWASH communication materials, local-level actors will have improved tools to implement sound BCC messaging throughout the country.
For the effective promotion, adoption, and sustenance of the W4H Behavioral outcomes, the BC team during the year has:
o Built capacity at the local level through the Natural Leaders networks, field facilitators and leveraged traditional authorities' support in enforcing sanitation bylaws. o Strengthened capacity at the district level by tailoring behavior change training to partners and collaborators' specific needs. o Established school health clubs and provided WASH and menstrual hygiene learning materials.
7. AGREEMENT MODIFICATIONS During FY20, the program received Modification #7 in which it received a one-year cost extension. The WASH for Health project has therefore been extended to September 2021.
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 25 8. ACTIVITIES PLANNED FOR NEXT YEAR
WASH for Health project activities are well-founded and continue to be successful. As the project enters FY21, the following activities are planned (see FY21 Work Plan for more details): Component 1: Increase the Use of Improved Household Sanitation: • Refresh CLTS Regional and District facilitators to implement demand-led CLTS; • Train NLs to support CLTS implementation in project communities. • Train local artisans in small towns to support latrines construction • Increase access to improved sanitation products and services • Continue the introduction of Digni-Loo into the sanitation market in select districts. • Support the poor and vulnerable in ODF communities with Digni-Loos. • DICCS/RICCS to conduct community verification and certification Component 2: Improve Community Water Supply Services: • Complete outstanding boreholes to be repaired • Review monitoring report on the Tuna Water System • Rehabilitate broken boreholes and hand pumps Component 3: Improve sector governance and policies: • Strengthen local governance and management; • Support broad engagement with the WASH sector; • Support WASH sector programs and activities; and • Support selected WASH sector policy reforms Component 4: Expand Key Hygiene Behaviors: • Initiate community entry in all FY20 21 CLTS communities. • Continue airing of the Behavior change messages by the five Radio stations in the Oti and Savannah regions. • Explore suitable means of airing the BCC messages in the Northern Region. • Pursue discussion with GBC UNIIG FM for cost-effective means of airing the Behavior Change messages in the Northern Region. • Follow-up with Breakthrough Action for relevant COVID-19 materials that can be used in our COVID work. • Conduct WSMTs Training 3 for communities whose platforms and hand pumps have been installed. • Gather needed quantitative data to finalize work on the GC/TMG Learning Brief on the Behavior-led Approach of the W4H Project in Ghana. • Explore suitable means of repacking the BCC materials for GHS and GES Partners at the local level. • Organize BCC package user training for partners in the Western and Western North Regions. • Standardize the Behavioral Outcomes reporting template.
Component 5: Leverage PPPs to magnify the impact of USG investments: • Continue partnership with Rotary International and Unilever Ghana Foundation, Caterpillar, and other partners Zenith Bank, Touton, Grundfos to deliver WASH facilities to communities and schools; • Continue to collaborate with partners to supply affordable materials for durable latrine construction (cement, vent pipe, plastic latrine slab, etc.); • Continue to partner with Ghana Broadcasting cooperation in airing our animated BCC messages on both the radio and TV stations.
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 26 Component 6: Improve Water supply and Sanitation infrastructure for Schools and Health Facilities:
• Procurement of Contractors for the construction of institutional water facilities • Construction of FY20 Institutional water supply systems • Conduct joint monitoring visits to project sites with DWSTs • Facilitate formation of Facility Management Committees where they do not exist • Monitor and conduct refresher toilet user training for beneficiary institutions • Monitor WSMTs activities in communities
Cholera Prevention Activities Digni-Loo
• Disinfection of Cholera prone communities in • Work with entrepreneurs in project communities/districts to the Greater and Central Region. facilitate the purchase and distribution of Digni-Loos • Respond to Cholera related issues when needed. • Train more entrepreneurs in other project districts and • Purchase of Aquatabs and chlorine (chemicals increase the sales of Digni-Loo and water purification tablets to be used both at • Work with the private sector to increase the purchase of the the household level and the communities as part Digni-Loo of our cholera prevention activities). • Work with the Peace Corp volunteers to purchase more of • Solicit for water purifiers tablets and other relief the Digni-Loo for their WASH projects in their items from other partners in emergencies. communities. • Continuous education on cholera preventive • Rigorously promote and feature Digni-Loo broadly; measures at Radio and TV stations.
WASH FOR HEALTH PROJECT FY20 QUARTER REPORT 27 APPENDICES
I. Performance Data Table (PDT)
9 9 9
Indicator D
LOP LOP
AGE AGE
FY20 FY20 FY20
FY 16 FY 16 FY 17 FY 17 FY 18 FY 18 FY
FY 1 FY 1 FY
Baseline Baseline
RESULT RESULT
TARGET TARGET TARGET TARGET TARGET
RESULTS RESULTS RESULTS RESULTS
ACHIEVE
PERCENT
Total FY 15 15 FY Total
TARGET RESULTS OBJECTIVE 1:INCREASE USE OF IMPROVED HOUSEHOLD SANITATION FACILITIES Number of people gaining access to a basic sanitation service as a result of USG 2707 0 4032 10096 32256 54448 38400 47072 28000 22000 40000 34648 152800 168264 110% assistance. male 0 0 1976 4947 15805 26680 18816 23065 13720 10780 19600 16978 74872 82449 110% female 0 0 2056 5148 16451 27768 19584 24007 14280 11220 20400 17670 77928 85815 110% Number of people gaining access to safely 0 0 - - managed sanitation service as a result of 0 0 0 0 1500 1425 825 690 2250 2115 94% USG assistance. male 735 696 404 333 0 0 - - 1102 1036 94% female 765 729 421 356 0 0 - - 1148 1079 94% Number of individuals trained to implement improved water and sanitation 0 0 0 1702 798 2044 900 1253 0 713 0 146 2500 6612 264% methods Number of communities certified as “Open defecation free” (ODF) as a result 0 0 34 66 269 190 180 357 \87 127 80 42 780 782 100% of USG assistance Number of basic household latrines 356 0 330 1262 4032 6806 4800 5884 5000 4331 19100 21033 110% constructed 3500 2750 OBJECTIVE 2: IMPROVED COMMUNITY WATER SUPPLY SERVICES
Number of people gaining access to basic 1950 drinking water services as a result of USG 9680 0 18300 24000 23100 30900 6000 17500 14298 23000 24000 66000 85698 130% 0 assistance. Male 0 9555 8967 10,584 11319 12348 2970 8575 7006 11270 10584 32340 40816 126% Female 0 9945 9333 11,016 11781 12852 3030 8925 7292 11730 11016 33660 42482 126% Number of people in target areas with 8500 6300 first-time access to improved drinking 0 0 0 0 20,520 23100 12900 6000 9000 6300 57000 41700 73% water supply as a result of USG assistance male 0 0 0 0 10,055 11319 6,321 2970 4165 7006 4410 3087 27930 20433 73% female 0 0 0 0 10,465 11781 6,579 3030 4335 7292 4590 3213 29070 21267 73% Number of people receiving improved service quality from existing improved 0 0 975 — 1080 — 15000 0 9000 0 6000 6900 9000 6900 77% drinking water sources male 0 0 478 0 529 0 1470 0 4410 0 2940 3381 4410 3381 77% 4590 0 0 0 497 0 551 0 1530 0 3060 3519 4590 3519 77% female
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 28 Percent of households in target areas practicing correct use of recommended 14% 0 0 0 20 0 20 25.81 40 0 - - 40 26 65% household water treatment technologies Litres of Drinking water disinfected with 3320000 USG supported point of use treatment 0 0 0 5208000 0 7200000 0 6,640,000 0 0 0 0 0 19688000 ─ products Number of community boreholes installed 0 0 65 61 83 77 80 20 50 23 50 46 220 227 103% OBJECTIVE 3: IMPROVE SECTOR GOVERNANCE AND POLICIES
Number of New policies, laws, agreements and regulations implemented 0 0 - - 0 0 0 0 1 0 1 1 1 1 100% that promote access to improved WATSAN OBJECTIVE 4: EXPAND KEY HYGIENE BEHAVIOURS Number of people practicing handwashing - - 8563 0 0 0 19,353 15664 32,816 42236 48480 59783 123% with soap under running water 5000 1883 Percent of households with soap and water - - at a hand washing station commonly used 0% 0 0 0 50 73 60 67.38 80 0 80 67.38 84% by all family members
OBJECTIVE 5: LEVERAGE PUBLIC/PRIVATE PARTNERSHIPS TO MAGNIFY THE IMPACT OF USG INVESTMENT Number of MOUs signed with organization for new GDA or similar 0 0 1 1 2 0 0 0 0 0 0 1 3 300% 1 partnership Number of GDAs or similar partnerships 0 5 0 0 0 0 5 8 160% formed 5 1 0 0 2 Value of new funding mobilized to the 1524348 water and sanitation sectors as a result of .6 USG assistance 0 2,905,04 0 491772 3206000 91% - 0 0 294,470 3.1
OBJECTIVE 6: IMPROVE WATER SUPPLY AND SANITATION INFRASTRUCTURE FOR SCHOOLS AND HEALTH FACILITIES Number of basic sanitation facilities 0 0 provided in institutional settings as a 0 0 90 100 100 122 30 48 0 5 190 265 139% result of USG assistance. School Facilities 0 0 80 90 100 122 30 48 0 5 0 0 180 255 142% Health Facilities 0 0 10 10 0 0 0 0 0 0 0 0 10 10 100% Number of institutional settings gaining access to basic drinking water services as 0 0 0 0 5 13 17 10 11 14 12 14 40 56 133% a result of USG assistance. 13 Schools 0 0 0 0 8 5 9 7 0 0 20 27 135% 7 CHPS 0 0 0 0 5 8 8 3 4 1 12 14 20 29 130%
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 29 II. Success Stories and Press Coverage
• The Communication Team facilitated the shooting of the Digni-Loo advertisement • One success story on MHM has been published on the official Ghana website and shared with HQ and USAID • Multimedia Group Limited (MGL), a group media house, covered the MHD event held by the Naa Adole Foundation, which the Global Communities Supported. • The series of radio discussions and Live Presenter Mentions (LPM) on our activities in the Savannah and Oti Regions featured strongly.
III. Financial Information
The form 425 will be submitted separately.
30 WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT IV. Activity Oversight & Technical Assistance Support
TABLE 1: MONITORING VISITS DURING REPORTING PERIOD
Monitoring Team Major observations and/or findings from site visits Date of Site Visit Site(s) visited Members / Individuals (Concise bullet points)
December 13, 2019 Felix Amofa, Hlikpo • PCV has assisted households to install and Emefa Baidoo complete Digni-Loo Liz Calvey Zeller • Digni-Loos were well installed and constructed
Beneficiaries are happy using the Digni-Loos January 27-31, 2020 Felix Amofa Ada West/Shai Osudoku • FY20 project communities selected for implementation
• Communities were ready for the project February 5 – 7, 2020 Felix Amofa Ada West support
• Digni-Loos installed for the poor at February 16 – 21, Felix Amofa Nkwanta North 2020 Mission community
• Toilet seat installed for people with disability • Latrine artisans trained to support latrines construction in small town
Nkwanta North, Monitor field activities and provide technical support to field June 2-June 6, 2020 Felix Amofa Nkwanta South and officers Krachi East Monitor field activities and provide technical support to field June 16-June 23, 2020 Felix Amofa Ada West, Shai Osudoku officers
Ada West, Shai Validate communities for CLTS implementation in FY21 September 15- Felix Amofa, Augustine Osudoku, Asikuma September 25, 2020 Adams Odoben Brakwa Assess affected project communities in West Mamprusi Sept 28-30th 2020 Emefa Baidoo Tamale Municipality as a result of the spillage from the Bagri dam and heavy rainfalls
Sept 8-9th 2020 Emefa Baidoo Training of Entrepreneurs Kumasi
July 13-18th 2020 Emefa Baidoo Cape Coast Disinfection Exercise
Mar 26-30th 2020 Emefa Baidoo Disinfection Exercise Cape Coast
Sefwi- Wiawso, Boadi Training of Entrepreneurs Feb 24- 27th 2020 Emefa Baidoo and Asankragua
15-19th Dec 2019 Emefa Baidoo Cape Coast Disinfection Exercise
31 WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT Monitoring Team Major observations and/or findings from site visits Date of Site Visit Site(s) visited Members / Individuals (Concise bullet points)
12-15th Nov 2019 Emefa Baidoo Ho Training of Entrepreneurs
29- 31 Oct 2019 Emefa Baidoo Follow up on Entrepreneurs Tamale
32 WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT
TABLE 2: TECHNICAL ASSISTANCE (TA) PROVIDED DURING REPORTING PERIOD
Organization and/or person(s) Type of TA Purpose of TA Dates of TA who provided
Lynne Cogswell, TMG Behavior Change SBCC-Field • Support W4H Technical January 9th to 23rd, Specialist Team to Realign the Cost 2020 Extension Strategy around the new USAID CDCS Behavioral Outcomes • M&E support to W4H Technical team to determine and finalize indicators for all new Lynne Cogswell, TMG Behavior Change February 2nd to 7th, SBCC-Field USAID CDCS Behaviors Specialist 2020 and Sub-behaviors ( 12 Behavioral Outcomes and 20 Performance Indicators)
TABLE 3: INTERNATIONAL TRAVEL Name of traveler(s) Purpose of Destination Travel dates international travel None at this time due to the pandemic
V. M&E Issues
Indicator and/or Target Adjustments • None at this time Modifications made: • None at this time
Data Quality • No recommendation on Data Quality Assessment (DQA) available this FY.
33 WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT VI. Management and Administrative Issues
Staff Changes/Updates
Transfer/Hiring:
Departures: Frank Adutwum (WASH Engineer): July 17, 2020
Budget Issues
Due to our good performance, we have spent the funds as planned.
Issues with Collaborators and Other Stakeholders None.
Other None
VII. Follow-Up Actions
A/COR comment/recommendation Date Action was taken from the previous reporting Brief Description of Follow- or is planned to be period and/or relevant up Action Taken evaluation/research taken recommendation W4H End-Term Evaluation – “By all accounts, the W4H activity is A series of corrective Conducted by WASHPALS / Tetra tech having a positive impact and making measures have been put in a meaningful contribution to place to address the findings addressing Ghana’s WASH service from the WASHPALS delivery backlog. Due to a perceived report. The corrective neutrality with good relationships actions have been across the sector, GC could contribute implemented during FY2020 more to national debates around the and FY 2021 learning being generated from the activity. Such learning revolves around how effective operating environments require clear designation of roles, coordinated linkages and incentives, and greater levels of dedicated government resourcing. While having clear experience to share, many of these challenges are beyond the control of GC alone.” Extracted from the WASHPALS report
34 WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT VIII. Map of Project Activity Sites/ Facilities by District
FY19 Map of Project Communities, Districts, Regions
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 43 Map of FY19 Project Facilities
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 44 IX. CLTS Updates Extract
INTERVENTIONS
COMMUNITY-LED TOTAL SANITATION ACTIVITIES HOUSEHOLD LATRINES
Under construction Completed
-
constructed
triggered
structure
-
triggered
- -
S/N DISTRICT
Communities Pre Triggered Post identified NLs Self Pass assessment DICCS by Basic ODF DICCS by ODF RICCS by ODF Targeted HHLs Level PIT Sub Super structure Week Current Cummulative EHAs HWF constructed Soakaway CENTRAL REGION 1 TWIFO ATI MOKWA 15 15 15 15 54 0 0 0 0 250 0 0 0 0 14 2 5 3 2 TWIFO HEMANG LOWER DENKYIRA 29 29 29 29 155 7 0 0 5 475 79 53 38 0 281 8 379 250 SUB TOTAL 44 44 44 44 209 7 0 0 5 725 79 53 38 0 295 10 384 253 3 ASIKUMA ODOBEN BRAKWA 64 64 64 64 295 33 0 1 34 811 120 72 17 0 840 19 831 380 4 ASSIN NORTH 29 27 27 27 126 5 0 1 0 250 96 20 7 0 119 9 112 58 5 UPPER DENKYIRA EAST 15 15 15 15 108 0 0 0 0 225 0 0 0 0 26 6 26 0 SUB TOTAL 108 106 106 106 529 38 0 2 34 1286 216 92 24 0 985 34 969 438 WESTERN REGION 6 AHANTA WEST 1 0 0 0 0 0 0 0 0 75 0 0 0 0 75 0 75 0 7 AMENFI CENTRAL 54 54 54 54 254 18 0 1 26 529 139 106 70 0 306 15 414 291 8 AMENFI WEST 43 43 43 43 231 35 0 1 29 496 30 48 45 0 627 12 679 160 9 AMENFI EAST 10 10 9 8 69 2 0 0 0 180 0 0 0 0 28 2 23 5 10 MPOHOR 10 10 9 9 40 0 0 0 0 150 17 0 0 0 11 4 0 0 SUB TOTAL 118 117 115 114 594 55 0 2 55 1430 186 154 115 0 1047 33 1191 456 WESTERN NORTH REGION 11 SEFWI WIAWSO 50 50 50 50 209 42 3 0 32 586 13 9 11 0 468 14 357 87 12 SEFWI BODI 63 63 63 63 250 44 0 0 47 795 109 57 49 0 632 19 636 142 13 SEFWI AKONTOMBRA 10 10 10 10 62 0 0 0 0 150 53 0 0 0 30 4 9 1 SUB TOTAL 123 123 123 123 521 86 3 0 79 1531 175 66 60 0 1130 37 1002 230 VOLTA REGION 14 ADAKLU 37 37 37 37 143 22 0 1 18 538 30 21 50 0 171 10 155 22 15 AGOTIME 42 42 42 35 224 38 0 3 26 667 9 44 16 0 258 12 324 150 SUB TOTAL 79 79 79 72 367 60 0 4 44 1205 39 65 66 0 429 22 479 172 OTI REGION 16(a) NKWANTA NORTH 59 59 59 59 242 35 0 1 19 394 201 298 453 0 848 20 914 534 17(a) NKWANTA SOUTH 15 15 15 15 56 7 0 0 7 250 127 16 42 0 218 2 202 80 SUB TOTAL 74 74 74 74 298 42 0 1 26 644 328 314 495 0 1066 22 1116 614 16(b) NKWANTA NORTH 101 101 99 99 439 58 2 2 42 2207 208 391 343 0 2341 35 2292 1201 17(b) NKWANTA SOUTH 70 70 70 70 366 51 0 3 43 811 577 136 347 0 1089 21 1051 254 18 KRACHI EAST 55 55 55 53 240 42 0 1 35 561 45 42 113 0 785 17 853 198 SUB TOTAL 226 226 224 222 1045 151 2 6 120 3579 830 569 803 0 4215 73 4196 1653 WASH FOR HEALTH PROJECT FY20 Annual Report 45
ANNUAL REPORT INTERVENTIONS
COMMUNITY-LED TOTAL SANITATION ACTIVITIES HOUSEHOLD LATRINES
Under construction Completed
-
constructed
triggered
structure
-
triggered
- -
S/N DISTRICT
Communities Pre Triggered Post identified NLs Self Pass assessment DICCS by Basic ODF DICCS by ODF RICCS by ODF Targeted HHLs Level PIT Sub Super structure Week Current Cummulative EHAs HWF constructed Soakaway GREATER ACCRA 19 ADA EAST 38 38 38 38 310 17 0 2 23 475 44 54 159 0 282 10 241 0 20 ADA WEST 39 39 39 39 133 13 0 1 24 544 46 52 39 0 402 11 335 62 21 GA CENTRAL 1 0 0 0 0 0 0 0 0 75 0 0 0 0 75 0 75 0 22 SHAI OSUDOKU 41 41 41 12 195 14 0 2 21 544 396 266 275 0 319 13 343 49 SUB TOTAL 119 118 118 89 638 44 0 5 68 1638 486 372 473 0 1078 34 994 111 SAVANNAH REGION 23(a) BOLE 98 98 97 97 391 5 0 5 65 1125 52 207 256 0 1865 24 2007 944 23(b) BOLE(BAMBOI ZONE) 139 139 139 129 479 11 0 3 66 1755 60 70 250 0 1552 9 1514 878 24(a) SAWLA TUNA KALBA 192 192 192 192 903 0 0 7 144 2850 163 208 165 0 3788 29 3719 3522 24(b) SAWLA TUNA KALBA (TUNA ZONE) 119 119 119 109 303 6 0 9 48 1695 0 168 275 0 1952 7 1480 1303 SUB TOTAL 548 548 547 527 2076 22 0 24 323 7425 275 653 946 0 9157 69 8720 6647 NORTH EAST REGION WEST MAMPRUSI 58 58 58 58 294 0 0 0 28 840 81 226 318 0 1437 21 1490 268 SUB TOTAL 58 58 58 58 294 0 0 0 28 840 81 226 318 0 1437 21 1490 268 NORTHERN REGION 26 KARAGA 14 14 14 14 0 0 0 0 0 0 0 0 0 0 145 0 148 0 27 NANTON 12 12 12 12 0 0 0 0 0 0 0 0 0 0 31 0 63 0 28 SAGNARIGU 11 11 11 11 0 0 0 0 0 0 0 0 0 0 18 0 502 0 SUB TOTAL 37 37 37 37 0 0 0 0 0 0 0 0 0 0 194 0 713 0 GRAND TOTAL 1534 1530 1525 1466 6571 505 5 44 782 20303 2695 2564 3338 0 21033 355 21254 10842
*** Implementation was stopped in these districts effective May 2017
WASH FOR HEALTH PROJECT FY20 Annual Report 46
ANNUAL REPORT
X. List of Schools Receiving Institutional Latrines
Region District Community School Enrollment KVIP Type No. Allocated Contractor Ajumako Eyan Essiam HASOWODZE Hasowodze DA Basic Schools 224 4-seat KVIP 1
Ajumako Eyan Essiam KROMAIM Kromaim DA Basic Schools 230 4-seat KVIP 1
Ajumako Eyan Essiam SOLOMON Solomon DA Basic Schools 315 4-seat KVIP 1 Ajumako Eyan Essiam KOKOBENG Kokobeng Presby Basic Schools 420 3-seat KVIP 2 Ajumako Eyan Essiam KOKOBENG Kokobeng DA Basic Schools 395 4-seat KVIP 1 EAK Ent. Ltd.
Ajumako Eyan Essiam Etsi Abeka Etsi Abeka Basic School 427 3-seat KVIP 2 Ajumako Eyan Essiam Ampia Ajumako Ampia-Ajumako DA/Methodist Basic 763 4-seat KVIP 2 Ajumako Eyan Essiam Brofoyedru Brofoyedru Basic School 379 4-seat KVIP 1
Upper Denkyira East Kyekyewere Kyekyewere Methodist Basic School 400 3-seat KVIP 2
Upper Denkyira East Kyekyewere Kyekyewere African Faith Basic School 200 4-seat KVIP 1 Upper Denkyira East Buabin Camp Buabin Camp Basic School 163 4-seat KVIP 1
Central Upper Denkyira East Gyampo Gyampo M/A Primary School 104 4-seat KVIP 1 Sir Charles
Upper Denkyira East Ntontom Ntontom Methodist Basic School 200 4-seat KVIP 1 Doughan Co. Ltd. Upper Denkyira East Zion No 2 Zion No 2 M/A Basic School 250 4-seat KVIP 1 Upper Denkyira East Amoafo Amoafo Basic School 250 4-seat KVIP 1 Upper Denkyira East Akyenekrom Akyenekrom MA Basic School 206 4-seat KVIP 1 Assin North Kadadwene Kadadwne M/A Primary School 111 4-seat KVIP 1
Nkranfuom M/A Primary School 67 4-seat KVIP Assin North Nkranfeuom 1 Assin North Sabinae Sabina M/A Primary School 274 4-seat KVIP 1 Ancient Assin North Wawasee Wawase M/A Primary (Nyame Nnae) 226 4-seat KVIP 1 Mariner Assin North Juaso Juaso M/A Primary School 221 4-seat KVIP 1 Assin North Breku Breku M/A Nimkyiso Primary 106 4-seat KVIP 1
Cape Coast Cape Coast Cape Coast Deaf/Blind School 636 10-Seater 1 Metropolitan pour flush Ancient
Cape Coast St. Mary Anglican Basic 573 10-Seater 1 Mariner pour flush Nkwanta South Ashiabre Ashiabre DA Primary 717 4-seat KVIP 2 Links Drilling Nkwanta South Bungna Bungna DA Primary 346 4-seat KVIP 1 and Volta Nkwanta South Blackie Blackie Junction DA Primary 102 4-seat KVIP 1
WASH FOR HEALTH PROJECT FY20 Annual Report 47
ANNUAL REPORT
Region District Community School Enrollment KVIP Type No. Allocated Contractor Nkwanta South Abotareye Abotareye DA Primary 209 4-seat KVIP 1 Construction Ltd. Nkwanta South Nyambong Nyambong DA Primary 290 4-seat KVIP 1 Nkwanta South Kanyita kanyita DA Primary 266 4-seat KVIP 1 Nkwanta South Kofi Akura Kofi Akura D/A Primary School 219 4-seat KVIP 1 Nkwanta South Ofosu Ofosu D/A JHS 215 4-seat KVIP 1 Nkwanta South Tutukpene Tutukpene D/A Primary School 232 4-seat KVIP 1 Krachi East Bawa Bawa Akura DA Primary 174 4-seat KVIP 1
200 4-seat KVIP Krachi East Kpelema Kpelema Shamsiya E/A Primary 1 Krachi East Ataki Ataki Hope for life Presby Primary 183 4-seat KVIP 1 Benghazy Dev. Krachi East Dambai Dambai Holy Rosary Primary 1050 4-seat KVIP 2 Comp. Ltd. Krachi East Dambai Dambai Holy Rosary Kindergatten 330 4-seat KVIP 1 Krachi East Kwame Akura Kwame Akura DA JHS 106 4-seat KVIP 1 Ada West Sege Sege Presby Primary #2 260 4-seat KVIP 1
483 3-seat KVIP Ada West Sege Sege Presby Primary&JHS#1 2 Ada West Sege Sege Community JHS 268 4-seat KVIP 1 Jonakot Const. Ada West Amate-Koni Amate-Koni DA Primary 101 4-seat KVIP 1 Ltd. 108 4-seat KVIP Ada West Nuhalenya Nuhalenya DA Primary 1 Ada West Ayisah Ayisah Community Primary 132 4-seat KVIP 1 Greater Ada West Sorkope Sorkope DA Primary & JHS 165 4-seat KVIP 1 Accra Shai Osudoku Agbuviekpong Agbuviekpong DA Primary 220 4-seat KVIP 1
Kongo D/A Basic School 265 4-seat KVIP Shai Osudoku Kongo 1 New Jerusalem D/A Basic School 135 4-seat KVIP Shai Osudoku New Jerusalem 1 Phibek Ent. Ltd. Dodowa Dodowa Newtown D/A Basic School (A Shai Osudoku 1198 4-seat KVIP 2 Newtown & B) Shai Osudoku Manya Jopanya Manya Jopanya Basic School 217 4-seat KVIP 1 Western Mpohor Mpohor Mpohor Methodist JHS 220 4-seat KVIP 1 Taurus Mpohor Mpohor Mpohor DA JHS 180 4-seat KVIP 1 Emporium Ltd.
WASH FOR HEALTH PROJECT FY20 Annual Report 48
ANNUAL REPORT
Region District Community School Enrollment KVIP Type No. Allocated Contractor
Mpohor Manso Manso St. John's Methodist Basic & JHS 283 4-seat KVIP 1
Angu Anglican Primary/All Saints 222 4-seat KVIP Mpohor Angu Anglican KG & Primary 1 Adum Dominase St. James Anglican 139 4-seat KVIP Mpohor Adum Dominase Primary 1 Sefwi Akontombra Kabiesue Kabiesue Basic Primary and JHS 291 4-seat KVIP 1 Sefwi Akontombra Adukwesi krom Adukwesikrom Primary 200 4-seat KVIP 1 Sefwi Akontombra Bosumpim Bosumpim D/A Primary 349 4-seat KVIP 1 Three Js Const. Sefwi Akontombra Krobo mankyia Krobo mankyia D/A primary 175 4-seat KVIP 1 Ltd. Sefwi Akontombra Agyemangkrom Agyemangkrom D/A primary and JHS 273 4-seat KVIP 1 Sefwi Akontombra Domi-Asante Domi-Asante krom catholic school 390 4-seat KVIP 1 Amenfi East Tieku Agave Tieku Agave D/A primary 106 4-seat KVIP 1
Amenfi East Wantram Wantram D/A primary 296 4-seat KVIP 1
Amenfi East Mamieso Mamieso D/A primary 131 4-seat KVIP 1 Sebb-Say Amenfi East Nsuaem No. 2 Nsuaem No.2 RC Primary/JHS 406 3-seat KVIP 2 Comp. Ltd. Amenfi East Domeabra Domeabra D/A Primary JHS 554 4-seat KVIP 2 Amenfi East Appiakrom Appiahkrom D/A Primary/JHS 458 3-seat KVIP 2 Bodi Benumsuo Benumsuo D/A Primary 233 4-seat KVIP 1 Bodi Krayawkrom Krayawkrom D/A Primary 321 3-seat KVIP 2 Bremmed Bodi Denchemoase Denchemoasue R/C JHS 252 4-seat KVIP 1 Comp. Ltd. Bodi Denchemoase Denchemoasue R/C Primary 334 3-seat KVIP 2
Whindo M/A KG/Primary/JHS 1419 10-Seater
Takoradi 1
J
pour flush
Sekondi Takoradi
Metropolitan Takoradi Holy Child Practise Basic 514 10-Seater 1 Jonakot pour flush Construction
Mpintsin AME Zion 261 10-Seater Limited Takoradi 1
pour flush Sawla-Tuna-Kalba Tuna St Paul Pri & JHS 298 4-seat KVIP 1
188 4-seat KVIP Sawla-Tuna-Kalba Tuna St Peters Pri 1 120 4-seat KVIP Sawla-Tuna-Kalba Napala Napala JHS 1 Nakwab Sawla-Tuna-Kalba Soma Soma RC Pri & JHS 499 3-seat KVIP 2 Trading Ent.
197 4-seat KVIP Ltd. Sawla-Tuna-Kalba Kong Kong DA Pri 1 Sawla-Tuna-Kalba Sanyeri Sanyeri Pri & JHS 332 4-seat KVIP 1
WASH FOR HEALTH PROJECT FY20 Annual Report 49
ANNUAL REPORT Sawla-Tuna-Kalba Kponju Kponju Pri 124 4-seat KVIP 1 Northern
Region District Community School Enrollment KVIP Type No. Allocated Contractor Sawla-Tuna-Kalba Daboyiri Daboyiri DA Primary 156 4-seat KVIP 1 Sawla-Tuna-Kalba Nahari Nahari DA Primary 231 4-seat KVIP 1 Bole Mandari Madari D/A Primary 287 4-seat KVIP 1
Bole Signye Kura Signye Kura D/A Primary 137 4-seat KVIP 1 Asamoah Bole Maluwe Maluwe E/A JHS 137 4-seat KVIP 1 Const. and Bole Bole St Kizito R/C Pri B 444 3-seat KVIP 2 Elect. Works Bole Bamboi Bamboi D/A JHS 180 4-seat KVIP 1 Bole Kurabaso Kurabaso Primary 618 4-seat KVIP 2 Bole Bale Bale Methodist Primary/KG 874 4-seat KVIP 2 Keldem Eng. Bole Jama Jama D/A KG/ Primary 605 4-seat KVIP 2 Comp. Ltd. Bole Bole Bole EA KG/Primary 478 3-seat KVIP 2
WASH FOR HEALTH PROJECT FY20 Annual Report 50
ANNUAL REPORT XI. Boreholes Provided to Communities and Institutions
WASH FOR HEALTH COMMUNITIES BENEFITTING FROM W4H BOREHOLE FACILITIES
# YEA REGION DISTRICT COMMUNITY BOREHOL STATUS No. R E Nkansah (Woman no good) FY16 1 Simpa FY16 1 4 Gyaman FY16 1 Akokofe FY16 1 Domeabra FY17 1 Amenfi West Tanna FY17 1 Adoboakrom FY17 1 Sika Nti No. 3 FY17 1 7 Kamaboi FY17 1 Ehuntem FY17 1 Completed and handed Western Nkwantanum FY17 1 over Manukrom FY17 1 Jerusalem FY17 1 Amenfi Central Nkwantanan FY17 1 5 Pramso FY17 1 Yaw Sarbeng FY17 1 Bawdie Krobofum FY17 1 Bawdie Mansiso – New Town FY17 1 Amenfi East 4 Bawdie Kwaku-Adu FY17 1 Akropong Dikoto Town FY17 1 Alavanyo FY16 1 Tordzero FY16 1 Timothykrom FY16 1 7 Attaboka FY16 1 Aferewa FY16 2 Kama FY16 1 Asou Yeboah FY17 1 Sefwi Bodi Ankaase FY17 1 3 Western Lasiskrom FY17 1 Completed and handed North Gyidi FY18 1 over Dokukrom FY18 1 Anokokrom FY18 1 5 Ativorkrom FY18 1 Kwasibikrom FY18 1 Laweakrom FY16 1 Aboaonidua FY16 1 Sefwi Wiawso 12 Bedii FY16 1 Kessekrom FY16 2 WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 51 Anhwiamu FY16 1 Brekuline FY16 1 Kwamebou FY16 1 Krobomu FY16 1 Amankwahkrom FY16 1 Gyampokrom FY16 1 Larbikrom FY16 1 Amangoase FY17 1 1 Subea FY18 1 Fiakyekrom FY18 1 Suhenso FY18 1 5 Anglo FY18 1 Gyampo 81 FY18 1 Manukrom FY17 1 Completed and handed Akontombra 5 Aseikrom FY17 2 over Yawkrom FY17 2 SUBTOTAL 58 Kushiegu FY16 1 Chikoyiha FY16 1 Yendi 4 Andando FY16 1 Bechindo FY16 1 Agbonjo Akura FY16 2 Binandimdo FY16 1 Bladjai FY16 1 Bongodo FY16 1 Damako FY16 1 Degengam 1 FY16 1 12 Kitare_bh 1 FY16 1 Konjado FY16 1 Completed and Tenglento Bapleldo FY16 1 handed over Northern Kpandai Waja Akura FY16 1 Nijudo FY16 1 Nkanchina #2 FY17 1 Kpandai Konkomba Chief area FY17 1 Konjakura (near Bintim) FY17 1 Binadim FY17 1 8 Wiae Chabo FY17 1 Takoradi #1 FY17 1 Takoradi #2 FY17 1 Balai Konkombaline FY17 1 Nakphugu FY20 1 Kakpulga FY20 1 Drilled, Platforms Karaga 11 Sologu FY20 1 Constructed Yibei FY20 1 WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 52 Vawari FY20 1 Guli FY20 1 Nambungu #2 FY20 1 Bilsanayili FY20 1 Salkpa FY20 1 Yilang FY20 1 Gbanlua FY20 1 Sahanaili FY20 1 Nanton 2 Moya FY20 1 Sagnarigu Wovugu FY20 1 1 Salugu FY16 1 Kofiyiri FY16 1 West Daboya No.2 FY16 1 5 Mamprusi Chama FY16 1 Sagadugu FY16 1 North East Banjam Kurikinyaang FY18 1 1 Zanguga FY18 1 Sagadugu-Akolbilafongu FY18 1 4 East Mamprusi Takuka FY18 1 Boayini-Bimofongu FY18 1 Samniboma 2 FY16 1 1 Kamintayiri FY17 1 Kalefayiri FY17 1 Seripe Gonjaline FY17 1 Babator FY17 2 Gbilimpe FY17 1 Yaro Kura/Benyunkun FY17 1 Gbampe FY17 1 Bampewa (Bamboi) FY17 1 Chibrinyoa Bamboi FY17 1 Koeteyiri FY17 1 20 Daboyiri #2 FY17 1 Kpenayiri FY17 1 Savannah Bole Daboyiri #1 FY17 1 Mamadu kura FY17 1 Semariyiri FY17 1 Dendeyiri FY17 1 Nokoryiri FY17 1 Jesiyiri/Doli FY17 1 Goli FY17 1 Nybokura FY18 1 Tampurukura FY18 1 Dorlanakura FY18 1 7 Laaryouryiri (Konjuma) FY18 1 Davaniyiri (Tinga) FY18 1 Gbongbong No.2B FY18 1 WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 53 Agric Nkwanta (Bamboi) FY18 1 Kunkrumpe FY16 1 Sogoroyiri FY16 1 Jorbiyiri FY16 1 Di-Eriyiri FY16 1 Jembe FY16 1 Blema No.1 FY16 1 11 Blema No.2 FY16 1 Nakpala FY16 1 Dorkuyiri FY16 1 Gindabo FY16 1 Bagbeyiri FY16 1 Damiyiri FY17 1 Danivaari RS FY17 1 Gbelulpie FY17 1 Pinvuror FY17 1 Loteyiri FY17 1 Korle No.1 FY17 1 Nasoyiri FY17 1 Nabena FY17 1 15 Sawla Tuna Saanuoyiri FY17 1 Kalba Simidayiri FY17 1 Dandapre FY17 1 Ongoli FY17 1 Nayanyama FY17 1 Morkpee (Gonsi) FY17 1 Sitiepuo FY17 1 Sey-Guyiri FY18 1 Tensonyiri No. 2 FY18 1 Kulwon No. 2 FY18 1 Uro-Mekar FY18 1 7 Malkayiri No. 2 FY18 1 Poaraduri FY18 1 Honeyiri FY18 1 Tuombo FY20 1 Dabaayiri FY20 1 Dabodaryiri FY20 1 6 Poru FY20 1 Bieni FY20 1 Poru-Zongo FY20 1 SUBTOTAL 115 Dadoto FY17 1 2 Ayrefie Battor FY17 1 Oti Krachi East Abongo FY20 1 6 Gayo FY20 1
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 54 Kelintin FY20 1 Admu Kotoku FY20 1 Ataki FY20 1 Agodzi Akura FY20 1 Hondo Akura FY16 1 3 Gbosike FY16 2 Jagrido FY17 1 Kanjo Tinjanse FY17 1 4 Binakab No. 1 FY17 1 Binakab No. 2 FY17 1 Majimaji FY18 1 2 Wui FY18 1 Abunyanya FY20 1 Nkwanta North Pibilla FY20 1 Ubony Monitees FY20 1 Gborsika FY20 1 Jatokprakpra FY20 1 Jatokrom FY20 1 11 Kofi Akura FY20 1 Koni Papaye FY20 1 Kpassa FY20 1 Naabu FY20 1 Sibi Centre FY20 1 Dankope FY17 1 Agou Junction FY17 1 Yadjakrom FY17 1 5 Basari Akura FY17 1 Otolli Junction FY17 1 Lege #1 FY18 1 Papaye FY18 1 Mangoase FY18 1 5 Kente FY18 1 Nkwanta South Ato-Plans FY18 1 Abrewankor FY20 1 Abrewankor Junction FY20 1 Agou Kunji FY20 1 Nyambor Junction FY20 1 7 Pawa #2 FY20 1 Pawa Sey FY20 1 Asikafo Amantem FY20 1 SUBTOTAL 45 WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 55 Hasowodze FY18 1 Wornanso FY18 1 Ajumako Enyan Completed and handed Central 1 Essiam Esupafie FY18 over 5 Mmofrafadwen FY18 1 Ofabir FY18 1 SUBTOTAL 5
TOTAL 223
WASH FOR HEALTH - INSTITUTIONS BENEFITTING FROM W4H BOREHOLE FACILITIES
PROJE # SOUR No REGION DISTRICT COMMUNITY CT BOREHO STATUS CE . YEAR LE Western Sefwi Nyamegyeaso CHPS W4H FY18 1 BH Drilled and handed 2 North Wiawso Anyinabrim Health Centre W4H FY18 1 over SUBTOTAL 2 Douli CHPS S4H FY17 1 2 Konjuma CHPS S4H FY17 1 BH Drilled and handed Bole Bole Girls Model JHS W4H FY18 1 over Sapka CHPS W4H FY18 1 3 Bole NMTC W4H FY18 1 Kunfusi Health Centre W4H FY18 1 Sawla SHS W4H FY18 1 BH Drilled and handed 3 Gindabor Health Centre W4H FY18 1 over Savannah Gbegu CHPS S4H FY17 1 1 Gbiniyiri CHPS W4H FY20 1 Sawla-Tuna- Kalba Kulmasa CHPS W4H FY20 1 Soma CHPS W4H FY20 1 Mechanized System 6 Saru CHPS W4H FY20 1 Nahari CHPS W4H FY20 1
Kalba Health Centre W4H FY20 1 SUBTOTAL 15 Nkwanta North Nabu CHPS W4H FY20 1 Oti Mechanized System 3 Lakpor CHPS W4H FY20 1 Tinjase Health Centre W4H FY20 1
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 56 Kabonwule CHPS S4H FY17 1 BH Drilled and handed 3 Jumbo No.2 CHPS S4H FY17 1 over Portripor CHPS S4H FY17 1 Nkwanta Kofi-Akura D/A Primary RI FY18 1 South Brewaniase D/A B W4H FY18 1 BH Drilled and handed 4 Nkwansec D/A Primary RI FY18 1 over Ashiabre D/A Primary RI FY18 1 SUBTOTAL 10 Ampia-Ajumako DA/Methodist RI 1 Basic FY18 Ajumako- BH Drilled and handed Central Enyan- Etsi Fawomanyo JHS RI FY18 1 4 over Essiam Etsi Nyamebekyere CHPS RI FY18 1 Eyiakro Primary School RI FY18 1 SUBTOTAL 4
TOTAL 31
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 57 XII. BeGirl Interventions
Region District School Girls Boys Parents Greater Accra Tema Klangon 228 46 78 Tema Manhean TMA 95 0 81 Tema Manhean Presby 155 0 Sub total 478 46 159 Volta Nkwanta North Abuyanya 89 46 50 Nkwanta South Abrewankor 59 44 35 Nkwanta South Ashiabre 25 28 39 Krachi East KwameAkura 22 35 Krachi East Ataki Hope for Life 6 0 Krachi East Kplema Shamsiya E/A Primary 10 0 Krachi East Bawa Akura 7 0 Krachi East Dambai Roman Catholic School 51 12 0 Sub total 269 165 124 Western Takoradi Apowa 120 0 85 Takoradi Tanokrom 37 20 7 Takoradi Anaji 157 20 84 Sub total 314 40 176 Northern Sawla Tuna Kalba St.Paul's 38 36 28 Bole Kurabaso 81 30 16 Sawla Tuna Kalba Sanyari primary & JHS 40 30 20 Sawla Tuna Kalba Nyoli JHS 41 30 10 Bole E/A Primary &JHS 56 30 0 Bole Bale 58 31 44 Sub total 314 187 118 Grand Total 1375 438 594
BeGirl piloted schools
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 55 XIII. Cholera Prevention Campaign
FY20 Cholera Disinfection
Cape-Coast Cape-Coast Cape Coast13- Facility Metropolis (15th – Metropolis (26-30 18 July 2020 19 Dec 19 March 2020
Public Toilet 61 63 63 Drains 105 136 145 Container site 53 32 32 Communal Dumpsites 54 82 62 Refuse dump 42 130 145 Public Bathrooms 10 15 15 Markets 8 6 - Fish market 2 2 - Abattoir and Slaughterhouse 2 2 - Health Facilities - 15 15 Educational material/posters 126 146 - Lorry Stations 1 4 4 Total 338 392 329
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 59
XIV. PHOTOS
Global Handwashing Day - Media and Public Interaction
Zenith Bank Donation to Zenu Cluster of Schools – Global Handwashing Day celebration
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 60
Mole Conference – 30th version
USAID O
Officials’ visit to Kpabia
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 61
World Toilet Day October 2019 – Washington DC
BCC and M&E Workshops
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 62
Chris Homan’s Visit to Hwakpo
MHM Education
Baseline Studies (conducted in February 2020)
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 63
Training of Digni-Loo Entrepreneurs
Cape-Coast Metropolis Disinfection
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 64
Small Town Water System – Kalba: Overhead tank, WSMT office, pump house
Small Town Water System – Tinjase: Overhead tank, WSMT office, pump house
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 65
Mechanized Boreholes for CHPS Compounds: Overhead tank, tank and stand pipe, solar control
BCC Baseline Studies
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 66
BCC Radio Discussions
Menstrual Hygiene Day Celebrations: Radio discussions and MHM Seminar
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 67
Small Town Water System – Kalba: Solar Panel, WSMT office, pump house
Small Town Water System – Tinjase: Overhead tank, WSMT office, pump house
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 68
PPP with Conrad Hilton Foundation – Water4 Project: Needs Assessment
PPP with Conrad Hilton Foundation – Water4 Project: Health Facility Managers Training
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 69
Borehole Rehabilitations
West Mamprusi District Floods and P&G Water Purifier Demonstration
WASH FOR HEALTH PROJECT FY20 ANNUAL REPORT 70