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A Comparative Study on the Impact Evaluation of World Vision's Water

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A Comparative Study on the Impact Evaluation of World Vision's Water A Comparative Study on the Impact Evaluation of World Vision’s Water, Sanitation and Hygiene Program in Malawi, Mozambique, and Zambia: Analyses Using Lives Saved Tool Chulwoo Park1, Armen Martirosyan2, Erin Jones2, Ashley Labat2, Yvonne Tam1, and Emmanuel Opong2 1Johns Hopkins Bloomberg School of Public Health, 2World Vision International BACKGROUND METHODS RESULTS According to the World Health Organization, The computer-based modeling software, SC III was the most feasible and realistic diarrheal disease is the second greatest killer Lives Saved Tool (LiST), was utilized to retrospective analysis that reflected World of children under five years of age, claiming estimate the retrospective health impact of Vision’s WASH-focused activities. Since SC III around 760,000 young children’s lives every the FECC WASH Program between 2010/2011 was basically the combination of SC I and SC year, and 88% of diarrheal disease is and 2014 to measure how effectively WASH II, it could show the comprehensive impact of attributed to unsafe water supply, inadequate interventions were implemented. LiST is one World Vision’s WASH Program. Also, most sanitation and hygiene.1 It is essential that component of the Spectrum software suite, a information about WASH-related safe drinking water, good sanitation and mathematical modelling package that interventions were not available in all three hygiene habits be promoted and practiced to estimates the effectiveness of the program countries, so it was not possible to run SC IV. prevent the majority of these deaths. With with quantifiable results by scaling up the this aim, the humanitarian aid organization, coverage of WASH interventions between The quantitative outcomes presented here World Vision, implemented For Every Child baseline (2010/2011) and endline (2014).2-4 are results from the SC III (combined effect of Campaign (FECC) community-based water, all five WASH interventions available in LiST) sanitation and hygiene (WASH) Program in 76 The effectiveness and scaled-up coverage of summary analysis for Malawi, Mozambique Area Development Programs (ADPs) for five WASH interventions were calculated by and Zambia. 506,019 target under five years of age (U5) conducting ADP field visits and analyzing the population across Southern African Region: Southern African Region’s quantitative data. Malawi, Mozambique and Zambia from 1. Improved water source 2010/2011 to 2014. 2. Household water connection 3. Improved sanitation OBJECTIVES 4. Hand washing with soap 5. Hygienic disposal of children’s stools The purpose of the comparative assessment is to estimate the impact of FECC WASH The combined effect of WASH interventions interventions on under-five child mortality with four different scenarios were analyzed from 2010/2011 to 2014 in three of World through LiST. CONCLUSIONS Vision’s countries in the Southern African Region: Malawi, Mozambique and Zambia. Scenario I (SC I): scaling up coverage of water interventions alone (improved water source + These results suggest that the program is WASH Program has been continuously achieving the organization’s ultimate goal, implemented throughout 2010-2014 in ADPs, household water connection) while assuming coverage of sanitation & hygiene and WASH- “Every child deserves clean water,” and that World Vision’s primary unit for implementing LiST acted as an effective tool for conducting its interventions at community level (20 ADPs related health interventions stayed constant over time the quantitative impact assessment of the in Malawi; 26 ADPs in Zambia; 30 ADPs in project at the subnational level. Mozambique). Scenario II (SC II): scaling up coverage of sanitation and hygiene interventions alone To reach universal coverage by 2020 to (improved sanitation + hand washing with prevent all 3 cases of diarrhea per child each soap + hygienic disposal of children’s stools) year, program activities should include while assuming coverage of water and WASH- promotion and facilitation of household-level related health interventions stayed constant water connection and regular availability of over time soap or equivalent, and WASH-related health interventions should be fully incorporated Scenario III (SC III): scaling up coverage of into future program. WASH interventions (improved water source + household water connection + improved sanitation + hand washing with soap + REFERENCES hygienic disposal of children’s stools) while 1. World Health Organization. Diarrheal disease. assuming coverage of WASH-related health http://www.who.int/mediacentre/factsheets/fs330/en/. interventions stayed constant over time Updated 2013. Accessed June 30, 2015. 2. Johns Hopkins Bloomberg School of Public Health. The Lives Scenario IV (SC IV): scaling up coverage of all Saved Tool - software that predicts survival of mothers and KEYWORDS children. http://www.livessavedtool.org/training3. Updated WASH interventions + WASH-related health 2015. Accessed June 27, 2016. Diarrheal Disease – Southern African Region – interventions 3. Walker N, Tam Y, Friberg IK. Overview of the lives saved tool (LiST). BMC Public Health. 2013;13 Suppl 3:S1-2458-13-S3-S1. Maternal, Newborn and Child health – Water, Epub 2013 Sep 17. Sanitation, and Hygiene – Lives Saved Tool – 4. Fox MJ, Martorell R, van den Broek N, Walker N. Assumptions Intervention Coverage – Retrospective & and methods in the lives saved tool (LiST). introduction. BMC Public Health. 2011;11 Suppl 3:I1-2458-11-S3-I1. Quantitative Analysis – World Vision Please use your smartphone to scan this QR code, and you will see my profile and read my blog. .
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