Yemen WASH Cluster Assessment District, Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in , . Interviews were conducted with 111 host community and 102 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Abs district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 197,927 ☪ 42% 420+580= 58% 6 Total IDP population in district 66,318 ☶ 51% 510+490= 49% Average household (HH) size 12.5 Proportion of households reporting treating their drinking water: Proportion of households headed by men 100% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 23% 5% 050+950= 95% Average number of children under 5 per HH 2.3 ☪ 5% 050+950= 95% Average number of persons with disabilities per HH 0.4 ☶ Average number of pregnant and/or lactating women per HH 0.7 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 52 L 92% Number of suspected cases of cholera from January to August ☶ 66 L 94% 20187 3,067 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 17% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 27% 340+660= 73% Proportion of households reporting the use of an improved water source as 44% 500+500= 56% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 130+870= 10 13% 87% 30 min or less % households More than 30 min ☶ 21% 210+790= 79% ☪ 43% 430+570= 57% ☶ 58% 580+420= 42%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Abs District, Hajjah Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 50% 500+500= 50% 460+540= ☪ 46% 54% ☶ 68% 680+320= 32% ☶ 57% 570+430= 43% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We cannot afford We ran out of soap ☪ NA Not sharing % households Sharing it (80%) (20%) ☪ 90% 900+100= 10% We cannot afford We ran out of soap ☶ NA ☶ 93% 930+70= 7% it (86%) (14%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 55% 550+450= 45% ☪ 37% 370+630= 63% ☪ ☶ 57% 570+430= 43% ☶ 53% 530+470= 47% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left Disposable Garbage is left in street by ☪ diapers, Washing basin Sanitary pads, in public areas Garbage is buried or household and toothpaste, (97%) toothbrush (96%) ☪ and not collected burned (42%) collected through shampoo (98%) (52%) public system (4%) Sanitary pads, Washing powder, disposable washing basin, Toothpaste (97%) Garbage is left ☶ diapers, shampoo, water Garbage is left in street by toothbrush (99%) treatment (98%) in public areas Garbage is buried or household and ☶ and not collected burned (21%) collected through (61%) public system Overall, 32% of IDP households and 23% of host community households (16%) reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: Proportion of households reporting presence of visible wastewater in the vicinity of their household15: First most reported Second most reported Third most reported No wastewater % households Visible wastewater Safe drinking water; basic/ ☪ 94% 940+060= 6% Water containers Chlorine tablets consumable ☪ (12%) (9%) ☶ 87% 870+130= 13% hygiene kits (14%) Basic/ consumable Water containers Chlorine tablets ☶ hygiene kits (10%) (9%) (18%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Abr District, Hadramaut Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Al Abr district, Hadramaut governorate. Interviews were conducted with 98 host community and 90 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Al Abr district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 4,835 ☪ 9% 090+910= 91% 6 Total IDP population in district 4,014 ☶ 9% 090+910= 91% Average household (HH) size 9 Proportion of households reporting treating their drinking water: Proportion of households headed by men 97% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 31% 9% 090+910= 91% Average number of children under 5 per HH 2.5 ☪ 19% 190+810= 81% Average number of persons with disabilities per HH 0.3 ☶ Average number of pregnant and/or lactating women per HH 0.6 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.6 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 50 L 62% Number of suspected cases of cholera from January to August ☶ 42 L 65% 20187 NA Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 20% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 46% 460+540= 54% Proportion of households reporting the use of an improved water source as 40% 400+600= 60% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 400+600= 10 40% 60% 30 min or less % households More than 30 min ☶ 51% 510+490= 49% ☪ 8% 080+920= 92% ☶ 24% 240+760= 76%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Abr District, Hadramaut Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 62% 620+380= 38% 210+790= ☪ 21% 79% ☶ 65% 650+350= 35% ☶ 79% 790+210= 21% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We cannot afford We ran out of soap Soap is not % households ☪ it (79%) (18%) necessary (3%) Not sharing Sharing 860+140= ☪ 86% 14% We cannot afford We ran out of soap Soap is not ☶ it (85%) (12%) necessary (3%) ☶ 70% 700+300= 30%

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 80% 800+200= 20% ☪ 86% 860+140= 14% ☪ ☶ 79% 790+210= 21% ☶ 84% 840+160= 16% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left in Bar of soap, Garbage is buried public areas and not NA Washing powder sanitary pads, ☪ or burned (85%) ☪ Shampoo (93%) collected (15%) (94%) disposable diapers (92%) Garbage is left in street containers Garbage is left in Garbage is buried by household and Bar of soap, Disposable public areas and not Jerry can / bucket, ☶ or burned (79%) collected through ☶ washing powder diapers, shampoo collected (18%) sanitary pads (96%) public system (99%) (94%) (2%)

Overall, 1% of IDP households and 11% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15:

No wastewater % households Visible wastewater First most reported Second most reported Third most reported ☪ 88% 880+120= 12% Chlorine tablets; basic/consumable NA NA ☶ 78% 780+220= 22% ☪ hygiene kits (1%) Support for the construction or maintenance Water containers Safe drinking water of water and/ ☶ (5%) (3%) or sanitation facilities; other (2%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Hashwah District, Sa'ada Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Al Hashwah district, Sa'ada governorate. Interviews were conducted with 102 host community and 92 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Al Hashwah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 23,079 ☪ 60% 600+400= 40% 6 Total IDP population in district 4,506 ☶ 71% 710+290= 29% Average household (HH) size 12.6 Proportion of households reporting treating their drinking water: Proportion of households headed by men 100% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 18% 9% 090+910= 91% Average number of children under 5 per HH 2.4 ☪ 20% 200+800= 80% Average number of persons with disabilities per HH 0.4 ☶ Average number of pregnant and/or lactating women per HH 1 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.5 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 27 L 46% Number of suspected cases of cholera from January to August ☶ 27 L 56% 20187 126 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 16% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 36% 360+640= 64% Proportion of households reporting the use of an improved water source as 27% 270+730= 73% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 220+780= 10 22% 78% 30 min or less % households More than 30 min ☶ 14% 140+860= 86% ☪ 30% 300+700= 70% ☶ 38% 380+620= 62%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Hashwah District, Sa'ada Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

Have and use % households Do not have soap All HH % households Only some or no members have members have soap and/or do not use it access access ☪ 45% 450+550= 55% 360+640= ☪ 36% 64% ☶ 50% 500+500= 50% ☶ 36% 360+640= 64% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We ran out of We cannot afford it ☪ NA Not sharing % households Sharing soap (73%) (27%) ☪ 960+040= 96% 4% ☶ We ran out of We cannot afford it Soap is not ☶ 54% 540+460= 46% soap (71%) (27%) necessary (2%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 26% 260+740= 74% ☪ 17% 170+830= 83% ☪ ☶ 28% 280+720= 72% ☶ 15% 150+850= 85% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left Disposable in public areas Garbage is buried or diapers, washing ☪ NA powder, washing Sanitary pads, water Jerry can / bucket and not collected burned (14%) ☪ (86%) basin, toothpaste, treatment (99%) (2%) toothbrush, Garbage is left in shampoo (100%) Garbage is left street containers in public areas Garbage is buried or by household and Sanitary pads, ☶ and not collected burned (19%) collected through disposable (80%) public system diapers, washing powder, washing (1%) NA NA ☶ basin, toothpaste, toothbrush, Proportion of households reporting presence of visible wastewater in shampoo, water the vicinity of their household15: treatment (100%)

No wastewater % households Visible wastewater Overall, 0% of IDP households and 1% of host community households ☪ 29% 290+710= 71% reported receiving assistance in the six months prior to data collection. ☶ 21% 210+790= 79% Of those, most common types of WASH assistance received were:

First most reported Second most reported Third most reported

☪ NA NA NA

Chlorine tablets NA NA ☶ (1%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Jafariyah District, Raymah Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Al Jafariyah district, Raymah governorate. Interviews were conducted with 103 host community and 101 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Al Jafariyah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 94,252 ☪ 82% 820+180= 18% 6 Total IDP population in district 8,976 ☶ 86% 860+140= 14% Average household (HH) size 11.4 Proportion of households reporting treating their drinking water: Proportion of households headed by men 98% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 47% 33% 330+670= 67% Average number of children under 5 per HH 2 ☪ 38% 380+620= 62% Average number of persons with disabilities per HH 0.1 ☶ Average number of pregnant and/or lactating women per HH 0.8 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 18 L 72% Number of suspected cases of cholera from January to August ☶ 18 L 69% 20187 2,419 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 15% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 45% 450+550= 55% Proportion of households reporting the use of an improved water source as 40% 400+600= 60% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 440+560= 10 44% 56% 30 min or less % households More than 30 min ☶ 52% 520+480= 48% ☪ 27% 270+730= 73% ☶ 24% 240+760= 76%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Jafariyah District, Raymah Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 88% 880+120= 12% 910+090= ☪ 91% 9% ☶ 96% 960+040= 4% ☶ 92% 920+080= 8% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We prefer a We cannot afford subsitute / The Not sharing % households Sharing NA ☪ it (83%) market is too far ☪ 82% 820+180= 18% (8%) ☶ 75% 750+250= 25% We cannot afford ☶ it / We ran out of NA NA soap (50%) Proportion of households with access to latrines reporting having 14 access to an improved latrine : Proportion of households reporting washing their hands after at least Improved % households Unimproved two critical times17: ☪ 11% 110+890= 89% Washing hands % households Not washing hands ☶ 12% 120+880= 88% ☪ 82% 820+180= 18% ☶ 97% 970+030= 3% Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to First most reported Second most reported Third most reported afford18:

Garbage is left First most reported Second most reported Third most reported in public areas Garbage is buried or ☪ NA Disposable and not collected burned (14%) Sanitary pads, diapers, (86%) washing basin, Shampoo (95%) ☪ toothbrush toothpaste (98%) Garbage is left (100%) in public areas Garbage is buried or ☶ NA and not collected burned (17%) Disposable Jerry can / bucket, (83%) diapers, washing sanitary pads, Shampoo (95%) ☶ basin, toothpaste toothbrush (97%) (100%)

Proportion of households reporting presence of visible wastewater in Overall, 67% of IDP households and 75% of host community households the vicinity of their household15: reported receiving assistance in the six months prior to data collection. No wastewater % households Visible wastewater Of those, most common types of WASH assistance received were: ☪ 21% 210+790= 79% First most reported Second most reported Third most reported ☶ 15% 150+850= 85% Chlorine tablets Basic/consumable Water containers ☪ (55%) hygiene kits (16%) (12%)

Chlorine tablets Basic/consumable Water containers ☶ (62%) hygiene kits (12%) (6%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Maqatirah District, Lahj Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Al Maqatirah district, Lahj governorate. Interviews were conducted with 104 host community and 104 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Al Maqatirah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 73,525 ☪ 13% 130+870= 87% 6 Total IDP population in district 8,178 ☶ 29% 290+710= 71% Average household (HH) size 11.5 Proportion of households reporting treating their drinking water: Proportion of households headed by men 88% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 62% 7% 070+930= 93% Average number of children under 5 per HH 2.3 ☪ 7% 070+930= 93% Average number of persons with disabilities per HH 0.8 ☶ Average number of pregnant and/or lactating women per HH 0.8 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 33 L 74% Number of suspected cases of cholera from January to August ☶ 26 L 72% 20187 1,335 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 9% 090+910= 91% Proportion of households reporting the use of an improved water source as 13% 130+870= 87% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 450+550= 10 45% 55% 30 min or less % households More than 30 min ☶ 48% 480+520= 52% ☪ 13% 130+870= 87% ☶ 11% 110+890= 89%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Maqatirah District, Lahj Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 29% 290+710= 71% 280+720= ☪ 28% 72% ☶ 36% 360+640= 64% ☶ 38% 380+630= 63% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We cannot afford We ran out of soap ☪ NA Not sharing % households Sharing it (82%) (18%) ☪ 57% 570+430= 43% ☶ We cannot afford We ran out of soap The market is too ☶ 46% 460+540= 54% it (87%) (10%) far (3%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 89% 890+110= 11% ☪ 57% 570+430= 43% ☪ ☶ 87% 870+130= 13% ☶ 54% 540+460= 46% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Washing powder Jerry can / bucket, Garbage is left ☪ Bar of soap (51%) in public areas Garbage is buried or (50%) shampoo (49%) NA ☪ and not collected burned (30%) (70%) Bar of soap, Jerry can / bucket, Garbage is left ☶ washing powder disposable diapers Shampoo (58%) in public areas Garbage is buried or (63%) (60%) NA ☶ and not collected burned (36%) (64%)

Overall, 4% of IDP households and 5% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15:

No wastewater % households Visible wastewater First most reported Second most reported Third most reported ☪ 9% 090+910= 91% Basic/ Water containers consumable NA ☶ 9% 090+910= 91% ☪ (2%) hygiene kits (4%) Basic/ Safe drinking water; ☶ consumable water containers; NA hygiene kits (3%) chlorine tablets (1%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Maslub District, Al Jawf Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Al Maslub district, Al Jawf governorate. Interviews were conducted with 98 host community and 78 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Al Maslub district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 13,978 ☪ 15% 150+850= 85% 6 Total IDP population in district 2,634 ☶ 27% 270+730= 73% Average household (HH) size 11.1 Proportion of households reporting treating their drinking water: Proportion of households headed by men 86% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 43% 13% 130+870= 87% Average number of children under 5 per HH 2.7 ☪ 13% 130+870= 87% Average number of persons with disabilities per HH 0.4 ☶ Average number of pregnant and/or lactating women per HH 0.6 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.7 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 46 L 97% Number of suspected cases of cholera from January to August ☶ 41 L 93% 20187 314 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 13% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 43% 430+570= 57% Proportion of households reporting the use of an improved water source as 36% 360+640= 64% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 560+440= 10 56% 44% 30 min or less % households More than 30 min ☶ 53% 530+470= 47% ☪ 39% 390+610= 61% ☶ 39% 390+610= 61%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Maslub District, Al Jawf Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 53% 530+470= 47% 510+490= ☪ 51% 49% ☶ 49% 490+510= 51% ☶ 40% 400+600= 60% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We cannot afford We ran out of soap ☪ NA Not sharing % households Sharing it (94%) (6%) ☪ 60% 600+400= 40% Soap is not We cannot afford We ran out of soap necessary / The ☶ 41% 410+590= 59% ☶ it (83%) (13%) market is too far (2%)

Proportion of households with access to latrines reporting having Proportion of households reporting washing their hands after at least access to an improved latrine14: two critical times17: Improved Unimproved % households Washing hands % households Not washing hands ☪ 40% 400+600= 60% ☪ 42% 420+580= 58% ☶ 68% 680+320= 32% ☶ 46% 460+540= 54%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left Sanitary pads, in public areas Garbage is buried or Disposable diapers, Jerry can / bucket, ☪ NA washing basin, and not collected burned (41%) water treatment washing powder, ☪ toothpaste (59%) (99%) toothbrush (97%) (100%) Garbage is left in Garbage is buried ☶ public areas and not NA Jerry can / bucket, Bar of soap, or burned (52%) Toothpaste, collected (48%) sanitary pads, disposable toothbrush, water ☶ washing powder, diapers, shampoo treatment (100%) washing basin (99%) (98%)

Overall, 38% of IDP households and 44% of host community households Proportion of households reporting presence of visible wastewater in reported receiving assistance in the six months prior to data collection. the vicinity of their household15: Of those, most common types of WASH assistance received were: No wastewater % households Visible wastewater ☪ 75% 750+250= 25% First most reported Second most reported Third most reported ☶ 70% 700+300= 30% Support for the Chlorine tablets; construction or basic/consumable Water containers maintenance ☪ hygiene kits (10%) of water and/or (26%) sanitation facilities (1%)

Chlorine tablets Basic/consumable Water containers ☶ (33%) hygiene kits (27%) (5%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Maton District, Al Jawf Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Al Maton district, Al Jawf governorate. Interviews were conducted with 98 host community and 106 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Al Maton district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 36,363 ☪ 34% 340+660= 66% 6 Total IDP population in district 6,246 ☶ 27% 270+730= 73% Average household (HH) size 11.5 Proportion of households reporting treating their drinking water: Proportion of households headed by men 89% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 62% 25% 250+750= 75% Average number of children under 5 per HH 2.9 ☪ 15% 150+850= 85% Average number of persons with disabilities per HH 0.4 ☶ Average number of pregnant and/or lactating women per HH 0.8 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.8 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 27 L 72% Number of suspected cases of cholera from January to August ☶ 28 L 68% 20187 1,842 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 13% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 14% 140+860= 86% Proportion of households reporting the use of an improved water source as 16% 160+840= 84% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 500+500= 10 50% 50% 30 min or less % households More than 30 min ☶ 37% 370+630= 63% ☪ 27% 270+730= 73% ☶ 25% 250+750= 75%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Maton District, Al Jawf Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 22% 220+780= 78% 530+470= ☪ 53% 47% ☶ 12% 120+880= 88% ☶ 65% 650+350= 35% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting for We cannot afford We ran out of the next distribution Not sharing % households Sharing ☪ it (74%) soap (9%) (12%) ☪ 57% 570+430= 43% We are waiting We cannot afford We ran out of soap ☶ 59% 590+410= 41% for the next ☶ it (63%) (28%) distribution (9%)

Proportion of households with access to latrines reporting having Proportion of households reporting washing their hands after at least 14 access to an improved latrine : two critical times17: Improved % households Unimproved Washing hands % households Not washing hands ☪ 71% 710+290= 29% ☪ 65% 650+350= 35% ☶ 66% 660+340= 34% ☶ 57% 570+430= 43%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left Disposable Garbage is left in street by diapers, washing Bar of soap, jerry in public areas Garbage is buried or household and powder, washing can / bucket, Water treatment ☪ and not collected burned (14%) collected through ☪ basin, toothpaste, sanitary pads, (85%) (84%) public system toothbrush shampoo (99%) (2%) (100%) Garbage is left Disposable in public areas Garbage is buried or NA diapers, washing Bar of soap, jerry ☶ and not collected burned (10%) powder, washing can / bucket, Water treatment (90%) ☶ basin, toothpaste, sanitary pads, (95%) toothbrush shampoo (99%) Proportion of households reporting presence of visible wastewater in (100%) the vicinity of their household15: Overall, 46% of IDP households and 34% of host community households No wastewater % households Visible wastewater reported receiving assistance in the six months prior to data collection. ☪ 44% 440+560= 56% Of those, most common types of WASH assistance received were: ☶ 54% 540+460= 46% First most reported Second most reported Third most reported Basic/ consumable Chlorine tablets Safe drinking ☪ hygiene kits (28%) water (1%) (40%) Basic/ consumable Chlorine tablets NA ☶ hygiene kits (26%) (29%) 14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Miftah District, Hajjah Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Al Miftah district, Hajjah governorate. Interviews were conducted with 108 host community and 89 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Al Miftah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 49,272 ☪ 72% 720+280= 28% 6 Total IDP population in district 4,458 ☶ 74% 740+260= 26% Average household (HH) size 9.6 Proportion of households reporting treating their drinking water: Proportion of households headed by men 93% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 26% 81% 810+190= 19% Average number of children under 5 per HH 1.5 ☪ 87% 870+130= 13% Average number of persons with disabilities per HH 0.2 ☶ Average number of pregnant and/or lactating women per HH 0.6 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.9 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 19 L 60% Number of suspected cases of cholera from January to August ☶ 20 L 72% 20187 2,255 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 13% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 6% 060+940= 94% Proportion of households reporting the use of an improved water source as 12% 120+880= 88% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 350+650= 10 35% 65% 30 min or less % households More than 30 min ☶ 35% 350+650= 65% ☪ 36% 360+640= 64% ☶ 29% 290+710= 71%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Miftah District, Hajjah Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 75% 750+250= 25% 930+070= ☪ 93% 7% ☶ 75% 750+250= 25% ☶ 98% 980+020= 2% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting We ran out of soap We cannot afford for the next Not sharing % households Sharing ☪ (36%) it (14%) distribution (45%) ☪ 84% 840+160= 16% We cannot afford We are waiting for ☶ 86% 860+140= 14% ☶ it / We ran out of the next distribution NA soap (38%) (23%)

Proportion of households with access to latrines reporting having Proportion of households reporting washing their hands after at least access to an improved latrine14: two critical times17: Improved Unimproved % households Washing hands % households Not washing hands 3% 030+970= 97% ☪ ☪ 88% 880+120= 12% 6% 060+940= 94% ☶ ☶ 78% 780+220= 22%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left in public areas Garbage is buried or Jerry can / bucket, NA Washing powder ☪ and not collected burned (20%) Shampoo (96%) disposable ☪ (92%) (80%) diapers (79%) Garbage is left in public areas Garbage is buried or ☶ NA Washing powder and not collected burned (34%) ☶ Shampoo (97%) Toothpaste (83%) (66%) (87%)

Overall, 98% of IDP households and 97% of host community households Proportion of households reporting presence of visible wastewater in reported receiving assistance in the six months prior to data collection. the vicinity of their household15: Of those, most common types of WASH assistance received were: No wastewater % households Visible wastewater ☪ 2% 020+980= 98% First most reported Second most reported Third most reported ☶ 4% 96% Chlorine tablets Basic/consumable 040+960= NA ☪ (97%) hygiene kits (19%)

Chlorine tablets Basic/consumable NA ☶ (96%) hygiene kits (30%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Qabbaytah District, Lahj Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Al Qabbaytah district, Lahj governorate. Interviews were conducted with 108 host community and 99 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Al Qabbaytah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 130,653 ☪ 30% 300+700= 70% 6 Total IDP population in district 13,542 ☶ 50% 500+500= 50% Average household (HH) size 8.9 Proportion of households reporting treating their drinking water: Proportion of households headed by men 90% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 21% 24% 240+760= 76% Average number of children under 5 per HH 1.5 ☪ 12% 120+880= 88% Average number of persons with disabilities per HH 0.4 ☶ Average number of pregnant and/or lactating women per HH 0.7 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.9 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 27 L 88% Number of suspected cases of cholera from January to August ☶ 28 L 81% 20187 1,186 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 39% 390+610= 61% Proportion of households reporting the use of an improved water source as 47% 470+530= 53% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 440+560= 10 44% 56% 30 min or less % households More than 30 min ☶ 61% 610+390= 39% ☪ 22% 220+780= 78% ☶ 17% 170+830= 83%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Al Qabbaytah District, Lahj Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 62% 620+380= 38% 730+270= ☪ 73% 27% ☶ 79% 790+210= 21% ☶ 73% 730+270= 27% Main reported reasons for not having soap16: First most reported Second most reported Third most reported Proportion of households with access to latrines reporting sharing Soap is not latrines with people other than HH members: necessary / The We cannot afford Not sharing % households Sharing market is too far / NA ☪ it (92%) ☪ 93% 930+070= 7% We ran out of soap (3%) ☶ 85% 850+150= 15% We cannot afford Soap is not NA ☶ it (96%) necessary (4%) Proportion of households with access to latrines reporting having access to an improved latrine14: Proportion of households reporting washing their hands after at least two critical times17: Improved % households Unimproved ☪ 17% 170+830= 83% Washing hands % households Not washing hands 91% 910+090= 9% ☶ 28% 280+720= 72% ☪ ☶ 94% 940+060= 6%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported Garbage is left in First most reported Second most reported Third most reported Garbage is buried ☪ public areas and not NA Sanitary pads, or burned (53%) Washing powder collected (47%) Bar of soap (80%) disposable ☪ (89%) Garbage is left in diapers (62%) Garbage is buried public areas and not NA ☶ or burned (60%) collected (36%) Washing powder Washing basin Bar of soap (75%) ☶ (69%) (63%) Proportion of households reporting presence of visible wastewater in the vicinity of their household15: Overall, 5% of IDP households and 12% of host community households No wastewater % households Visible wastewater reported receiving assistance in the six months prior to data collection. ☪ 27% 270+730= 73% Of those, most common types of WASH assistance received were: ☶ 30% 300+700= 70% First most reported Second most reported Third most reported Basic/ Water containers; consumable NA ☪ chlorine tablets (1%) hygiene kits (3%) Support for the construction or Basic/ Chlorine tablets maintenance consumable ☶ (4%) of water and/or hygiene kits (7%) sanitation facilities (2%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Arhab District, Sana'a Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Arhab district, Sana'a governorate. Interviews were conducted with 101 host community and 95 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Arhab district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 113,763 ☪ 15% 150+850= 85% 6 Total IDP population in district 11,706 ☶ 18% 180+820= 82% Average household (HH) size 8.4 Proportion of households reporting treating their drinking water: Proportion of households headed by men 90% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 7% 15% 150+850= 85% Average number of children under 5 per HH 1.5 ☪ 13% 130+870= 87% Average number of persons with disabilities per HH 0.1 ☶ Average number of pregnant and/or lactating women per HH 0.5 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.6 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 69 L 92% Number of suspected cases of cholera from January to August ☶ 67 L 88% 20187 4,349 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 10% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 31% 310+690= 69% Proportion of households reporting the use of an improved water source as 42% 420+580= 58% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 120+880= 10 12% 88% 30 min or less % households More than 30 min ☶ 13% 130+870= 87% ☪ 40% 400+600= 60% ☶ 54% 540+460= 46%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Arhab District, Sana'a Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 59% 590+410= 41% 930+070= ☪ 93% 7% ☶ 70% 700+300= 30% ☶ 96% 960+040= 4% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: It is unavailable at The market is too We cannot afford it the local market Not sharing % households Sharing ☪ far (50%) (47%) (3%) ☪ 97% 970+030= 3% The market is too We cannot afford it NA ☶ 98% 980+020= 2% ☶ far (57%) (43%)

Proportion of households with access to latrines reporting having Proportion of households reporting washing their hands after at least access to an improved latrine14: two critical times17: Improved % households Unimproved Washing hands % households Not washing hands ☪ 18% 180+820= 82% ☪ 100% 1000+0= 0% ☶ 26% 260+740= 74% ☶ 99% 990+010= 1%

Top WASH items households reported needing, but were unable to Most commonly reported methods of garbage disposal: afford18:

First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left in Garbage is buried Jerry can / bucket Disposable public areas and not NA ☪ Bar of soap (90%) ☪ or burned (95%) (53%) diapers (29%) collected (5%) Garbage is left in Garbage is buried public areas and not NAA Jerry can / bucket Sanitary pads ☶ or burned (92%) Bar of soap (84%) collected (8%) ☶ (48%) (35%)

Proportion of households reporting presence of visible wastewater in the vicinity of their household15:

No wastewater % households Visible wastewater Overall, 32% of IDP households and 23% of host community households ☪ 69% 690+310= 31% reported receiving assistance in the six months prior to data collection. ☶ 74% 740+260= 26% Of those, most common types of WASH assistance received were:

First most reported Second most reported Third most reported Basic/ Water containers; consumable NA ☪ other (1%) hygiene kits (2%) Basic/ Water containers; consumable NA ☶ chlorine tablets (1%) hygiene kits (3%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Ash Shamayatayn District, Taizz Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Ash Shamayatayn district, Taizz governorate. Interviews were conducted with 103 host community and 115 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Ash Shamayatayn district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 203,257 ☪ 54% 540+460= 46% 6 Total IDP population in district 28,068 ☶ 60% 600+400= 40% Average household (HH) size 8.8 Proportion of households reporting treating their drinking water: Proportion of households headed by men 78% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 34% 23% 230+770= 77% Average number of children under 5 per HH 1 ☪ 18% 180+820= 82% Average number of persons with disabilities per HH 0.3 ☶ Average number of pregnant and/or lactating women per HH 0.5 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.9 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 44 L 84% Number of suspected cases of cholera from January to August ☶ 39 L 83% 20187 915 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 18% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 42% 420+580= 58% Proportion of households reporting the use of an improved water source as 51% 510+490= 49% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 860+140= 10 86% 14% 30 min or less % households More than 30 min ☶ 91% 910+090= 9% ☪ 49% 490+510= 51% ☶ 37% 370+630= 63%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Ash Shamayatayn District, Taizz Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 84% 840+160= 16% 960+040= ☪ 96% 4% ☶ 87% 870+130= 13% ☶ 95% 950+050= 5% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We prefer Not sharing % households Sharing We ran out of We cannot afford it a subsitute ☪ soap (56%) (33%) (example: ash) ☪ 84% 840+160= 16% (11%) ☶ 89% 890+110= 11% We ran out of We cannot afford it NA ☶ soap (85%) (15%)

Proportion of households with access to latrines reporting having access to an improved latrine14: Proportion of households reporting washing their hands after at least 17 Improved % households Unimproved two critical times : ☪ 59% 590+410= 41% Washing hands % households Not washing hands ☶ 60% 600+400= 40% ☪ 90% 900+100= 10% ☶ 90% 900+100= 10% Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to 18 First most reported Second most reported Third most reported afford : Garbage is left First most reported Second most reported Third most reported in street by Garbage is left in Garbage is buried household and Sanitary pads Disposable public areas and not ☪ Shampoo (76%) ☪ or burned (76%) collected through (78%) diapers (67%) collected (13%) public system (6%) Sanitary pads Disposable diapers Shampoo (72%) Garbage is left in ☶ (80%) (78%) street containers Garbage is left in Garbage is buried by household and public areas and not ☶ or burned (79%) collected through collected (14%) public system Overall, 32% of IDP households and 30% of host community households (5%) reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: Proportion of households reporting presence of visible wastewater in 15 the vicinity of their household : First most reported Second most reported Third most reported No wastewater % households Visible wastewater Basic/ ☪ 17% 170+830= 83% consumable Chlorine tablets Water containers ☪ hygiene kits (3%) (2%) ☶ 19% 190+810= 81% (28%) Support for the Basic/ construction or consumable Chlorine tablets maintenance ☶ hygiene kits (3%) of water and/or (24%) sanitation facilities (2%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Aslem District, Hajjah Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Aslem district, Hajjah governorate. Interviews were conducted with 121 host community and 98 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Aslem district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 78,522 ☪ 30% 300+700= 70% 6 Total IDP population in district 14,766 ☶ 29% 290+710= 71% Average household (HH) size 10.4 Proportion of households reporting treating their drinking water: Proportion of households headed by men 91% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 17% 6% 060+940= 94% Average number of children under 5 per HH 1.9 ☪ 13% 130+870= 87% Average number of persons with disabilities per HH 0.6 ☶ Average number of pregnant and/or lactating women per HH 0.7 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 32 L 81% Number of suspected cases of cholera from January to August ☶ 30 L 72% 20187 1,924 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 17% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 15% 150+850= 85% Proportion of households reporting the use of an improved water source as 29% 290+710= 71% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 940+060= 10 94% 6% 30 min or less % households More than 30 min ☶ 90% 900+100= 10% ☪ 47% 470+530= 53% ☶ 50% 500+500= 50%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Aslem District, Hajjah Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 16% 160+840= 84% 210+790= ☪ 21% 79% ☶ 18% 180+830= 83% ☶ 38% 380+620= 62% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: ☪ We cannot afford We ran out of soap The market is too Not sharing % households Sharing it (89%) (6%) far (4%) ☪ 77% 770+230= 23% ☶ We cannot afford We ran out of soap The market is too ☶ 77% 770+230= 23% it (83%) (12%) far (4%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 80% 800+200= 20% ☪ 16% 160+840= 84% ☪ ☶ 83% 830+170= 17% ☶ 27% 270+730= 73%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left Garbage is left in street by Jerry can / bucket Washing powder Bar of soap (86%) in public areas Garbage is buried or household and ☪ (87%) (80%) ☪ and not collected burned (4%) collected through (95%) public system (1%) Washing powder Jerry can / bucket ☶ Bar of soap (92%) Garbage is left (89%) (86%) Garbage is left in street by in public areas Garbage is buried or household and ☶ and not collected burned (2%) collected through (97%) public system (1%) Overall, 8% of IDP households and 17% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15:

No wastewater % households Visible wastewater First most reported Second most reported Third most reported ☪ 77% 770+230= 23% Basic/ ☶ 70% 30% ☪ consumable Other (3%) NA 700+300= hygiene kits (6%) Basic/ consumable Chlorine tablets NA ☶ hygiene kits (1%) (17%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment At Ta'iziyah District, Taizz Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in At Ta'iziyah district, Taizz governorate. Interviews were conducted with 116 host community and 103 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in At Ta'iziyah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 268,402 ☪ 64% 640+360= 36% 6 Total IDP population in district 49,050 ☶ 71% 710+290= 29% Average household (HH) size 6.1 Proportion of households reporting treating their drinking water: Proportion of households headed by men 80% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 8% 30% 300+700= 70% Average number of children under 5 per HH 0.8 ☪ 34% 340+660= 66% Average number of persons with disabilities per HH 0.2 ☶ Average number of pregnant and/or lactating women per HH 0.5 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.7 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 102 L 98% Number of suspected cases of cholera from January to August ☶ 97 L 97% 20187 15780 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 18% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 42% 420+580= 58% Proportion of households reporting the use of an improved water source as 56% 560+440= 44% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 520+480= 10 52% 48% 30 min or less % households More than 30 min ☶ 75% 750+250= 25% ☪ 13% 130+870= 87% ☶ 31% 310+690= 69%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment At Ta'iziyah District, Taizz Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 62% 620+380= 38% 920+080= ☪ 92% 8% ☶ 85% 850+150= 15% ☶ 94% 940+060= 6% Main reported reasons for not having soap16: First most reported Second most reported Third most reported Proportion of households with access to latrines reporting sharing We are waiting We cannot afford We ran out of soap latrines with people other than HH members: for the next ☪ it (49%) (31%) Not sharing % households Sharing distribution (13%) ☪ 92% 920+080= 8% Soap is not necessary / We We prefer a ☶ 90% 900+100= 10% We cannot afford are waiting for the subsitute (example: ☶ it (41%) next distribution ash) (24%) / We ran out of Proportion of households with access to latrines reporting having soap (12%) access to an improved latrine14: Improved % households Unimproved Proportion of households reporting washing their hands after at least two critical times17: ☪ 65% 650+350= 35% Washing hands % households Not washing hands ☶ 65% 650+340= 34% ☪ 84% 840+160= 16% ☶ 93% 930+070= 7% Most commonly reported methods of garbage disposal:

First most reported Second most reported Third most reported Top WASH items households reported needing, but were unable to afford18,19: Garbage is left in Garbage is left street containers First most reported Second most reported Third most reported ☪ in public areas Garbage is buried or by household and and not collected burned (33%) collected through ☪ Washing basin Jerry can / bucket Disposable (39%) public system (87%) (78%) diapers (74%) (17%) Garbage is left Washing basin Disposable diapers Jerry can / bucket Garbage is left in street by ☶ (85%) (74%) (71%) in public areas Garbage is buried or household and ☶ and not collected burned (33%) collected through (52%) public system (8%) Overall, 59% of IDP households and 75% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15: First most reported Second most reported Third most reported No wastewater % households Visible wastewater Basic/ ☪ 40% 400+600= 60% consumable Chlorine tablets Safe drinking ☶ 50% 500+500= 50% ☪ hygiene kits (14%) water (5%) (46%) Basic/ consumable Chlorine tablets Safe drinking ☶ hygiene kits (15%) water (9%) (64%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district. 19 In At Ta'iziyah District, 14% of IDP HHs and 32% of HC HHs did not report an answer for sanitary pads.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Ataq District, Shabwah Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Ataq district, Shabwah governorate. Interviews were conducted with 105 host community and 89 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Ataq district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 49,218 ☪ 73% 730+270= 27% 6 Total IDP population in district 4,266 ☶ 65% 650+350= 35% Average household (HH) size 8.9 Proportion of households reporting treating their drinking water: Proportion of households headed by men 93% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 31% 0% 000+1000= 100% Average number of children under 5 per HH 1.6 ☪ 2% 020+980= 98% Average number of persons with disabilities per HH 0.3 ☶ Average number of pregnant and/or lactating women per HH 0.4 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.4 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 68 L 98% Number of suspected cases of cholera from January to August ☶ 58 L 90% 20187 323 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 7% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 99% 990+100= 1% Proportion of households reporting the use of an improved water source as 95% 950+050= 5% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 980+020= 10 98% 2% 30 min or less % households More than 30 min ☶ 95% 950+050= 5% ☪ 54% 540+460= 46% ☶ 64% 640+360= 36%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Ataq District, Shabwah Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 100% 1000+0= 0% 1000+0= ☪ 100% 0% ☶ 100% 1000+0= 0% ☶ 99% 990+010= 1% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: ☪ NA NA NA Not sharing % households Sharing ☪ 76% 760+240= 24% ☶ NA NA NA ☶ 76% 760+240= 24%

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 100% 1000+0= 0% ☪ 22% 220+780= 78% ☪ ☶ 100% 1000+0= 0% ☶ 25% 250+750= 75% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left Garbage is left in ☪ NA NA NA in street by street containers Garbage is buried household and by household and ☪ or burned (40%) collected through collected through public system public system (35%) ☶ NA NA NA (21%) Garbage is left in Garbage is left in street containers street by household Garbage is buried by household and and collected ☶ or burned (79%) collected through through public public system Overall, 100% of IDP households and 100% of host community system (10%) (8%) households reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received Proportion of households reporting presence of visible wastewater in the vicinity of their household15: First most reported Second most reported Third most reported No wastewater % households Visible wastewater Basic/ consumable Chlorine tablets ☪ 9% 090+910= 91% NA ☪ hygiene kits (61%) ☶ 1% 010+990= 99% (100%) Basic/ consumable Chlorine tablets NA ☶ hygiene kits (44%) (96%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Az Zahir District, Al Jawf Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Az Zahir district, Al Jawf governorate. Interviews were conducted with 97 host community and 85 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Az Zahir district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 32,037 ☪ 35% 350+650= 65% 6 Total IDP population in district 3,000 ☶ 26% 260+740= 74% Average household (HH) size 10.8 Proportion of households reporting treating their drinking water: Proportion of households headed by men 84% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 64% 4% 040+960= 96% Average number of children under 5 per HH 2.2 ☪ 2% 020+980= 98% Average number of persons with disabilities per HH 1.1 ☶ Average number of pregnant and/or lactating women per HH 0.8 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 16 L 58% Number of suspected cases of cholera from January to August ☶ 14 L 45% 20187 1324 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 13% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 16% 160+840= 84% Proportion of households reporting the use of an improved water source as 14% 140+860= 86% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 690+310= 10 69% 31% 30 min or less % households More than 30 min ☶ 89% 890+110= 11% ☪ 1% 010+990= 99% ☶ 11% 110+890= 89%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Az Zahir District, Al Jawf Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 36% 360+640= 64% 740+260= ☪ 74% 26% ☶ 41% 410+590= 59% ☶ 66% 660+340= 34% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: ☪ We cannot afford The market is too far We ran out of Not sharing % households Sharing it (44%) (20%) soap (19%) ☪ 56% 560+440= 44% ☶ We cannot afford The market is too far We ran out of ☶ 51% 510+490= 49% it (55%) (23%) soap (14%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 94% 940+060= 6% ☪ 24% 240+760= 76% ☪ ☶ 97% 970+030= 3% ☶ 48% 480+520= 52% Top WASH items households reported needing, but were unable to Most commonly reported methods of garbage disposal: afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left in street by Washing powder Jerry can / bucket Garbage is left in Shampoo (91%) Garbage is buried household and ☪ (94%) (89%) public areas and not ☪ or burned (53%) collected through collected (39%) public system Bar of soap, (5%) Jerry can / bucket washing powder Shampoo (95%) ☶ (94%) Garbage is left (96%) in street by Garbage is left in Garbage is buried household and public areas and not ☶ or burned (52%) collected through collected (26%) public system (12%) Overall, 56% of IDP households and 39% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15:

No wastewater % households Visible wastewater First most reported Second most reported Third most reported ☪ 99% 990+010= 1% Basic/ consumable Safe drinking water ☶ 99% 990+010= 1% NA ☪ hygiene kits (1%) (44%) Basic/ consumable Chlorine tablets NA ☶ hygiene kits (1%) (30%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Bani Dhabyan District, Sana'a Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Bani Dhabyan district, Sana'a governorate. Interviews were conducted with 96 host community and 89 IDP randomly selected households in the district. Findings concerning HC are representative at district level with a 95% confidence level and a 10% margin of error. Findings concerning IDPs are representative at district level with a 90% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Bani Dhabyan district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 20,498 ☪ 53% 530+470= 47% 6 Total IDP population in district 9,510 ☶ 44% 440+560= 56% Average household (HH) size 14.1 Proportion of households reporting treating their drinking water: Proportion of households headed by men 98% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 29% 12% 120+880= 88% Average number of children under 5 per HH 2.6 ☪ 17% 170+830= 83% Average number of persons with disabilities per HH 0.2 ☶ Average number of pregnant and/or lactating women per HH 0.9 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.9 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 27 L 75% Number of suspected cases of cholera from January to August ☶ 41 L 91% 20187 3,261 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 10% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 43% 430+570= 57% Proportion of households reporting the use of an improved water source as 35% 350+650= 65% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 040+960= 10 4% 96% 30 min or less % households More than 30 min ☶ 16% 160+840= 84% ☪ 17% 170+830= 83% ☶ 35% 350+650= 65%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Bani Dhabyan District, Sana'a Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 64% 640+360= 36% 170+830= ☪ 17% 83% ☶ 77% 770+230= 23% ☶ 37% 370+630= 63% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: The market is too far We cannot afford / We ran out of soap NA Not sharing % households Sharing ☪ it (94%) (3%) ☪ 89% 890+110= 11% We cannot afford The market is too far NA ☶ 73% 730+270= 27% ☶ it (73%) (27%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having 17 access to an improved latrine14: two critical times : Improved % households Unimproved Washing hands % households Not washing hands ☪ 0% 0+1000= 100% ☪ 69% 690+310= 31% ☶ 8% 080+920= 92% ☶ 79% 790+210= 21%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left in public areas Garbage is buried or Sanitary pads, ☪ NA disposable and not collected burned (43%) Washing powder Tootbrush, water diapers, washing (57%) ☪ (87%) treatment (86%) basin, toothpaste, Garbage is left shampoo (89%) Garbage is left in street by in public areas Garbage is buried or household and Disposable ☶ and not collected burned (42%) collected through diapers, washing (55%) public system ☶ powder, washing Sanitary pads, Jerry can / bucket (3%) basin, toothpaste, toothbrush (92%) (12%) shampoo, water treatment (93%) Proportion of households reporting presence of visible wastewater in 15 the vicinity of their household : Overall, 66% of IDP households and 74% of host community households No wastewater % households Visible wastewater reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: ☪ 84% 840+160= 16% ☶ 86% 860+140= 14% First most reported Second most reported Third most reported Basic/ consumable Chlorine tablets Other (6%) ☪ hygiene kits (46%) (51%) Basic/ consumable Chlorine tablets Other (5%) ☶ hygiene kits (44%) (58%) 14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Bani Sa'd District, Al Mahwit Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Bani Sa'd district, Al Mahwit governorate. Interviews were conducted with 105 host community and 98 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Bani Sa'd district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 84,525 ☪ 15% 150+850= 85% 6 Total IDP population in district 7,752 ☶ 13% 130+870= 87% Average household (HH) size 9.6 Proportion of households reporting treating their drinking water: Proportion of households headed by men 96% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 16% 49% 490+510= 51% Average number of children under 5 per HH 1.9 ☪ 67% 670+330= 33% Average number of persons with disabilities per HH 0.4 ☶ Average number of pregnant and/or lactating women per HH 0.6 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.8 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 21 L 60% Number of suspected cases of cholera from January to August ☶ 26 L 68% 20187 9,559 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 17% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 49% 490+510= 51% Proportion of households reporting the use of an improved water source as 54% 540+460= 46% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 100+900= 10 10% 90% 30 min or less % households More than 30 min ☶ 10% 100+900= 90% ☪ 32% 320+680= 68% ☶ 25% 250+750= 75%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Bani Sa'd District, Al Mahwit Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 51% 510+490= 49% 220+780= ☪ 22% 78% ☶ 61% 610+390= 39% ☶ 35% 350+650= 65% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting We cannot afford We ran out of soap for the next Not sharing % households Sharing ☪ it (90%) (8%) distribution (2%) ☪ 81% 810+190= 19% We cannot afford We ran out of soap NA ☶ 92% 920+80= 8% ☶ it (90%) (10%)

Proportion of households with access to latrines reporting having access to an improved latrine14: Proportion of households reporting washing their hands after at least 17 Improved % households Unimproved two critical times : ☪ 59% 590+410= 41% Washing hands % households Not washing hands ☶ 54% 540+460= 46% ☪ 82% 820+180= 18% ☶ 70% 700+300= 30% Most commonly reported methods of garbage disposal:

First most reported Second most reported Third most reported Top WASH items households reported needing, but were unable to 18 Garbage is left afford : in public areas Garbage is buried or NA First most reported Second most reported Third most reported ☪ and not collected burned (10%) (90%) ☪ Washing powder Disposable diapers Washing basin Garbage is left (97%) (96%) (92%) in public areas Garbage is buried or NA ☶ and not collected burned (10%) (90%) Washing powder Disposable diapers Washing basin ☶ (95%) (92%) (91%)

Proportion of households reporting presence of visible wastewater in the vicinity of their household15: Overall, 91% of IDP households and 95% of host community households reported receiving assistance in the six months prior to data collection. No wastewater Visible wastewater % households Of those, most common types of WASH assistance received were: ☪ 53% 530+470= 47% First most reported Second most reported Third most reported ☶ 49% 490+510= 51% Chlorine tablets Basic/consumable Other (17%) ☪ (86%) hygiene kits (67%)

Chlorine tablets Basic/consumable Other (15%) ☶ (94%) hygiene kits (66%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Bani Suraim District, Amran Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Bani Suraim district, Amran governorate. Interviews were conducted with 107 host community and 97 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Bani Suraim district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 39,435 ☪ 27% 270+730= 73% 6 Total IDP population in district 3,984 ☶ 42% 420+580= 58% Average household (HH) size 11.5 Proportion of households reporting treating their drinking water: Proportion of households headed by men 99% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 10% 61% 610+390= 39% Average number of children under 5 per HH 2.5 ☪ 67% 670+330= 33% Average number of persons with disabilities per HH 0.3 ☶ Average number of pregnant and/or lactating women per HH 0.9 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 56 L 94% Number of suspected cases of cholera from January to August ☶ 63 L 98% 20187 5,092 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 62% 620+380= 38% Proportion of households reporting the use of an improved water source as 69% 690+310= 31% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 180+820= 10 18% 82% 30 min or less % households More than 30 min ☶ 19% 190+810= 81% ☪ 57% 570+430= 43% ☶ 58% 580+420= 42%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Bani Suraim District, Amran Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 71% 710+290= 29% 910+090= ☪ 91% 9% ☶ 86% 860+140= 14% ☶ 98% 980+020= 2% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: Soap is not We cannot afford We ran out of soap necessary / Other Not sharing % households Sharing ☪ it (68%) (25%) (4%) ☪ 98% 980+020= 2% We are waiting We cannot afford We ran out of soap ☶ 96% 960+040= 4% for the next ☶ it (53%) (27%) distribution (13%)

Proportion of households with access to latrines reporting having Proportion of households reporting washing their hands after at least access to an improved latrine14: two critical times17: Improved % households Unimproved Washing hands % households Not washing hands ☪ 37% 370+630= 63% ☪ 61% 610+390= 39% ☶ 40% 400+600= 60% ☶ 72% 720+280= 28%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left in public areas Garbage is buried or Disposable diapers, NA ☪ and not collected burned (22%) ☪ Bar of soap (98%) washing powder Shampoo (87%) (78%) (92%) Garbage is left Bar of soap, in public areas Garbage is buried or disposable Washing powder ☶ NA Shampoo (91%) and not collected burned (34%) ☶ diapers, (89%) (66%) toothpaste (92%)

Overall, 68% of IDP households and 81% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15:

No wastewater % households Visible wastewater First most reported Second most reported Third most reported ☪ 24% 240+760= 76% ☪ Chlorine tablets Basic/consumable Water containers ☶ 34% 340+660= 66% (66%) hygiene kits (54%) (18%) Chlorine tablets Basic/consumable Water containers ☶ (79%) hygiene kits (70%) (7%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Dhi Bin District, Amran Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Dhi Bin district, Amran governorate. Interviews were conducted with 161 host community and 57 IDP randomly selected households in the district. Findings concerning HC are representative at district level with a 95% confidence level and a 10% margin of error, while figures concerning IDPs should be considered as indicative. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Dhi Bin district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 38,079 ☪ 30% 300+700= 70% 6 Total IDP population in district 4,434 ☶ 42% 420+580= 58% Average household (HH) size 11.6 Proportion of households reporting treating their drinking water: Proportion of households headed by men 87% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 33% 19% 190+810= 81% Average number of children under 5 per HH 1.8 ☪ 25% 250+750= 75% Average number of persons with disabilities per HH 0.5 ☶ Average number of pregnant and/or lactating women per HH 0.6 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.9 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 29 L 65% Number of suspected cases of cholera from January to August ☶ 35 L 55% 20187 4,218 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 26% 260+740= 74% Proportion of households reporting the use of an improved water source as 46% 460+540= 54% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 480+520= 10 48% 52% 30 min or less % households More than 30 min ☶ 62% 620+380= 38% ☪ 48% 480+520= 52% ☶ 34% 340+660= 66%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Dhi Bin District, Amran Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 32% 320+680= 68% 510+490= ☪ 51% 49% ☶ 52% 520+480= 48% ☶ 71% 710+290= 29% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting for We cannot afford We ran out of the next distribution Not sharing % households Sharing ☪ it (79%) soap (8%) (10%) ☪ 81% 810+190= 19% We prefer ☶ 64% 640+360= 36% We cannot afford We ran out of soap a subsitute ☶ it (70%) (19%) (example: ash) (4%) Proportion of households with access to latrines reporting having access to an improved latrine14: Proportion of households reporting washing their hands after at least two critical times17: Improved % households Unimproved ☪ 66% 660+340= 34% Washing hands % households Not washing hands 39% 390+610= 61% ☶ 61% 610+390= 39% ☪ ☶ 68% 680+320= 32%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported Garbage is left in First most reported Second most reported Third most reported Garbage is left street containers Washing powder Washing basin Shampoo (84%) in public areas Garbage is buried or by household and ☪ (98%) (80%) ☪ and not collected burned (33%) collected through (65%) public system (2%) Washing powder Disposable Shampoo (80%) Garbage is left ☶ (85%) diapers (73%) Garbage is left in street by in public areas Garbage is buried or household and ☶ and not collected burned (35%) collected through (56%) public system Overall, 21% of IDP households and 37% of host community households (6%) reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: Proportion of households reporting presence of visible wastewater in the vicinity of their household15: First most reported Second most reported Third most reported ☪ No wastewater % households Visible wastewater ☪ Chlorine tablets Basic/consumable Water containers 26% 260+740= 74% (18%) hygiene kits (14%) (2%) ☶ 57% 570+430= 43% Chlorine tablets; basic/consumable Water containers NA ☶ hygiene kits (2%) (25%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Dimnat Khadir District, Taizz Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Dimnat Khadir district, Taizz governorate. Interviews were conducted with 106 host community and 103 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Dimnat Khadir district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 152,073 ☪ 45% 450+550= 55% 6 Total IDP population in district 28,668 ☶ 33% 330+670= 67% Average household (HH) size 8.3 Proportion of households reporting treating their drinking water: Proportion of households headed by men 80% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 26% 9% 090+910= 91% Average number of children under 5 per HH 1.4 ☪ 25% 250+750= 75% Average number of persons with disabilities per HH 0.2 ☶ Average number of pregnant and/or lactating women per HH 0.5 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.5 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 46 L 83% Number of suspected cases of cholera from January to August ☶ 44 L 84% 20187 1,960 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 18% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 29% 290+710= 71% Proportion of households reporting the use of an improved water source as 48% 480+520= 52% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 380+620= 10 38% 62% 30 min or less % households More than 30 min ☶ 30% 300+700= 70% ☪ 33% 330+670= 67% ☶ 20% 200+800= 80%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Dimnat Khadir District, Taizz Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 49% 490+510= 51% 870+130= ☪ 87% 13% ☶ 62% 620+380= 38% ☶ 90% 900+100= 10% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We cannot afford ☪ NA NA Not sharing % households Sharing it (100%) ☪ 87% 870+130= 13% We cannot afford ☶ NA NA ☶ 87% 870+130= 13% it (100%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 91% 910+090= 9% ☪ 61% 610+390= 39% ☪ ☶ 87% 870+130= 13% ☶ 59% 590+410= 41% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Washing powder Garbage is left in ☪ Bar of soap (90%) Sanitary pads (86%) street containers (84%) Garbage is left in Garbage is buried by household and ☪ public areas and not or burned (83%) collected through Sanitary pads, collected (17%) Disposable public system Bar of soap (96%) washing powder ☶ diapers (76%) (1%) (81%) Garbage is left in Garbage is buried public areas and not NA ☶ or burned (89%) collected (11%)

Overall, 22% of IDP households and 27% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15:

No wastewater % households Visible wastewater First most reported Second most reported Third most reported ☪ 53% 530+470= 47% Basic/ Chlorine tablets consumable NA ☶ 47% 470+530= 53% ☪ (1%) hygiene kits (6%) Support for the Basic/ construction or consumable maintenance NA ☶ hygiene kits of water and/or (17%) sanitation facilities (2%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Iyal Surayh District, Amran Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Iyal Surayh district, Amran governorate. Interviews were conducted with 130 host community and 47 IDP randomly selected households in the district. Findings concerning HC are representative at district level with a 95% confidence level and a 10% margin of error, while figures concerning IDPs should be considered as indicative. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Iyal Surayh district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 64,368 ☪ 57% 570+430= 43% 6 Total IDP population in district 5,298 ☶ 45% 450+550= 55% Average household (HH) size 10.8 Proportion of households reporting treating their drinking water: Proportion of households headed by men 92% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 19% 7% 070+930= 93% Average number of children under 5 per HH 1.8 ☪ 34% 340+660= 66% Average number of persons with disabilities per HH 0.3 ☶ Average number of pregnant and/or lactating women per HH 0.6 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 72 L 83% Number of suspected cases of cholera from January to August ☶ 59 L 62% 20187 1,918 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 23% 230+770= 77% Proportion of households reporting the use of an improved water source as 60% 600+400= 40% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 320+680= 10 32% 68% 30 min or less % households More than 30 min ☶ 55% 550+450= 45% ☪ 80% 800+200= 20% ☶ 38% 380+620= 62%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Iyal Surayh District, Amran Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 47% 470+530= 53% 620+380= ☪ 62% 38% ☶ 62% 620+380= 38% ☶ 80% 800+200= 20% Main reported reasons for not having soap16:

First most reported Second most reported Third most reported Proportion of households with access to latrines reporting sharing We are waiting latrines with people other than HH members: We ran out of soap We cannot afford for the next ☪ (12%) it (8%) Not sharing % households Sharing distribution (76%) ☪ 91% 910+090= 9% We are waiting We cannot afford We ran out of soap for the next ☶ 81% 810+190= 19% ☶ it (44%) (26%) distribution (22%)

Proportion of households with access to latrines reporting having Proportion of households reporting washing their hands after at least access to an improved latrine14: two critical times17: Improved Unimproved % households Washing hands % households Not washing hands ☪ 30% 300+700= 70% ☪ 89% 890+110= 11% ☶ 40% 400+600= 60% ☶ 82% 820+180= 18%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is buried or burned Sanitary pads, Garbage is left in Washing basin Washing powder Garbage is left / Garbage is ☪ disposable diapers street containers (79%) (71%) in public areas left in street by (76%) by household and ☪ and not collected household and collected through (81%) collected through public system (11%) Washing powder public system ☶ Shampoo (84%) Bar of soap (82%) (4%) (88%) Garbage is left in Garbage is left street containers ☶ in public areas Garbage is buried or by household and Overall, 83% of IDP households and 45% of host community households and not collected burned (27%) collected through reported receiving assistance in the six months prior to data collection. (57%) public system Of those, most common types of WASH assistance received were: (10%) First most reported Second most reported Third most reported Proportion of households reporting presence of visible wastewater in Basic/ 15 the vicinity of their household : ☪ consumable Chlorine tablets Water containers No wastewater % households Visible wastewater hygiene kits (32%) (4%) (77%) ☪ 43% 430+570= 57% Chlorine tablets Basic/consumable ☶ 31% 310+690= 69% Other (3%) ☶ (33%) hygiene kits (31%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Khamir District, Amran Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Khamir district, Amran governorate. Interviews were conducted with 94 host community and 103 IDP randomly selected households in the district. Findings concerning IDPs are representative at district level with a 95% confidence level and a 10% margin of error. Findings concerning HC are representative at district level with a 90% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Khamir district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 88,200 ☪ 37% 370+630= 63% 6 Total IDP population in district 11,100 ☶ 50% 500+500= 50% Average household (HH) size 10.6 Proportion of households reporting treating their drinking water: Proportion of households headed by men 93% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 13% 38% 380+620= 62% Average number of children under 5 per HH 2.4 ☪ 31% 310+690= 69% Average number of persons with disabilities per HH 0.3 ☶ Average number of pregnant and/or lactating women per HH 0.7 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 37 L 81% Number of suspected cases of cholera from January to August ☶ 49 L 90% 20187 3,440 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 53% 530+470= 47% Proportion of households reporting the use of an improved water source as 61% 610+390= 39% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 470+530= 10 47% 53% 30 min or less % households More than 30 min ☶ 52% 520+480= 48% ☪ 42% 420+580= 58% ☶ 26% 260+740= 74%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Khamir District, Amran Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 51% 510+490= 49% 850+150= ☪ 85% 15% ☶ 59% 590+410= 41% ☶ 84% 840+160= 16% Main reported reasons for not having soap16:

First most reported Second most reported Third most reported Proportion of households with access to latrines reporting sharing latrines with people other than HH members: We are waiting for We cannot afford the next distribution Soap is not Not sharing % households Sharing ☪ it (84%) / We ran out of soap necessary (4%) ☪ 84% 840+160= 16% (6%) ☶ 97% 970+30= 3% Soap is not necessary / We We cannot afford We ran out of soap are waiting for the ☶ it (74%) (21%) Proportion of households with access to latrines reporting having next distribution (3%) access to an improved latrine14: Improved % households Unimproved Proportion of households reporting washing their hands after at least 17 ☪ 16% 160+840= 84% two critical times : ☶ 8% 080+920= 92% Washing hands % households Not washing hands ☪ 53% 530+470= 47% 55% 550+450= 45% Most commonly reported methods of garbage disposal: ☶

First most reported Second most reported Third most reported Top WASH items households reported needing, but were unable to afford18: Garbage is left in Garbage is left street containers in public areas Garbage is buried First most reported Second most reported Third most reported ☪ by household and and not collected or burned (13%) Bar of soap, jerry collected through Disposable diapers Sanitary pads (68%) can / bucket public system (17%) ☪ (89%) (86%) (93%) Garbage is left in Garbage is left street containers in public areas Garbage is buried or by household and Jerry can / bucket Sanitary pads ☶ Bar of soap (95%) and not collected burned (14%) collected through ☶ (94%) (90%) (70%) public system (11%)

Proportion of households reporting presence of visible wastewater in Overall, 28% of IDP households and 21% of host community households the vicinity of their household15: reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: No wastewater % households Visible wastewater

☪ 21% 210+790= 79% First most reported Second most reported Third most reported 19% 81% ☶ 190+810= Chlorine tablets Basic/consumable Water containers ☪ (25%) hygiene kits (15%) (14%)

Chlorine tablets Basic/consumable Water containers ☶ (20%) hygiene kits (13%) (6%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Khanfir District, Abyan Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Khanfir district, Abyan governorate. Interviews were conducted with 107 host community and 106 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Khanfir district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 14,6408 ☪ 79% 790+210= 21% 6 Total IDP population in district 19,272 ☶ 73% 730+270= 27% Average household (HH) size 9.5 Proportion of households reporting treating their drinking water: Proportion of households headed by men 87% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 20% 20% 200+800= 80% Average number of children under 5 per HH 2 ☪ 24% 240+760= 76% Average number of persons with disabilities per HH 0.8 ☶ Average number of pregnant and/or lactating women per HH 0.9 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.2 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 18 L 60% Number of suspected cases of cholera from January to August ☶ 21 L 48% 20187 12,089 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 57% 570+430= 43% Proportion of households reporting the use of an improved water source as 56% 560+440= 44% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 920+080= 10 92% 8% 30 min or less % households More than 30 min ☶ 88% 880+120= 12% ☪ 74% 740+260= 26% ☶ 76% 760+240= 24%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Khanfir District, Abyan Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 39% 390+610= 61% 430+570= ☪ 43% 57% ☶ 53% 530+470= 47% ☶ 82% 820+180= 18% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: ☪ We cannot afford We ran out of soap Soap is not Not sharing % households Sharing it (71%) (18%) necessary (8%) ☪ 68% 680+320= 32% We cannot afford We ran out of soap ☶ Other (6%) ☶ 89% 890+110= 11% it (66%) (22%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 84% 840+160= 16% ☪ 67% 670+330= 33% ☪ ☶ 92% 920+080= 8% ☶ 88% 880+120= 12% Top WASH items households reported needing, but were unable to 18,19 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Jerry can / bucket Washing powder Garbage is left ☪ Bar of soap (83%) Garbage is left in street by (84%) (78%) ☪ in public areas Garbage is buried or household and and not collected burned (47%) collected through Bar of soap, Washing powder Sanitary pads (50%) public system disposable ☶ (77%) (64%) (3%) diapers (83%) Garbage is left Garbage is left in street by in public areas Garbage is buried or household and ☶ and not collected burned (36%) collected through Overall, 67% of IDP households and 14% of host community households (59%) public system reported receiving assistance in the six months prior to data collection. (5%) Of those, most common types of WASH assistance received were:

First most reported Second most reported Third most reported Proportion of households reporting presence of visible wastewater in the vicinity of their household15: Basic/ No wastewater Visible wastewater consumable Chlorine tablets Water containers % households ☪ hygiene kits (36%) (32%) ☪ 71% 710+290= 29% (65%) ☶ 54% 540+460= 46% Support for the Basic/ construction or consumable Water containers; maintenance ☶ hygiene kits chlorine tablets (4%) of water and/or (12%) sanitation facilities (3%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district. . 19 In Khanfir District, 6% of IDP HHs and 22% of HC HHs did not report an answer for sanitary pads.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Kharif District, Amran Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Kharif district, Amran governorate. Interviews were conducted with 110 host community and 69 IDP randomly selected households in the district. Findings concerning HC are representative at district level with a 95% confidence level and a 10% margin of error. Findings concerning IDPs are representative at district level with a 90% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Kharif district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 55,479 ☪ 33% 330+670= 67% 6 Total IDP population in district 7,812 ☶ 51% 510+490= 49% Average household (HH) size 10.8 Proportion of households reporting treating their drinking water: Proportion of households headed by men 93% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 20% 22% 220+780= 78% Average number of children under 5 per HH 1.6 ☪ 19% 190+810= 81% Average number of persons with disabilities per HH 0.5 ☶ Average number of pregnant and/or lactating women per HH 0.6 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.8 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 59 L 72% Number of suspected cases of cholera from January to August ☶ 63 L 77% 20187 3,735 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 45% 450+550= 55% Proportion of households reporting the use of an improved water source as 51% 510+490= 49% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 180+820= 10 18% 82% 30 min or less % households More than 30 min ☶ 27% 270+730= 73% ☪ 55% 550+450= 45% ☶ 56% 560+440= 44%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Kharif District, Amran Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 70% 700+300= 30% 830+1770= ☪ 83% 17% ☶ 63% 630+370= 37% ☶ 82% 820+180= 18% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: The market is too far / We are Not sharing % households Sharing We cannot afford We ran out of soap waiting for the ☪ it (81%) (10%) ☪ 76% 760+240= 24% next distribution ☶ 89% 890+110= 11% (5%) We cannot afford We ran out of soap The market is too ☶ it (78%) (12%) far (5%) Proportion of households with access to latrines reporting having access to an improved latrine14: Proportion of households reporting washing their hands after at least Improved % households Unimproved two critical times17: ☪ 27% 270+730= 73% Washing hands % households Not washing hands ☶ 53% 530+470= 47% ☪ 70% 700+300= 30% ☶ 78% 780+220= 22% Most commonly reported methods of garbage disposal:

First most reported Second most reported Third most reported Top WASH items households reported needing, but were unable to Garbage is left afford18: Garbage is left in street by in public areas Garbage is buried or household and First most reported Second most reported Third most reported ☪ and not collected burned (39%) collected through (57%) public system Washing powder Disposable Bar of soap (70%) (3%) ☪ (80%) diapers (63%) Garbage is left in street by Washing powder household and ☶ Sanitary pads (72%) Bar of soap (68%) collected through (79%) Garbage is left public system / in public areas Garbage is buried or Garbage is left in ☶ and not collected burned (26%) street containers (64%) by household and Overall, 13% of IDP households and 32% of host community households collected through reported receiving assistance in the six months prior to data collection. public system Of those, most common types of WASH assistance received were: (5%) First most reported Second most reported Third most reported Proportion of households reporting presence of visible wastewater in Chlorine tablets Basic/consumable the vicinity of their household15: Other (6%) ☪ (4%) hygiene kits (3%) No wastewater % households Visible wastewater Basic/ ☪ 42% 420+580= 58% consumable Chlorine tablets ☶ Other (7%) ☶ 55% 550+450= 45% hygiene kits (15%) (18%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Kitaf wa Al Boqe'e District, Sa'ada Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Kitaf wa Al Boqe'e district, Sa'ada governorate. Interviews were conducted with 103 host community and 97 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Kitaf wa Al Boqe'e district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 68,991 ☪ 63% 630+370= 37% 6 Total IDP population in district 6,048 ☶ 56% 560+440= 44% Average household (HH) size 11.6 Proportion of households reporting treating their drinking water: Proportion of households headed by men 100% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 11% 14% 140+860= 86% Average number of children under 5 per HH 3.2 ☪ 9% 090+910= 91% Average number of persons with disabilities per HH 0.6 ☶ Average number of pregnant and/or lactating women per HH 1.1 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.2 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 22 L 65% Number of suspected cases of cholera from January to August ☶ 25 L 80% 20187 2,700 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 16% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 6% 060+940= 94% Proportion of households reporting the use of an improved water source as 18% 180+820= 82% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 060+940= 10 6% 94% 30 min or less % households More than 30 min ☶ 11% 110+890= 89% ☪ 29% 290+710= 71% ☶ 36% 360+640= 64%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Kitaf wa Al Boqe'e District, Sa'ada Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 38% 380+620= 62% 330+670= ☪ 33% 67% ☶ 41% 410+590= 59% ☶ 45% 450+550= 55% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: ☪ We cannot afford The market is too far We ran out of Not sharing % households Sharing it (85%) (13%) soap (2%) ☪ 96% 960+040= 4% ☶ We cannot afford The market is too far We ran out of ☶ 97% 970+030= 3% it (85%) (13%) soap (2%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 52% 520+480= 48% ☪ 23% 230+770= 77% ☪ ☶ 36% 360+640= 64% ☶ 26% 260+740= 74% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Sanitary pads, Garbage is left in disposable Garbage is buried public areas and not NA diapers, washing ☪ or burned (55%) collected (45%) powder, washing NA NA ☪ basin, toothpaste, Garbage is toothbrush, buried or burned shampoo, water / Garbage is left NA NA treatment (100%) ☶ in public areas and not collected Sanitary pads, (50%) disposable diapers, washing powder, washing NA NA ☶ basin, toothpaste, Proportion of households reporting presence of visible wastewater in toothbrush, 15 the vicinity of their household : shampoo, water No wastewater % households Visible wastewater treatment (100%) ☪ 48% 480+520= 52% Overall, 0% of IDP households and 2% of host community households ☶ 41% 410+590= 59% reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were:

First most reported Second most reported Third most reported

☪ NA NA NA

Basic/ Chlorine tablets consumable NA ☶ (1%) hygiene kits (2%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Kushar District, Hajjah Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Kushar district, Hajjah governorate. Interviews were conducted with 95 host community and 111 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Kushar district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 108,991 ☪ 58% 580+420= 42% 6 Total IDP population in district 15,816 ☶ 61% 610+390= 39% Average household (HH) size 12.8 Proportion of households reporting treating their drinking water: Proportion of households headed by men 78% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 37% 5% 050+950= 95% Average number of children under 5 per HH 2.4 ☪ 2% 020+980= 98% Average number of persons with disabilities per HH 0.5 ☶ Average number of pregnant and/or lactating women per HH 0.7 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.4 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 26 L 69% Number of suspected cases of cholera from January to August ☶ 36 L 71% 20187 5,504 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 17% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 17% 170+830= 83% Proportion of households reporting the use of an improved water source as 8% 080+920= 92% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 180+820= 10 18% 82% 30 min or less % households More than 30 min ☶ 12% 120+880= 88% ☪ 20% 200+800= 80% ☶ 23% 230+770= 77%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Kushar District, Hajjah Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 16% 160+840= 84% 460+540= ☪ 46% 54% ☶ 21% 210+790= 79% ☶ 55% 550+450= 45% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting We cannot afford We ran out of soap for the next Not sharing % households Sharing ☪ it (83%) (16%) distribution (1%) ☪ 87% 870+130= 13% We cannot afford We ran out of soap NA ☶ 80% 800+200= 20% ☶ it (87%) (13%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Improved % households Unimproved Washing hands % households Not washing hands 520+480= ☪ 22% 220+780= 78% ☪ 52% 48% 550+450= ☶ 15% 150+850= 85% ☶ 55% 45%

Top WASH items households reported needing, but were unable to Most commonly reported methods of garbage disposal: afford18:

First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left Bar of soap, jerry can / bucket, Toothpaste, in public areas Garbage is buried or Water treatment ☪ NA washing powder, toothbrush, and not collected burned (5%) ☪ (95%) (95%) washing basin shampoo (97%) (98%) Garbage is left in Garbage is left street containers Bar of soap, jerry can / bucket, in public areas Garbage is buried or by household and Sanitary pads, ☶ washing powder, Toothpaste, and not collected burned (9%) collected through disposable ☶ washing basin, toothbrush (98%) (89%) public system diapers (89%) (1%) shampoo, water treatment (100%) Proportion of households reporting presence of visible wastewater in the vicinity of their household15: Overall, 25% of IDP households and 18% of host community households No wastewater % households Visible wastewater reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: ☪ 60% 600+400= 40% ☶ 63% 630+370= 37% First most reported Second most reported Third most reported Chlorine tablets Water containers Basic/consumable ☪ (18%) (5%) hygiene kits (3%)

Chlorine tablets Basic/consumable NA ☶ (15%) hygiene kits (2%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Majz District, Sa'ada Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Majz district, Sa'ada governorate. Interviews were conducted with 95 host community and 98 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Majz district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 109,330 ☪ 7% 070+930= 93% 6 Total IDP population in district 9,462 ☶ 9% 090+910= 91% Average household (HH) size 14.3 Proportion of households reporting treating their drinking water: Proportion of households headed by men 98% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 79% 14% 140+860= 86% Average number of children under 5 per HH 3.1 ☪ 15% 150+850= 85% Average number of persons with disabilities per HH 0.7 ☶ Average number of pregnant and/or lactating women per HH 0.9 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 18 L 52% Number of suspected cases of cholera from January to August ☶ 16 L 37% 20187 217 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 20% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 21% 210+790= 79% Proportion of households reporting the use of an improved water source as 25% 250+750= 75% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 450+550= 10 45% 55% 30 min or less % households More than 30 min ☶ 53% 530+470= 47% ☪ 33% 330+670= 67% ☶ 33% 330+670= 67%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Majz District, Sa'ada Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 35% 350+650= 65% 480+520= ☪ 48% 52% ☶ 52% 520+480= 48% ☶ 45% 450+550= 55% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: It is unavailable at We cannot afford the local market NA Not sharing % households Sharing ☪ it (98%) (2%) ☪ 36% 360+640= 64% We cannot afford We ran out of soap The market is too ☶ 7% 070+930= 93% ☶ it (93%) (4%) far (2%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 41% 410+590= 59% ☪ 25% 250+750= 75% ☪ ☶ 51% 510+490= 49% ☶ 22% 220+0= 78% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left Disposable in street by diapers, washing Garbage is left in Garbage is buried household and powder, washing Bar of soap, jerry public areas and not ☪ or burned (57%) collected through ☪ basin, toothpaste, Sanitary pads (99%) can / buckets collected (36%) public system toothbrush, (14%) (6%) shampoo, water treatment (100%) Garbage is left in street by Sanitary pads, Garbage is left in Garbage is buried household and disposable public areas and not ☶ or burned (55%) collected through diapers, washing Bar of soap, jerry collected (38%) public system ☶ powder, washing Shampoo (99%) can / bucket (6%) basin, toothpaste, (22%) toothbrush, water treament (100%) Proportion of households reporting presence of visible wastewater in 15 the vicinity of their household : Overall, 0% of IDP households and 0% of host community households No wastewater % households Visible wastewater reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: ☪ 16% 160+840= 84% ☶ 7% 070+930= 93% First most reported Second most reported Third most reported

☪ NA NA NA

☶ NA NA NA

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Manakhah District, Sana'a Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Manakhah district, Sana'a governorate. Interviews were conducted with 111 host community and 91 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Manakhah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 99,273 ☪ 30% 300+700= 70% 6 Total IDP population in district 12,672 ☶ 37% 370+630= 63% Average household (HH) size 9.1 Proportion of households reporting treating their drinking water: Proportion of households headed by men 100% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 14% 34% 340+660= 66% Average number of children under 5 per HH 1.7 ☪ 35% 350+650= 65% Average number of persons with disabilities per HH 0.2 ☶ Average number of pregnant and/or lactating women per HH 0.3 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.7 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 24 L 73% Number of suspected cases of cholera from January to August ☶ 17 L 50% 20187 3,619 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 10% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 25% 250+750= 75% Proportion of households reporting the use of an improved water source as 37% 370+630= 63% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 180+820= 10 18% 82% 30 min or less % households More than 30 min ☶ 19% 190+810= 81% ☪ 17% 170+830= 83% ☶ 25% 250+750= 75%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Manakhah District, Sana'a Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 42% 420+580= 58% 450+550= ☪ 45% 55% ☶ 69% 690+310= 31% ☶ 68% 680+320= 32% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting for We prefer a We cannot afford the next distribution subsitute / We ran Not sharing % households Sharing ☪ it (92%) (4%) out of soap (2%) ☪ 88% 880+120= 12% We are waiting for We cannot afford The market is too ☶ 89% 890+110= 11% the next distribution ☶ it (74%) far (9%) (15%)

Proportion of households with access to latrines reporting having access to an improved latrine14: Proportion of households reporting washing their hands after at least two critical times17: Improved % households Unimproved ☪ 43% 430+570= 57% Washing hands % households Not washing hands 44% 440+560= 56% ☶ 35% 350+650= 65% ☪ ☶ 58% 580+420= 42%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left in Garbage is left street containers Washing powder Bar of soap, jerry Shampoo (41%) in public areas Garbage is buried or by household and ☪ (81%) can / bucket (76%) ☪ and not collected burned (33%) collected through (64%) public system (3%) Jerry can / bucket Washing powder Bar of soap (89%) Garbage is left ☶ (92%) (47%) Garbage is left in street by in public areas Garbage is buried or household and ☶ and not collected burned (14%) collected through (84%) public system Overall, 24% of IDP households and 18% of host community households (2%) reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: Proportion of households reporting presence of visible wastewater in the vicinity of their household15: First most reported Second most reported Third most reported

No wastewater % households Visible wastewater Basic/ consumable Chlorine tablets Water containers ☪ 74% 740+260= 26% ☪ hygiene kits (19%) (18%) ☶ 53% 530+470= 47% (21%) Chlorine tablets Basic/consumable Water containers ☶ (14%) hygiene kits (7%) (5%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Marib District, Marib Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Marib district, Marib governorate. Interviews were conducted with 111 host community and 95 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Marib district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 55,829 ☪ 14% 140+860= 86% 6 Total IDP population in district 6,546 ☶ 33% 330+670= 67% Average household (HH) size 7 Proportion of households reporting treating their drinking water: Proportion of households headed by men 98% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 6% 1% 010+990= 99% Average number of children under 5 per HH 1.4 ☪ 2% 020+980= 98% Average number of persons with disabilities per HH 0.1 ☶ Average number of pregnant and/or lactating women per HH 0.8 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.3 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 31 L 95% Number of suspected cases of cholera from January to August ☶ 38 L 91% 20187 2,222 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 10% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 12% 120+880= 88% Proportion of households reporting the use of an improved water source as 29% 290+710= 71% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 780+220= 10 78% 22% 30 min or less % households More than 30 min ☶ 96% 960+040= 4% ☪ 18% 180+820= 82% ☶ 23% 230+770= 77%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Marib District, Marib Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 5% 050+950= 95% 060+940= ☪ 6% 94% ☶ 20% 200+800= 80% ☶ 13% 130+870= 87% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting We cannot afford The market is too for the next Not sharing % households Sharing ☪ it (91%) far (8%) distribution (1%) ☪ 93% 930+070= 7% We cannot afford The market is too ☶ 86% 860+140= 14% ☶ it (97%) far (3%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 91% 910+090= 9% ☪ 69% 690+310= 31% ☪ ☶ 98% 980+020= 2% ☶ 99% 990+010= 1% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Toothpaste, Garbage is left Washing basin Water treatment toothbrush, Garbage is left in street by ☪ (91%) (89%) in public areas Garbage is buried or household and shampoo (94%) ☪ and not collected burned (4%) collected through Disposable (95%) public system Toothpaste, diapers, washing Jerry can / bucket (1%) toothbrush, water ☶ basin, shampoo (95%) treament (96%) Garbage is left (97%) Garbage is left in street by in public areas Garbage is buried or household and ☶ and not collected burned (5%) collected through (95%) public system Overall, 2% of IDP households and 5% of host community households (1%) reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: Proportion of households reporting presence of visible wastewater in 15 the vicinity of their household : First most reported Second most reported Third most reported No wastewater % households Visible wastewater Basic/ ☪ 75% 750+250= 25% ☪ consumable NA NA hygiene kits (2%) ☶ 92% 920+080= 8% Basic/ Chlorine tablets Water containers consumable ☶ (2%) (1%) hygiene kits (4%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Marib City District, Marib Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Marib City district, Marib governorate. Interviews were conducted with 102 host community and 93 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Marib City district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 49,582 ☪ 11% 110+890= 89% 6 Total IDP population in district 5,034 ☶ 23% 230+770= 77% Average household (HH) size 7 Proportion of households reporting treating their drinking water: Proportion of households headed by men 89% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 17% 9% 090+910= 91% Average number of children under 5 per HH 1.2 ☪ 28% 280+720= 72% Average number of persons with disabilities per HH 0.2 ☶ Average number of pregnant and/or lactating women per HH 0.8 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.8 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 40 L 91% Number of suspected cases of cholera from January to August ☶ 43 L 99% 20187 2,175 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 10% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 37% 370+630= 63% Proportion of households reporting the use of an improved water source as 47% 470+530= 53% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 890+110= 10 89% 11% 30 min or less % households More than 30 min ☶ 65% 650+350= 35% ☪ 68% 680+320= 32% ☶ 71% 710+290= 29%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Marib City District, Marib Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 10% 100+900= 90% 270+730= ☪ 27% 73% ☶ 12% 120+880= 88% ☶ 26% 260+740= 74% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We cannot afford ☪ NA NA Not sharing % households Sharing it (100%) ☪ 77% 770+230= 23% We cannot afford ☶ NA NA ☶ 59% 590+410= 41% it (100%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 99% 990+010= 1% ☪ 79% 790+210= 21% ☪ ☶ 99% 990+010= 1% ☶ 85% 850+150= 15% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Washing powder, Garbage is left Garbage is left in Bar of soap, jerry in street by street containers Sanitary pads toothpaste, Garbage is left in ☪ can / bucket, household and by household and (99%) toothbrush, water public areas and not shampoo (95%) ☪ collected through collected through treatment (98%) collected (37%) public system public system (55%) (5%) Toothpaste, Sanitary pads, water Disposable toothbrush, Garbage is left ☶ treatment (99%) diapers (98%) in street by shampoo (100%) Garbage is left in household and Garbage is buried public areas and not ☶ collected through or burned (15%) collected (23%) public system Overall, 10% of IDP households and 46% of host community households (58%) reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: Proportion of households reporting presence of visible wastewater in the vicinity of their household15: First most reported Second most reported Third most reported No wastewater % households Visible wastewater Chlorine tablets; basic/consumable ☪ 41% 410+590= 59% NA NA ☪ hygiene kits ☶ 58% 580+420= 42% (10%)

Chlorine tablets Basic/consumable Water containers ☶ (39%) hygiene kits (36%) (22%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Mudhaykhirah District, Ibb Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Mudhaykhirah district, Ibb governorate. Interviews were conducted with 118 host community and 91 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Mudhaykhirah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 103,904 ☪ 58% 580+420= 42% 6 Total IDP population in district 10,218 ☶ 64% 640+360= 36% Average household (HH) size 9.3 Proportion of households reporting treating their drinking water: Proportion of households headed by men 86% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 24% 16% 160+840= 84% Average number of children under 5 per HH 1.4 ☪ 13% 130+870= 87% Average number of persons with disabilities per HH 0.3 ☶ Average number of pregnant and/or lactating women per HH 0.6 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.8 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 47 L 76% Number of suspected cases of cholera from January to August ☶ 38 L 84% 20187 654 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 46% 460+540= 54% Proportion of households reporting the use of an improved water source as 45% 450+550= 55% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 690+310= 10 69% 31% 30 min or less % households More than 30 min ☶ 69% 690+310= 31% ☪ 35% 350+650= 65% ☶ 38% 380+630= 63%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Mudhaykhirah District, Ibb Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 76% 760+240= 24% 930+070= ☪ 93% 7% ☶ 71% 710+290= 29% ☶ 94% 940+060= 6% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting We cannot afford We ran out of soap for the next Not sharing % households Sharing ☪ it (73%) (14%) distribution (9%) ☪ 89% 890+110= 11% Soap is not ☶ 83% 830+110= 17% necessary / The We cannot afford We ran out of soap market is too far ☶ it (68%) (24%) / We prefer a Proportion of households with access to latrines reporting having subsitute (3%) access to an improved latrine14: Improved % households Unimproved Proportion of households reporting washing their hands after at least two critical times17: ☪ 55% 550+450= 45% Washing hands % households Not washing hands ☶ 51% 510+490= 49% ☪ 81% 810+190= 19% ☶ 91% 910+090= 9% Most commonly reported methods of garbage disposal:

First most reported Second most reported Third most reported Top WASH items households reported needing, but were unable to afford18: Garbage is left in street by First most reported Second most reported Third most reported Garbage is left in Garbage is buried household and public areas and not Jerry can / bucket, ☪ or burned (51%) collected through Washing powder collected (47%) Bar of soap (78%) sanitary pads public system ☪ (84%) (76%) (2%) Garbage is left in street by Washing powder Shampoo (82%) Bar of soap (79%) household and ☶ (86%) collected through Garbage is left in public system / Garbage is buried public areas and not Garbage is left in ☶ or burned (55%) collected (44%) street containers Overall, 13% of IDP households and 15% of host community households by household and reported receiving assistance in the six months prior to data collection. collected through Of those, most common types of WASH assistance received were: public system (1%) First most reported Second most reported Third most reported Support for the Proportion of households reporting presence of visible wastewater in construction or 15 Basic/ the vicinity of their household : Chlorine tablets maintenance consumable No wastewater Visible wastewater ☪ (5%) of water and/or % households hygiene kits (8%) sanitation facilities 46% 460+540= 54% ☪ (2%) ☶ 35% 350+650= 65%

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment , Hajjah Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Mustaba district, Hajjah governorate. Interviews were conducted with 99 host community and 102 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Mustaba district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 62,436 ☪ 45% 450+550= 55% 6 Total IDP population in district 28,386 ☶ 57% 570+430= 43% Average household (HH) size 9.1 Proportion of households reporting treating their drinking water: Proportion of households headed by men 79% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 16% 22% 220+780= 78% Average number of children under 5 per HH 1.8 ☪ 9% 090+910= 91% Average number of persons with disabilities per HH 1.5 ☶ Average number of pregnant and/or lactating women per HH 0.6 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.4 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 79 L 97% Number of suspected cases of cholera from January to August ☶ 85 L 95% 20187 3,310 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 17% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 15% 150+850= 85% Proportion of households reporting the use of an improved water source as 34% 340+660= 66% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 640+360= 10 64% 36% 30 min or less % households More than 30 min ☶ 83% 830+170= 17% ☪ 59% 590+410= 41% ☶ 43% 430+570= 57%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Mustaba District, Hajjah Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 68% 680+320= 32% 310+690= ☪ 31% 69% ☶ 84% 840+160= 16% ☶ 44% 440+560= 56% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting for We cannot afford The market is too the next distribution Not sharing % households Sharing ☪ it (56%) far (9%) (16%) ☪ 59% 590+410= 41% It is unavailable at We cannot afford The market is too ☶ 70% 700+300= 30% the local market ☶ it (38%) far (19%) (25%)

Proportion of households with access to latrines reporting having Proportion of households reporting washing their hands after at least access to an improved latrine14: two critical times17: Improved % households Unimproved Washing hands % households Not washing hands ☪ 67% 670+330= 33% ☪ 76% 760+240= 24% ☶ 68% 680+320= 32% ☶ 87% 870+130= 13%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left in Garbage is left in street containers street by household Sanitary pads Disposable diapers Washing powder by household and Garbage is buried ☪ and collected (70%) (50%) (48%) ☪ collected through or burned (19%) through public public system system (31%) (32%) ☶ Sanitary pads Disposable diapers Water treatment Garbage is (69%) (62%) (53%) buried or burned Garbage is left in / Garbage is Garbage is left street containers left in street by in public areas by household and ☶ household and and not collected Overall, 59% of IDP households and 47% of host community households collected through collected through (21%) reported receiving assistance in the six months prior to data collection. public system (22%) public system Of those, most common types of WASH assistance received were: (28%) First most reported Second most reported Third most reported

Proportion of households reporting presence of visible wastewater in ☪ Water containers Safe drinking water Basic/consumable the vicinity of their household15: (40%) (24%) hygiene kits (19%) No wastewater % households Visible wastewater ☶ Water containers Basic/consumable Safe drinking ☪ 59% 590+410= 41% (23%) hygiene kits (17%) water (14%) ☶ 65% 650+350= 35%

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Qarah District, Hajjah Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Qarah district, Hajjah governorate. Interviews were conducted with 103 host community and 104 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Qarah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 45,369 ☪ 41% 410+590= 59% 6 Total IDP population in district 6,438 ☶ 38% 380+620= 62% Average household (HH) size 15.7 Proportion of households reporting treating their drinking water: Proportion of households headed by men 97% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 43% 47% 470+530= 53% Average number of children under 5 per HH 3.4 ☪ 31% 310+690= 69% Average number of persons with disabilities per HH 0.6 ☶ Average number of pregnant and/or lactating women per HH 1.1 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.1 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 23 L 53% Number of suspected cases of cholera from January to August ☶ 19 L 50% 20187 1,650 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 13% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 14% 140+860= 86% Proportion of households reporting the use of an improved water source as 15% 150+850= 85% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 300+700= 10 30% 70% 30 min or less % households More than 30 min ☶ 18% 180+820= 82% ☪ 7% 070+930= 93% ☶ 2% 020+980= 98%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Qarah District, Hajjah Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 36% 360+640= 64% 0+1000= ☪ 0% 100% ☶ 41% 410+590= 59% ☶ 1% 010+990= 99% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting We cannot afford it We ran out of for the next Not sharing % households Sharing ☪ (45%) soap (1%) distribution (54%) ☪ 100% 1000+0= 0% We are waiting We cannot afford it ☶ 100% 1000+0= 0% for the next NA ☶ (48%) distribution (52%)

Proportion of households with access to latrines reporting having Proportion of households reporting washing their hands after at least 14 access to an improved latrine : two critical times17: Improved % households Unimproved Washing hands % households Not washing hands ☪ 50% 500+500= 50% ☪ 62% 620+380= 38% 50% 50% ☶ 500+500= ☶ 57% 570+430= 43%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left in public areas Garbage is buried or Washing powder NA ☪ Shampoo (88%) Bar of soap (85%) ☪ and not collected burned (16%) (37%) (84%)

Garbage is left Disposable in public areas Garbage is buried or Shampoo (82%) Bar of soap (65%) NA ☶ diapers (44%) ☶ and not collected burned (13%) (87%)

Overall, 88% of IDP households and 93% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15:

No wastewater % households Visible wastewater First most reported Second most reported Third most reported ☪ 90% 900+100= 10% Basic/ consumable Chlorine tablets Water containers ☶ 99% 990+010= 1% ☪ hygiene kits (77%) (14%) (85%) Basic/ consumable Chlorine tablets Water containers ☶ hygiene kits (91%) (7%) (93%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Shara'b As Salam District, Taizz Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Shara'b As Salam district, Taizz governorate. Interviews were conducted with 97 host community and 95 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Shara'b As Salam district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 147,167 ☪ 87% 870+130= 13% 6 Total IDP population in district 14,256 ☶ 84% 840+160= 16% Average household (HH) size 9.6 Proportion of households reporting treating their drinking water: Proportion of households headed by men 76% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 68% 21% 210+790= 79% Average number of children under 5 per HH 1 ☪ 21% 210+790= 79% Average number of persons with disabilities per HH 0.2 ☶ Average number of pregnant and/or lactating women per HH 0.5 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.7 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 150 L 100% Number of suspected cases of cholera from January to August ☶ 141 L 99% 20187 1,888 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 18% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 80% 800+200= 20% Proportion of households reporting the use of an improved water source as 69% 690+310= 31% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 180+820= 10 18% 82% 30 min or less % households More than 30 min ☶ 13% 130+870= 87% ☪ 20% 200+800= 80% ☶ 9% 090+910= 91%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Shara'b As Salam District, Taizz Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 68% 680+320= 32% 880+120= ☪ 88% 12% ☶ 69% 690+310= 31% ☶ 83% 830+170= 17% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: It is unavailable at Not sharing % households Sharing the local market / The market is ☪ 92% 920+080= 8% ☪ We cannot afford We ran out of soap too far / We are ☶ 94% 940+060= 6% it (60%) (27%) waiting for the next distribution / We prefer a subsitute (3%) Proportion of households with access to latrines reporting having access to an improved latrine14: ☶ We cannot afford We ran out of soap The market is too Improved % households Unimproved it (50%) (47%) far (3%) ☪ 80% 800+200= 20% Proportion of households reporting washing their hands after at least 90% 10% ☶ 900+100= two critical times17: Washing hands % households Not washing hands Most commonly reported methods of garbage disposal: ☪ 99% 990+010= 1% First most reported Second most reported Third most reported ☶ 99% 990+010= 1% Garbage is left Garbage is left in street by Top WASH items households reported needing, but were unable to in public areas Garbage is buried or household and afford18: ☪ and not collected burned (23%) collected through (76%) public system First most reported Second most reported Third most reported (1%) Washing powder ☪ Bar of soap (94%) Shampoo (89%) Garbage is left (80%) in public areas Garbage is buried or NA ☶ and not collected burned (30%) (70%) Washing powder Bar of soap (93%) Shampoo (80%) ☶ (78%) Proportion of households reporting presence of visible wastewater in the vicinity of their household15:

No wastewater % households Visible wastewater Overall, NA of IDP households and NA of host community households reported receiving assistance in the six months prior to data collection. 70% 30% ☪ 700+300= Of those, most common types of WASH assistance received were: ☶ 66% 660+340= 34% First most reported Second most reported Third most reported

☪ NA NA NA

☶ NA NA NA

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Tuban District, Lahj Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Tuban district, Lahj governorate. Interviews were conducted with 105 host community and 99 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Tuban district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 147,167 ☪ 55% 550+450= 45% 6 Total IDP population in district 19,392 ☶ 54% 540+460= 46% Average household (HH) size 8.1 Proportion of households reporting treating their drinking water: Proportion of households headed by men 97% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 23% 4% 040+960= 96% Average number of children under 5 per HH 1.3 ☪ 12% 120+880= 88% Average number of persons with disabilities per HH 0.4 ☶ Average number of pregnant and/or lactating women per HH 0.4 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.5 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 34 L 77% Number of suspected cases of cholera from January to August ☶ 46 L 85% 20187 3,250 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 28% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 29% 290+710= 71% Proportion of households reporting the use of an improved water source as 32% 320+680= 68% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 660+340= 10 66% 34% 30 min or less % households More than 30 min ☶ 45% 450+550= 55% ☪ 24% 240+760= 76% ☶ 45% 450+550= 55%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Tuban District, Lahj Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 38% 380+620= 62% 350+650= ☪ 35% 65% ☶ 85% 850+150= 15% ☶ 99% 990+010= 1% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: We are waiting for We cannot afford We ran out of the next distribution Not sharing % households Sharing ☪ it (77%) soap (8%) (11%) ☪ 27% 270+730= 73% We cannot afford We ran out of soap NA ☶ 90% 900+100= 10% ☶ it (94%) (6%)

Proportion of households with access to latrines reporting having Proportion of households reporting washing their hands after at least 14 access to an improved latrine : two critical times17: Improved % households Unimproved Washing hands % households Not washing hands ☪ 67% 670+330= 33% ☪ 77% 770+230= 23% ☶ 89% 890+110= 11% ☶ 90% 900+100= 10%

Most commonly reported methods of garbage disposal: Top WASH items households reported needing, but were unable to afford18: First most reported Second most reported Third most reported First most reported Second most reported Third most reported Garbage is left Jerry can / bucket Washing powder Garbage is left in street by ☪ Bar of soap (84%) in public areas Garbage is buried or household and (82%) (80%) ☪ and not collected burned (45%) collected through (47%) public system Washing powder Disposable (5%) Bar of soap (83%) ☶ (76%) diapers (67%) Garbage is left Garbage is left in street by in public areas Garbage is buried or household and ☶ and not collected burned (30%) collected through (59%) public system Overall, 66% of IDP households and 20% of host community households (10%) reported receiving assistance in the six months prior to data collection. Of those, most common types of WASH assistance received were: Proportion of households reporting presence of visible wastewater in the vicinity of their household15: First most reported Second most reported Third most reported No wastewater % households Visible wastewater ☪ Water containers Basic/consumable Chlorine tablets ☪ 88% 880+120= 12% (59%) hygiene kits (58%) (31%) 72% 28% Support for solid ☶ 720+280= Basic/ waste collection consumable Water containers and disposal; ☶ hygiene kits (6%) chlorine tablets (12%) (5%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Wald Rabi' District, Al Bayda Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Wald Rabi' district, Al Bayda governorate. Interviews were conducted with 94 host community and 91 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Wald Rabi' district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 26,205 ☪ 71% 710+290= 29% 6 Total IDP population in district 4,122 ☶ 76% 760+240= 24% Average household (HH) size 10.1 Proportion of households reporting treating their drinking water: Proportion of households headed by men 95% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 5% 14% 140+860= 86% Average number of children under 5 per HH 2.7 ☪ 24% 240+760= 76% Average number of persons with disabilities per HH 0.3 ☶ Average number of pregnant and/or lactating women per HH 0.8 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.9 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 28 L 65% Number of suspected cases of cholera from January to August ☶ 57 L 84% 20187 391 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 9% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 3% 030+970= 97% Proportion of households reporting the use of an improved water source as 26% 260+740= 74% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 750+250= 10 75% 25% 30 min or less % households More than 30 min ☶ 49% 490+510= 51% ☪ 29% 290+710= 71% ☶ 48% 480+520= 52%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Wald Rabi' District, Al Bayda Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 71% 710+290= 29% 460+540= ☪ 46% 54% ☶ 87% 870+130= 13% ☶ 94% 940+060= 6% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: ☪ We cannot afford We ran out of soap Soap is not Not sharing % households Sharing it (81%) (15%) necessary (4%) ☪ 95% 950+050= 5% We cannot afford Soap is not ☶ NA ☶ 99% 990+010= 1% it (83%) necessary (17%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 54% 540+460= 46% ☪ 40% 400+600= 60% ☪ ☶ 70% 700+300= 30% ☶ 57% 570+430= 43% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Jerry can / bucket, Garbage is left Disposable Washing basin in public areas Garbage is buried or ☪ washing powder NA diapers (89%) (84%) ☪ and not collected burned (5%) (72%) (95%) Garbage is left in Disposable Washing basin Washing powder Garbage is left street containers ☶ diapers (89%) (79%) (72%) in public areas Garbage is buried or by household and ☶ and not collected burned (10%) collected through (89%) public system (1%) Overall, 33% of IDP households and 71% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15:

No wastewater % households Visible wastewater First most reported Second most reported Third most reported

☪ 51% 510+490= 49% Chlorine tablets Basic/consumable ☪ NA ☶ 47% 470+530= 53% (32%) hygiene kits (25%) Chlorine tablets Basic/consumable Water containers ☶ (66%) hygiene kits (46%) (2%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Washhah District, Hajjah Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Washhah district, Hajjah governorate. Interviews were conducted with 97 host community and 112 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Washhah district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 91,183 ☪ 18% 180+820= 82% 6 Total IDP population in district 26,562 ☶ 10% 100+900= 90% Average household (HH) size 18 Proportion of households reporting treating their drinking water: Proportion of households headed by men 96% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 48% 32% 320+680= 68% Average number of children under 5 per HH 3.4 ☪ 41% 410+590= 59% Average number of persons with disabilities per HH 1 ☶ Average number of pregnant and/or lactating women per HH 1 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 1.4 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 38 L 82% Number of suspected cases of cholera from January to August ☶ 38 L 73% 20187 6,302 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 17% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 10% 100+900= 90% Proportion of households reporting the use of an improved water source as 14% 140+860= 86% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 030+970= 10 3% 97% 30 min or less % households More than 30 min ☶ 2% 020+980= 98% ☪ 7% 070+930= 93% ☶ 7% 070+930= 93%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Washhah District, Hajjah Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 23% 230+770= 77% 360+640= ☪ 36% 64% ☶ 27% 270+730= 73% ☶ 37% 370+630= 63% Main reported reasons for not having soap16:

Proportion of households with access to latrines reporting sharing First most reported Second most reported Third most reported latrines with people other than HH members: ☪ We cannot afford We ran out of soap The market is too Not sharing % households Sharing it (78%) (12%) far (9%) ☪ 70% 700+300= 30% ☶ We cannot afford The market is too far We ran out of ☶ 18% 180+820= 82% it (75%) (14%) soap (11%)

Proportion of households reporting washing their hands after at least Proportion of households with access to latrines reporting having two critical times17: access to an improved latrine14: Washing hands % households Not washing hands Improved % households Unimproved 85% 850+150= 15% ☪ 20% 200+800= 80% ☪ ☶ 84% 840+160= 16% ☶ 32% 320+680= 68% Top WASH items households reported needing, but were unable to 18 Most commonly reported methods of garbage disposal: afford : First most reported Second most reported Third most reported First most reported Second most reported Third most reported Jerry can Garbage is left Sanitary pads, / bucket, Bar of soap, in public areas Garbage is buried or washing powder NA ☪ disposable shampoo (97%) ☪ and not collected burned (6%) (98%) (94%) diapers (99%) Garbage is left Bar of soap, jerry can / bucket, in public areas Garbage is buried or Disposable diapers, Toothpaste, ☶ NA sanitary pads, and not collected burned (15%) ☶ shampoo (98%) toothbrush (96%) (85%) washing powder (99%)

Overall, 29% of IDP households and 36% of host community households reported receiving assistance in the six months prior to data collection. Proportion of households reporting presence of visible wastewater in Of those, most common types of WASH assistance received were: the vicinity of their household15:

No wastewater % households Visible wastewater First most reported Second most reported Third most reported ☪ 82% 820+180= 18% Basic/ consumable Chlorine tablets ☶ 78% 780+220= 22% NA ☪ hygiene kits (8%) (22%) Basic/ consumable Chlorine tablets NA ☶ hygiene kits (8%) (29%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Zingibar District, Abyan Governorate, Yemen November 2018

Yemen is facing one of the world’s worst Water, Sanitation and Hygiene (WASH) crises, as deteriorating WASH infrastructure contributes to a cholera outbreak, and represents one of the underlying causes of malnutrition in the country.1 On behalf of the Yemen WASH Cluster, REACH coordinated a household-level assessment to provide an understanding of WASH needs, gaps, and priorities in 38 districts prioritized for famine and/or cholera interventions that also host a high concentration of Internally Displaced People (IDPs - 8% or more of the total district population).2, 3 Findings are based on data collection conducted from 4 September to 28 November 2018. Following a two-stage random sampling approach, representative samples of host community and IDP populations were collected in randomly-selected locations in Zingibar district, Abyan governorate. Interviews were conducted with 106 host community and 90 IDP randomly selected households in the district. Findings are representative at district level with a 95% confidence level and a 10% margin of error. This factsheet provides an overview of the key findings of this assessment, for both IDPs and host community households in Zingibar district.4

Proportion of households reporting issues relating to taste, appearance, or ♣Demographics smell of accessible water: No issue % households Issue reported 5 Total population in district 34,570 ☪ 52% 520+480= 48% 6 Total IDP population in district 6,858 ☶ 44% 440+560= 56% Average household (HH) size 8.9 Proportion of households reporting treating their drinking water: Proportion of households headed by men 83% Treat water % households Do not treat water Proportion of households hosting IDPs or extended family 27% 6% 060+940= 94% Average number of children under 5 per HH 1.2 ☪ 16% 160+840= 84% Average number of persons with disabilities per HH 0.2 ☶ Average number of pregnant and/or lactating women per HH 0.5 Number of litres of water (per person) collected last time water was accessed: Average number of adults over 60 years old per HH 0.7 Litres / person / day % of households meeting Sphere (average)11 standard12 ☊Health ☪ 20 L 46% Number of suspected cases of cholera from January to August ☶ 26 L 58% 20187 2,090 Proportion of households reporting having met household water needs (i.e. Global Acute Malnutrition (GAM) for 20188 11% for drinking, cooking and washing) in the 30 days prior to data collection:

Met needs % households Did not meet needs Water ☪ 71% 710+290= 29% Proportion of households reporting the use of an improved water source as 88% 880+120= 12% main source for drinking: ☶

13 Improved % households Unimproved Proportion of households reporting taking over 30 minutes to collect water : 9 ☪ 1000+0= 10 100% 0% 30 min or less % households More than 30 min ☶ 98% 980+020= 2% ☪ 55% 550+450= 45% ☶ 29% 290+710= 71%

1 According to the Humanitarian Needs Overview (HNO) 2018, half of all malnutrition cases in the country were associated with WASH-related infections. 2 International Organization for Migration (IOM), Displacement Tracking Matrix (DTM) Report, April/May 2018. 3 For the purpose of this assessment, IDP households also include households who have been displaced because of the conflict that started in 2015 but have now returned to their place of habitual residence as of the day of data collection (returnees) 4 Terms of Reference (ToR) for the Yemen WASH Cluster Assessment can be found here. Dataset can be found here. 5 Host commnity population statistics were obtained from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)'s Humanitarian Data Exchange 2018 Population Projections. 6 IDP population statistics were obtained from IOM’s DTM IDP statistics produced in April and May 2018 7 Yemen WASH Cluster, District Cholera Situation Report, 16 September 2018. 8 Combined GAM prevalence, % children 6-59 months with Mid-Upper Arm Circumference (MUAC) 125mm or less and/or Weight-for-Height WFH Z-score -2 or less, Yemen Nutrition Cluster, NC caseload and targets calculator 2018 mid year revision, June 2018. 9 Internally Displaced Persons (IDPs) 10 Host community 11 Average consumption per person was calculated by dividing total household water consumption by total household size 12 Minimum 15 litres per person per day, The Sphere Handbook 2018 13 Go on foot to main water point, fetch water and return (at peak time). Excludes households reporting main water point is located at property.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action Yemen WASH Cluster Assessment Zingibar District, Abyan Governorate, Yemen November 2018

Sanitation Hygiene

Proportion of households reporting having access to latrines: Proportion of households reporting having and using soap:

All HH Only some or no Have and use % households Do not have soap % households members have members have soap and/or do not use it access access ☪ 24% 240+760= 76% 830+170= ☪ 83% 17% ☶ 75% 750+250= 25% 96% 960+040= 4% ☶ Main reported reasons for not having soap16:

First most reported Second most reported Third most reported

Proportion of households with access to latrines reporting sharing We cannot afford We ran out of soap The market is too latrines with people other than HH members: ☪ it (85%) (12%) far (3%) Not sharing % households Sharing We cannot afford We ran out of soap NA ☪ 38% 380+620= 62% ☶ it (73%) (27%) ☶ 78% 780+220= 22% Proportion of households reporting washing their hands after at least two critical times17: Proportion of households with access to latrines reporting having Washing hands % households Not washing hands 14 access to an improved latrine : ☪ 61% 610+390= 39% Improved Unimproved % households ☶ 91% 910+090= 9% ☪ 39% 390+610= 61% Top WASH items households reported needing, but were unable to ☶ 24% 240+760= 76% afford18: First most reported Second most reported Third most reported

Jerry can / bucket Washing powder Most commonly reported methods of garbage disposal: Bar of soap (91%) ☪ (74%) (42%) First most reported Second most reported Third most reported Garbage is left in public areas Garbage is buried or Jerry can / bucket Washing powder NA ☶ Bar of soap (80%) ☪ and not collected burned (8%) (62%) (40%) (92%) Garbage is left in public areas Garbage is buried or Overall, 20% of IDP households and 43% of host community households NA ☶ and not collected burned (12%) reported receiving assistance in the six months prior to data collection. (88%) Of those, most common types of WASH assistance received were: First most reported Second most reported Third most reported Support for the construction or Proportion of households reporting presence of visible wastewater in maintenance the vicinity of their household15: Basic/ of water and/ No wastewater % households Visible wastewater consumable Chlorine tablets; or sanitation ☪ hygiene kits other (3%) facilities; support ☪ 72% 720+280= 28% (10%) for solid waste ☶ 58% 580+420= 42% collection and disposal; water containers (1%) Support for the construction or Chlorine tablets Basic/consumable maintenance ☶ (30%) hygiene kits (24%) of water and/or sanitation facilities (3%)

14 Improved latrines include flush latrine to a tank/sewer system/pit and pit latrine-covered/with slab 15 Includes households reporting there is always, often (1-2 times per week) or sometimes (1-2 times per month) visible wastewater in the vicinity of their households in the 30 days prior to data collection. 16 Only includes households reporting not having soap. 17 Critical times include: before preparing food, after defecating, before eating, before feeding baby, after disposing of baby’s faeces. 18 In some cases, more than one WASH item was reported by the same proportion of households in the district.

Informing For more information on this profile please contact: REACH, [email protected] more effective REACH humanitarian action