Achieving Water Security: Lessons from Research in Water Supply, Sanitation and Hygiene in Ethiopia, Practical Action Publishing, Rugby

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Achieving Water Security

Praise for the book

‘Water security matters, and it matters most to the most vulnerable individuals, households, communities and nations. Ethiopia is home to many millions of people who are anything but water-secure. This publication shines a light on such people, and it provides numerous inter-disciplinary insights into the causes of water insecurity and into some of the measures which are needed to relieve that insecurity. There are too few research programmes of this type which focus on situations of real need in the world, and which grapple with the difficult issues associated with the relief of poverty and vulnerability. I warmly welcome this contribution to the literature, and hope that this work will inform the practices and policies of government and development partners in Ethiopia.’

Richard C. Carter, Visiting Professor, Cranfield University, UK

‘Consolidating these findings from the RiPPLE programme into a single volume to address water security in Ethiopia has generated an essential primer and benchmark in realizing domestic water supply and sanitation in Africa’s second most populous country. Being informed by five years of research and learning, this is a valuable insight into a critical dimension of Ethiopia’s future security.’

Melvin W o odhouse, Associate Director, LTS International, UK

Achieving Water Security

Lessons from research in water supply, sanitation and hygiene in Ethiopia

Edited by
Roger Calow, Eva Ludi and Josephine Tucker

Practical Action Publishing Ltd
The Schumacher Centre
Bourton on Dunsmore, Rugby, Warwickshire CV23 9QZ, UK www.practicalactionpublishing.org

Copyright © Overseas Development Institute, 2013
ISBN 978 1 85339 7639 Hardback ISBN 978 1 85339 7646 Paperback ISBN 978 1 78044 763 6 Library Ebook
ISBN 978 1 78044 764 3 Ebook

All rights reserved. No part of this publication may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without the written permission of the publishers.

A catalogue record for this book is available from the British Library.
Roger Calow, Eva Ludi and Josephine Tucker, eds (2013)

Achieving Water Security: Lessons from Research in Water Supply,
Sanitation and Hygiene in Ethiopia, Practical Action Publishing, Rugby.

The contributors have asserted their rights under the Copyright Designs and Patents Act 1988 to be identified as authors of their respective contributions.

Since 1974, Practical Action Publishing (formerly Intermediate Technology Publications and ITDG Publishing) has published and disseminated books and information in support of international development work throughout the world. Practical Action Publishing is a trading name of Practical Action Publishing Ltd (Company Reg. No. 1159018), the wholly owned publishing company of Practical Action. Practical Action Publishing trades only in support of its parent charity objectives and any profits are covenanted back to
Practical Action (Charity Reg. No. 247257, Group VAT Registration
No. 880 9924 76).

This material has been funded by UK aid from the UK Government, however the views expressed do not necessarily reflect the UK Government’s official policies.

The opinions expressed in this book are those of the authors, and do not necessarily reflect the views of their institutions.

Cover photo: A girl on her way to collect water from a pond
Photo credit: Iva Zimova / Panos
Indexed by Liz Fawcett, Harrogate, North Yorkshire Typeset by Bookcraft Ltd, Stroud, Gloucestershire

Contents

Photos and figures T a bles Boxes

vii viii ix

Foreword Acknowledgements Acronyms Glossary

xxii xiii xvii

Introduction

Roger Calow, Zemede Abebe and Alan Nicol

1
25 49
123
Ethiopia’s water resources, policies, and institutions

Eva Ludi, Bethel Terefe, Roger Calow and Gulilat Birhane

WASH sector monitoring

John Butterworth, Katharina Welle, Kristof Bostoen and Florian Schaefer

Innovative approaches for extending access to water services: the

  • potential of multiple-use water services and self-supply
  • 69

Marieke Adank, John Butterworth, Sally Sutton and Zemede Abebe

4567
Sanitation and hygiene promotion in rural communities: the Health Extension Programme

Peter Newborne and Anu Liisanantti

89
Sustainability of water services in Ethiopia

Nathaniel Mason, Alan MacDonald, Sobona Mtisi, Israel Deneke Haylamicheal and Habtamu Abebe

107
Water for livelihood resilience, food security, and poverty reduction

Josephine Tucker, Zelalem Lema and Samson Eshetu Lemma

127 147
Responding to climate variability and change: implications for planned adaptation

Lindsey Jones, Lorraine Coulter, Million Getnet Gebreyes, Beneberu Shimelis Feleke, Naomi Oates, Leulseged Yirgu Gebreamlak and Josephine Tucker

vi AChiEving WATER SECuRiTy

  • 8
  • Policy and practice influence through research: critical

  • reflections on RiPPLE’s approach
  • 173

195

Josephine Tucker, Ewen Le Borgne and Marialivia Iotti Index

Photos and figures

Photos

  • Pumps drawing irrigation water from the Awash River
  • 28

Collecting water for domestic use from the irrigation system in Ifa Daba 77

  • Contrasting experiences of irrigation (in Box 6.1)
  • 139

Figures

1.1 Schematic map of Ethiopia’s river basins 1.2 Proportion of national populations without access to improved drinking water
2.1 Rural water supply coverage 3.1 Pathways towards multiple-use water services 3.2 Benefit/cost and incremental benefit/cost ratios
27 29 51 75 76
3.3 Comparison of water quality in different source types (wet season) 77 4.1 A typical ‘sanitation ladder’ in rural SNNPR 5.1 Conceptual framework for sustainability of water services 5.2 The sustainability of water points related to aquifer productivity for three woredas in Benishangul-Gumuz
5.3 Estimated groundwater storage in Africa 6.1 Causal pathways linking lack of water with food insecurity 6.2 Incidence and depth of poverty among households with and without improved water supply in East Hararghe
6.3 Seasonal calendars of water access
94
109

118 120 128

131 134

  • 150
  • 7.1 Rainfall distribution in Ethiopia

7.2 Coarse-resolution GCM outputs showing projected changes in

  • temperature at a sub-national scale
  • 152

7.3 Water use for human consumption as a percentage of minimum human needs in the highland Wheat Barley Potato (WBP) livelihood zone
7.4 Water use by livestock in the lowland Shinile Agropastoral (SAP) livelihood zone
155 156
8.1 Linear technology transfer model versus multi-stakeholder learning process
8.2 RiPPLE’s research studies and influencing areas
178 179

Tables

1.1 Water-related targets in the Growth and Transformation Plan 1.2 Water supply and sanitation coverage and investment figures 1.3 Non-functionality of rural water schemes in 10 regions 2.1 National and globally-reported rural and urban water supply coverage figures for Ethiopia, 2010
30 35 36

51 53
2.2 Compilation of national and internationally-reported data points for rural water supply coverage
4.1 Sanitation and hygiene – elements of the Health Extension

  • Programme
  • 92

6.1 Experience of water-related disease among different age groups 6.2 Experience of diarrhoeal disease among individuals with differing access to improved water and handwashing practices
8.1 RiPPLE strategies for policy influence: tackling common challenges
131 132 175

  • 181
  • 8.2 Major RiPPLE influencing strategies beyond the LPA

Boxes

1.1 Ethiopian Water Resources Management Policy (1999) 1.2 Financing modalities for WASH
31 33
1.3 Financing WASH services in East Hararghe: findings from RiPPLE

  • research
  • 34

38 43 52 57
1.4 Institutional responsibilities under the WASH MoU 1.5 Key principles in WASH implementation 2.1 Coverage as defined by the Ministry of Water and Energy 2.2 Data collected in the National WASH Inventory 2.3 Rural water supply in the National WASH Inventory 2.4 Encouraging local use of data
58 60
3.1 Recent milestones and policy developments for self-supply 3.2 Self-supply and multiple uses in Mirab Abaya 5.1 What is a water service?
79 84
109 113 119 139
5.2 Unheard voices 5.3 Implications of climate change for water services sustainability 6.1 Contrasting experiences of irrigation 7.1 Summarized projections of future global climate trends related to

  • freshwater resources
  • 148

151 151 158 174 176 177 182 182
7.2 Farmers’ perceptions of change 7.3 Summary of GCM ensemble projections for Ethiopia 7.4 National Adaptation Programme of Action (NAPA) 8.1 The struggle for information 8.2 Action research 8.3 Learning and Practice Alliances 8.4 Enhancing scheme sustainability in two woredas 8.5 Expanding water services for multiple uses 8.6 Improving life for farmers: equitable water supply and better prices for vegetables
8.7 Influencing the Universal Access Plan and National WASH
Inventory
183 184 184
8.8 Engaging on food security, climate change, and disaster risk management strategies
8.9 Improving scheme sustainability by building WASHCO capacity 185 8.10 Practical planning skills for woreda water officers 8.11 Embedding research approaches in national universities
187 188

Foreword

Since 2006, the DFID-funded RiPPLE programme has provided invaluable support to the water and sanitation sector in Ethiopia. Drawing on the capabilities of local staff and working closely with the Government of Ethiopia, RiPPLE has made a significant contribution to capacity building, the generation of new knowledge, and policy and practice around the delivery of water and sanitation services in rural areas. This is a major achievement, and some of the key highlights and findings are captured in this book.
The challenge in meeting the water and sanitation needs of a growing population is a huge one, and climate change will make the challenge greater. But significant progress is being made, not least with the acceleration in water supply coverage under the Government of Ethiopia’s Growth and Transformation Plan.
As RiPPLE enters its next phase as an independent organization, managed fully by Ethiopian staff, it can play a key role in supporting this effort: conducting high-quality research and providing evidence that helps extend and sustain access to water and sanitation services, and builds a water-secure future for all Ethiopians.

H.E. Alemayehu Tegenu
Minister, Ministry of Water and Energy, Government of Ethiopia
Addis Ababa, September 2012

FoREWoRd xi

When RiPPLE began work in 2006, it could not have been anticipated that an externally funded research programme would become an independent organization with a unique voice in Ethiopia’s water and sanitation sector. Yet this is the transformation that has occurred, and I am honoured to be leading RiPPLE as it charts new waters with a dedicated team of Ethiopian staff.
In November 2011, RiPPLE was registered as an independent NGO under the Ministry of Justice, and has since grown in size and strength. Unlike many of the authors of this book, I am a relative newcomer to RiPPLE, taking over the reins as Director in April 2012 from my esteemed predecessor, Zemede Abebe. Looking ahead, there is clearly much to do, building on what has been achieved and documented in these pages, but enhancing further our position as a national resource centre, and as a provider of research-based evidence, policy advice and capacity building. In so doing, we will be engaging with the up and coming issues around climate-compatible development, disaster risk reduction and water resources management, as well as with the ongoing challenge of extending – and sustaining – access to water and sanitation services. These are issues that can only grow in importance as Ethiopia seeks to safeguard the progress it has already made, while striving to achieve middle-income status.
This book demonstrates what we can do, and I commend the authors for their achievement in summarizing such a rich body of research over five years. As for the next five years, RiPPLE will redouble its efforts to provide robust evidence and advice for all sector stakeholders, with the ultimate aim of ensuring all Ethiopians achieve water security.

Deres Abdulkadir Director, RiPPLE
Addis Ababa, September 2012

Acknowledgements

This is a book that attempts to capture at least some of the rich insights, findings and mutual learning to emerge from the RiPPLE programme over five years. We’re delighted to see final publication after so much hard work from the authors and many contributors.
A full list of people to thank for their work on the book, and their contribution and support for the RiPPLE programme, would run to a dozen pages or more. Instead, we’d simply like to thank all of those who helped make RiPPLE a success, and such a happy programme to work on, from staff in the Ministry of Water and Energy, to the countless individuals in the regions who gave their time freely, and enthusiastically, to the research. And of course to RiPPLE partners and staff, past and present, for their commitment and professionalism throughout. RiPPLE partners deserve a special mention: the International Water and Sanitation Centre (IRC), Delft, The Netherlands; the Hararghe Catholic Secretariat (HCS), Dire Dawa, Ethiopia; WaterAid Ethiopia, Addis Ababa, Ethiopia; and the College of Development Studies (CDS) at Addis Ababa University, Ethiopia.
RiPPLE is now entering a new and exciting phase as an independent organization, and all of those involved can be rightly proud of this achievement. RiPPLE is continuing to play an active and unique role in the sector – as a resource centre, and provider of research-based evidence for policy-makers, practitioners and other stakeholders. We wish it every success.

Roger Calow, Eva Ludi and Josephine Tucker

Acronyms

AfDB African Development Bank AMCOW African Ministers’ Council on Water

ASL Above sea level

BoFED Bureau of Finance and Economic Development

BoH Bureau of Health

BoWE Bureau of Water and Energy BoWR Bureau of Water Resources

CAPEX Capital expenditure

CCRDA Consortium of Christian Relief and Development Association CDF Community Development Fund CDKN Climate and Development Knowledge Network CHP Community health promoter CHW Community health worker CLTS Community-led Total Sanitation CLTSH Community-led Total Sanitation and Hygiene CMP Community-managed project COWASH Community-led Water, Sanitation and Hygiene CRGE Climate-Resilient Green Economy CRS Catholic Relief Services CSA Central Statistical Agency CSO Civil society organization

CWA Consolidated Wash Account

DAG Development Assistance Group DALY Disability-adjusted life year DFID Department for International Development (UK) DHS Demographic and Health Services DRA Demand-responsive approach DRC Democratic Republic of Congo DRR Disaster risk reduction ECWP Ethiopia Country Water Partnership ENSO El Niño / La Niña–Southern Oscillation EPA Environmental Protection Authority ESRDF Ethiopia Social Relief, Rehabilitation and Development Fund

ET Evapo-transpiration ETB Ethiopian birr EU European Union

FAO Food and Agriculture Organization

xiv AChiEving WATER SECuRiTy

FDRE Federal Democratic Republic of Ethiopia FEWS-NET United States Aid Agency Famine Early Warning Systems
Network
FLoWS Forum for Learning on Water and Sanitation GCM Global Circulation Model GDP Gross domestic product

GHG Greenhouse gas

GLoWS Guided Learning on Water and Sanitation GoE Government of Ethiopia GPS Global Positioning System GTP Growth and Transformation Plan HEA Household Economy Analysis HEP Health Extension Programme HEW Health extension worker HSDP Health Sector Development Programme IDS Institute of Development Studies IEC Information, education, and communication IFAD International Fund for Agricultural Development IKM Information and knowledge management INGO International non-governmental organization IPCC Intergovernmental Panel on Climate Change IRC International Water and Sanitation Centre ITCZ Inter-Tropical Convergence Zone KM4Dev Knowledge Management for Development

KWT Kebele WASH Team

IMR Infant mortality rate IWRM Integrated Water Resources Management JICA Japan International Cooperation Agency JMP Joint Monitoring Programme JTR Joint technical review KAP Knowledge, attitude, and practice LPA Learning and Practice Alliance LPCD Litres per capita per day MDG Millennium Development Goal M&E Monitoring and evaluation MOARD Ministry of Agriculture and Rural Development MoFED Ministry of Finance and Economic Development

MoH Ministry of Health

MoU Memorandum of Understanding MoWE Ministry of Water and Energy MoWR Ministry of Water Resources MSF Multi-stakeholder forum MUS Multiple-use water services

MW Megawatt

NAPA National Adaptation Programme of Action

ACRonymS xv

NGO Non-governmental organization NWI National WASH Inventory ODA Overseas development assistance O&M Operation and maintenance ODI Overseas Development Institute OECD Organisation for Economic Co-operation and Development OMSU Operation and Maintenance Support Unit

PANE Poverty Action Network Ethiopia

PCDP Pastoral Community Development Project PSNP Productive Safety Net Programme PTA Parent–teacher association RCCSGA Resource Center for Civil Society Groups Association REDD Reducing emissions from deforestation and forest degradation RiPPLE Research-inspired Policy and Practice Learning in Ethiopia and the Nile Region
RWSEP Rural Water Supply and Environmental Programme RWSN Rural Water Supply Network

SAP Shinile Agropastoral S&H Sanitation and hygiene SMC Sorghum Maize Chat

SNNPR Southern Nations, Nationalities, and People’s Region SNV Netherlands Development Organisation SOAS School of Oriental and African Studies

SSA Sub-Saharan Africa SWAp Sector-wide approach TB Tuberculosis

TTC Thermotolerant coliform TVETC Technical and vocational education and training college UAP Universal Access Plan U5MR Under-five mortality rate UNDP United Nations Development Programme UNFCCC United Nations Framework Convention on Climate Change UNICEF United Nations Children’s Fund USAID United States Agency for International Development VHW Village health worker VLOM Village-level operation and maintenance

WASH Water, sanitation and hygiene WASHCOs Water, sanitation and hygiene committee WBP Wheat Barley Potato

WELS Water Economy for Livelihoods WIF WASH Implementation Framework

WFP World Food Programme

WHO World Health Organization WME Water, mining and energy WMS Welfare Monitoring Survey

xvi AChiEving WATER SECuRiTy

WSF-CCRDA Water Sanitation Forum-Consortium of Christian Relief and
Development Associations
WSP Water and Sanitation Programme WUA Water user association WWF World Wide Fund for Nature WWRDO Woreda Water Resource Development Office ZWRDO Zonal Water Resource Development Office

Glossary

Adaptation. Adjustment in natural or human systems to a new or changing environment; adaptation can be anticipatory or reactive, private or public, autonomous or planned
Adaptive capacity. The ability of a system (e.g. a community or household) to anticipate, deal with and respond to change

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    ETHIOPIA Food Security Outlook Update March 2013 The start of the Belg rains was delayed by about a month KEY MESSAGES Figure 1. Projected food security outcomes, March 2013 • The February to May Belg rains started during the second week of March, which is earlier than last year. However, in most receiving areas, the rains were still between three and four weeks late. The subsequent late planting of Belg crops is likely to delay the harvest by a few weeks from its normal June start, which would extend the typical April to June lean season. • In the sweet potato-producing areas of Southern Nations, Nationalities, and Peoples’ Region (SNNPR), the sweet potato harvest is below normal. Sweet potatoes are an important bridge crop from March to June. Households without sweet potatoes may face food consumption gaps or need to employ coping strategies during the April to June lean season, which may extend by few weeks due to late Belg planting, keeping these areas in Crisis (IPC Phase 3) Source: FEWS NET Ethiopia through June. Figure 2. Projected food security outcomes, April to • In the Belg-receiving areas, poor and very poor households June 2013 usually address their food needs through purchase from April to June. As many of these areas had poor Meher harvests from October to January, purchases began as early as January. Food access through markets is likely to be constrained across the country as already elevated food prices are anticipated to further increase as local market and households stocks are exhausted in Belg-receiving areas from April to June.
  • Ethiopia Country Social Assessments and Overlaps with PSNP Woredas Annex 5: Community Consultation Attendance Sheet Annex 6: Sample Photos of Community Consultations

    Ethiopia Country Social Assessments and Overlaps with PSNP Woredas Annex 5: Community Consultation Attendance Sheet Annex 6: Sample Photos of Community Consultations

    E4606 Public Disclosure Authorized Ministry of Agriculture Disaster Risk Management and Food Security Sector Food Security Coordination Directorate Public Disclosure Authorized Productive Safety Net Program Phase 4 (PSNP 4) Public Disclosure Authorized ENHANCED SOCIAL ASSESSMENT AND CONSULTATION FINAL REPORT Public Disclosure Authorized 9 June 2014 Contents Acronyms ...................................................................................................................................................................... 3 Executive Summary ....................................................................................................................................................... 4 1. Introduction ...................................................................................................................................................... 9 2. Background to PSNP 4 ................................................................................................................................... 10 2.1 Objectives .......................................................................................................................................................... 10 2.2 Program Description ......................................................................................................................................... 10 2.3 National Policies ............................................................................................................................................... 14 3. Methodology
  • RESILIENCE in ACTION Drylands CONTENTS

    RESILIENCE in ACTION Drylands CONTENTS

    Changing RESILIENCE Horizons in Ethiopia’s IN ACTION Drylands PEOPLE AND COMMUNITIES 3 Changing RESILIENCE Horizons in Ethiopia’s IN ACTION Drylands Changing Horizons in Ethiopia’s RESILIENCE IN ACTION Drylands CONTENTS 4 FOREWORD 6 PEOPLE AND COMMUNITIES 34 LIVESTOCK AND MARKETS 56 PASTURE AND WATER 82 CHANGING HORIZONS 108 USAID’S PARTNERS 112 ABOUT USAID 2 RESILIENCE IN ACTION PASTURE AND WATER 3 FOREWORD MAP OF ETHIOPIA’S DRYLANDS ERITREA National Capital TIGRAY YEMEN Regional Capitals Dry Lands Regional Boundaries SUDAN National Boundary AFAR DJIBOUTI AMHARA BINSHANGUL- GAMUZ SOMALIA OROMIYA GAMBELLA ETHIOPIA SOMALI OROMIYA SOUTH SNNP SUDAN SOMALIA UGANDA KENYA re·sil·ience /ri-zíl-yuh ns/ noun The ability of people, households, communities, countries, and systems to mitigate, adapt to, and recover from shocks and stresses in a manner that reduces chronic vulnerability and facilitates inclusive growth. ETHIOPIA’S enormous pastoral pop- minimized thanks to USAID’s support for commercial Our approach in Ethiopia recognizes these dynamics, giving them better access to more reliable water resources ulation is estimated at 12 to 15 million destocking and supplementary livestock feeding, which working closely with communities while developing and reducing the need to truck in water, a very expensive people, the majority of whom live in supplied fodder to more than 32,000 cattle, sheep, and relationships with new stakeholders, such as small proposition, in future droughts which are occurring at a the arid or semi-arid drylands that goats. In addition, households were able to slaughter the businesses in the private sector (for instance, slaughter- higher frequency than in past decades.
  • WHO COUNTRY OFFICE ETHIOPIA: (Week 35, 24 – 30 August 2009)

    WHO COUNTRY OFFICE ETHIOPIA: (Week 35, 24 – 30 August 2009)

    EMERGENCY AND HUMANITARIAN ACTION (EHA) WEEKLY UPDATE – WHO COUNTRY OFFICE ETHIOPIA: (Week 35, 24 – 30 August 2009) HIGH LIGHTS: • According to official reports from the Federal Ministry of Health (FMOH), AWD epidemic has been reported from all ten sub-cities in Addis Ababa. • The food security situation in the country remains poor as a projected figure of 6.2 million beneficiaries would require food assistance from July to December 2009. • Malnutrition continued to be a serious concern in several woredas of Southern Nations, Nationalities and Peoples Region (SNNPR) in the first half of the year. I. GENERAL SITUATION: a) Political, social, security overview for the week • The overall security situation in the country remained stable during this week. No major security incidents involving humanitarian staff members have been reported. b) Main events of interest/ concern for health (displacements, conflicts, disease outbreaks, etc.) Acute watery Diarrhoea (AWD) • According to official reports from the Federal Ministry of Health (FMOH), AWD epidemic has been reported from all ten sub-cities in Addis Ababa. A total of 3089 cases with 4 deaths (CFR=0.12%) were reported from Addis Ababa Health Bureau since Aug 16, 2009. Cases started to build up starting from 20 th August 2009 and continue with increasing trend with a report of 783 cases with 1 death today, 27th August 2009. It was observed that cases are being reported from all sub cities with the highest case load being reported from: Akaki/Kaliti, Addis Ketema, Arada and Kolfe sub citities. Note: More AWD cases are from Akaki Kaliti, it is due to high wider geographical areas that the cases are scattered.