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Regional Workshop for Southern Africa on Household Water Treatment and Safe Storage and Integrated Household‐Based Environmental Health Interventions

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Regional Workshop for Southern Africa on Household Water Treatment and Safe Storage and Integrated Household‐Based Environmental Health Interventions Regional Workshop for Southern Africa on Household Water Treatment and Safe Storage and Integrated Household‐based Environmental Health Interventions June 2012 Maputo, Mozambique Coordinated by the World Health Organization and the United Nations Children’s Fund with communications support from The Water Institute at the University of North Carolina 1 Acknowledgements This Southern Africa regional workshop was an initiative of the International Network on Household Water Treatment and Safe Storage. The HWTS Network was launched in 2003 by the World Health Organization and is now co‐hosted by both WHO and the United Nations Children’s Fund. The Network brings together nearly 140 organisations in a mission to reduce the incidence of diarrhoeal disease by increasing access to clean water through the use of household water treatment and safe storage. Ana Candido, from the Government of Mozambique’s Ministry of Health (Ministério da Saúde) hosted and officially opened the workshop, held at the VIP Grand in Maputo, Mozambique June 20‐22, 2012. Other Mozambican government officials included Mauricete Angelo, Ministry of Health; Chelsea Langa, Ministry of Health; Rosa Maerdoenda, Ministry of Health; Ana‐Paula Cardoso, Ministry of Health; Elisa Adelaide Tembe, Ministry of Health; Maria Nivalda Lázaro, Ministry of Health; Salma Xavier, Ministry of Health; Teresa Pereira, Ministry of Health; Isabel Tauzene, Ministry of Health; Julieta Felicidade, Ministry of Public Works & Housing; Gilberto Azania Langa, Ministry of Public Works & Housing; Cristo Antonio Dos Santos, Ministry of Public Works & Housing; Jordi Gallego, Ministry of Science & Technology; Jaime Muchanga, Administração de Infra‐estruturas de Água e Saneamento; Virginia Muianga, Inspecção Nacional de Actividades Económicas; Alberto Muando Júnior, Centro de Higiene Ambiental da Cidade de Maputo; and Quermildo Finiasse Aliginar, Centro de Formação Professional de Agua e Saneamento. The following Malawi government officials attended: Humphreys Masuku and Young Samanyika, from the Ministry of Health, and McLawrence Mpasa from the Ministry of Water Development and Irrigation. Zambia government officials included Mibenge Chilekwa, Ministry of Health; Elizabeth Chafwa, Ministry of Health; and Douglas Sing’anga, Ministry of Local Government and Housing. The workshop was organised by local and international officials from the WHO and UNICEF and facilitated by Maggie Montgomery of WHO and Michael Forson of UNICEF. Special thanks to Wouter Maenhout, Sebastião Nkunku, Vainess Mfungwe and Isabel Bombe in the WHO Mozambique office for handling workshop logistics. Ryan Rowe of the Water Institute at the University of North Carolina at Chapel Hill provided communications and other organisational support to the workshop proceedings and served as rapporteur. Workshop speakers included the following: Greg Allgood, Procter & Gamble; Ana Candido, Mozambique Ministry of Health; Elizabeth Chafwa, Zambia Ministry of Health; Iulian Circo, Population Services International; Michael Forson, UNICEF; Lorelei Goodyear, PATH; Henk Holtslag, Independent consultant; Lilian Lehmann, Innovations for Poverty Action; Humphreys Masuku, Malawi Ministry of Health; Maggie Montgomery, World Health Organization; Tim Neville, Vestergaard‐Frandsen; Edema Ojomo, Water Institute at UNC; Ryan Rowe, Water Institute at UNC; Albert Saka, Zambia Keeper’s Foundation and Douglas Sing’anga, Zambia Ministry of Local Government and Housing. In all, over 60 participants from nearly 40 organisations in eight countries attended the workshop and contributed to the discussions. 2 Table of Contents Acknowledgements ....................................................................................................................................... 2 Table of Contents .......................................................................................................................................... 3 1. Purpose of the workshop and this report ............................................................................................. 4 2. Summary of Recommended Practices .................................................................................................. 4 3. Opening remarks, objectives and outputs ............................................................................................ 5 4. International HWTS perspective: challenges and opportunities .......................................................... 6 5. Status of HWTS National Policies and the Enabling Environment ........................................................ 7 6. Examples and lessons learned in implementing HWTS ........................................................................ 8 7. Good Practices in Integrating HWTS with Health Efforts...................................................................... 9 8. Sustainability and Reaching the Most Vulnerable .............................................................................. 10 9. Monitoring and Evaluating HWTS in the Home .................................................................................. 11 10. Evaluation and Regulation of HWT ................................................................................................. 12 11. Preparation and presentation of draft National Action Plans ........................................................ 13 12. Translating plans into action and identifying needs ....................................................................... 14 13. Conclusion ....................................................................................................................................... 15 References .................................................................................................................................................. 16 Annex 1 – Agenda ....................................................................................................................................... 18 Annex 2 – Concept Note ............................................................................................................................. 22 Annex 3 – List of participants ...................................................................................................................... 26 3 1. Purpose of the workshop and this report Achieving tangible results in the scaling‐up of household water treatment and safe storage (“HWTS”) and integration into primary prevention programmes depends, in large part, on the existence of national enabling environments and effective policies. The workshop held in Maputo, Mozambique in June 2012 provided an opportunity for government officials from Malawi, Mozambique and Zambia to connect with other professionals working in the region and share their experiences in developing strategy for HWTS and its implementation. The first half of the three‐day workshop focused on examples of national strategies, linking HWTS to key national policies and best practices in implementation and integration. The second half focused on tools for improving outcomes and impact and allowed participants to collaborate on developing tnational action plans. The World Health Organization (WHO) and UNICEF‐hosted International Network on Household Water Treatment and Safe Storage (the “Network”) has adopted a target to have 30 countries establish policies on household water treatment by 2015. This workshop is part of a global effort on incorporating HWTS into relevant national water and health policies and strengthening evaluation and regulation of HWTS. In 2011, the Network organised a similar regional workshop involving Ethiopia, Kenya, Rwanda, Tanzania and Uganda; the report from that workshop is available online.1 Other regional workshops are currently in the planning stage. The purpose of this report is to record the outcomes and outputs of the Maputo workshop discussions and provide a reference guide for attendees as they develop and implement action plans and strategies to support the scaling up of HWTS in their countries. Workshop proceedings are available online at: http://waterinstitute.unc.edu/hwts/events/2012_maputo. 2. Summary of Recommended Practices In reference to the workshop objectives, the following practices were identified as important elements in developing national strategies for scaling up HWTS. These recommended practices are not prescriptive but merely a guide for stakeholders considering how to best implement HWTS in their own specific environments and contexts. National policy structures and regulation Include HWTS, where appropriate, into broader national policies on health, water and development rather than creating a stand‐alone policy Designate one specific ministry as the lead agency for HWTS issues Develop national targets on use of HWTS, especially among vulnerable groups, as a basis for assessing impact 1 Report and proceedings of the East Africa regional workshop are available at http://waterinstitute.unc.edu/hwts/events/entebbe2011. 4 Consider adopting WHO recommendations on the microbiological performance of household water treatment options (WHO, 2011a) for the regulation and setting of standards on HWTS technology options Policy formulation, implementation and monitoring & evaluation Ensure policy goals and strategies are clear and consistent especially in overlapping areas Develop national guidelines on implementation to guide efforts in targeting vulnerable groups and areas where safe water is not available as well as promoting and measuring consistent,
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